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Discussion: Breast Conditions Throughout a woman’s life, her breasts go through many normal, healthy changes. However, patients do not always understand these changes and often visit health care providers for treatment. When examining these patients, you must be able to identify when a breast condition is the result of a safe and normal physiological change and when it is the result of an abnormal change requiring treatment and management. A diagnosis of a breast condition resulting from an abnormal change can be devastating for women, making emotional support as vital to women’s well-being as proper assessment, diagnosis, and management. For this Discussion, consider how you might diagnose, manage, and support the following two patients presenting with breast conditions: Case Study 1: You are seeing a 60-year-old Latina female, Gravida 4 Para 3104, who is concerned about a thick greenish discharge from her left breast for the past month. The discharge is spontaneous and associated with dull pain and burning. Upon questioning, she also tells you that she breastfed all her children and is currently not on any medications except for occasional Tylenol for arthritis. Her last mammogram, 14 months ago, was within normal limits. On exam, her left breast around the areola is slightly reddened and edematous. Upon palpation of the right quadrant, a greenish-black discharge exudes from the nipple. You note an ovoid, smooth, very mobile, non-tender 1 cm nodule in the RUIQ at 11:00 5 cm from the nipple. No adenopathy, dimpling, nipple discharge, or other associated findings. Her right breast is unremarkable. The patient expresses her desire to proactively decrease her risk for developing breast cancer. Case Study 2: You are seeing a 53-year-old African American female for a lump she found in her right breast two weeks ago in the shower. Her last mammogram was three years ago and she was told it was “benign.” She had two breast biopsies at ages 32 and 34 in her right and left breasts, respectively. At both times she had surgery for removal of fibroadenomas. She does not routinely do breast self-exams. Her mother had a mastectomy for breast cancer at age 63, and she heard that a paternal aunt had a breast removed for cancer when she was in her forties. Both mother and aunt are alive and well today. It was discovered on postmortem exam that her grandfather had prostate cancer. Menarche was at age 15 and she is still having monthly menses. She is Gravida 4 Para 3104 with her first childbirth at age 31. She was on oral contraception for 10 years, has no history of fertility treatments, and had a bilateral tubal ligation after the birth of her last child at age 35. Past medical history is noncontributory. She wants to know how likely it is that she will get breast cancer. Physical exam reveals breasts are symmetrical with no dimpling, retractions, or rash. Her right breast has a 2 cm non-tender, hard, fixed mass at 3:00 6 cm from her nipple. Left breast is non-tender without masses. No nipple discharge bilaterally. No anterior cervical, infra- or supraclavicular, or axillary adenopathy. To prepare: Review Chapter 15 of the Schuiling and Likis text. Review and select one of the two provided case studies. Analyze the patient information. Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient. Reflect on the appropriate clinical guidelines. Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or nonpharmacologic treatments. Consider strategies for educating patients on the treatment and management of the disorder you identified as your primary diagnosis. ORDER A SIMILAR ESSAY WRITTEN FROM SCRATCH at : londonessays.com  

Discussion: Breast Conditions Throughout a woman’s life, her breasts go through many normal, healthy changes. However, patients do not always understand these changes and often visit health care providers for…

Continue ReadingDiscussion: Breast Conditions Throughout a woman’s life, her breasts go through many normal, healthy changes. However, patients do not always understand these changes and often visit health care providers for treatment. When examining these patients, you must be able to identify when a breast condition is the result of a safe and normal physiological change and when it is the result of an abnormal change requiring treatment and management. A diagnosis of a breast condition resulting from an abnormal change can be devastating for women, making emotional support as vital to women’s well-being as proper assessment, diagnosis, and management. For this Discussion, consider how you might diagnose, manage, and support the following two patients presenting with breast conditions: Case Study 1: You are seeing a 60-year-old Latina female, Gravida 4 Para 3104, who is concerned about a thick greenish discharge from her left breast for the past month. The discharge is spontaneous and associated with dull pain and burning. Upon questioning, she also tells you that she breastfed all her children and is currently not on any medications except for occasional Tylenol for arthritis. Her last mammogram, 14 months ago, was within normal limits. On exam, her left breast around the areola is slightly reddened and edematous. Upon palpation of the right quadrant, a greenish-black discharge exudes from the nipple. You note an ovoid, smooth, very mobile, non-tender 1 cm nodule in the RUIQ at 11:00 5 cm from the nipple. No adenopathy, dimpling, nipple discharge, or other associated findings. Her right breast is unremarkable. The patient expresses her desire to proactively decrease her risk for developing breast cancer. Case Study 2: You are seeing a 53-year-old African American female for a lump she found in her right breast two weeks ago in the shower. Her last mammogram was three years ago and she was told it was “benign.” She had two breast biopsies at ages 32 and 34 in her right and left breasts, respectively. At both times she had surgery for removal of fibroadenomas. She does not routinely do breast self-exams. Her mother had a mastectomy for breast cancer at age 63, and she heard that a paternal aunt had a breast removed for cancer when she was in her forties. Both mother and aunt are alive and well today. It was discovered on postmortem exam that her grandfather had prostate cancer. Menarche was at age 15 and she is still having monthly menses. She is Gravida 4 Para 3104 with her first childbirth at age 31. She was on oral contraception for 10 years, has no history of fertility treatments, and had a bilateral tubal ligation after the birth of her last child at age 35. Past medical history is noncontributory. She wants to know how likely it is that she will get breast cancer. Physical exam reveals breasts are symmetrical with no dimpling, retractions, or rash. Her right breast has a 2 cm non-tender, hard, fixed mass at 3:00 6 cm from her nipple. Left breast is non-tender without masses. No nipple discharge bilaterally. No anterior cervical, infra- or supraclavicular, or axillary adenopathy. To prepare: Review Chapter 15 of the Schuiling and Likis text. Review and select one of the two provided case studies. Analyze the patient information. Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient. Reflect on the appropriate clinical guidelines. Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or nonpharmacologic treatments. Consider strategies for educating patients on the treatment and management of the disorder you identified as your primary diagnosis. ORDER A SIMILAR ESSAY WRITTEN FROM SCRATCH at : londonessays.com  

What can you conclude about the molecular make-up of potatoes and onions based on the test you performed? Why might these foods contain these substance(s)?

What can you conclude about the molecular make-up of potatoes and onions based on the test you performed? Why might these foods contain these substance(s)?. This is the correct material…

Continue ReadingWhat can you conclude about the molecular make-up of potatoes and onions based on the test you performed? Why might these foods contain these substance(s)?

Respond to this post with a positive response : Ask questions to help clarify the scenario and application of data, or offering additional/alternative ideas for the application of nursing informatics principles. Main Post Nurses rely on gathered information, statistics, and trends to help them in their day to day operations. Nurse managers rely on what is trending when it comes to Performance Improvement. The trending information helps the nurse manager pinpoint where the trouble lies and able to go to the source of the problem and educate the staff and fix the problem. For example, during chart audits, it has come to the attention of the auditor that the smoking cessation education check box has been missed in about 50% of the charts that were checked. This data that was collected was entered into a computer program to break down and pinpoint what area of the hospital it was coming from or from whom. This information was given to the nurse manager to share with the staff from which this trend had occurred. Education was able to be given to correct this problem. Information and information processing are central to the healthcare worker. A healthcare professional is also known as a knowledge worker because he or she deals with and processes information on a daily basis to make it meaningful and inform his or her practice (McGonigle & Mastrian, 2018, p. 21). Nurses have to have a knowledge base in order to do the basics of nursing. Most of the knowledge that a nurse will further acquire is on the job. Such as the scenario given above, nurses have to be trained in the policy and procedures of their facility. Gathering information to be able to educate nurses on what is missing in there charting or other paperwork that is required of them is helpful to create proficient nurses. Healthcare informatics is defined as “the integration of healthcare sciences, computer sciences, information science, and cognitive science to assist management of healthcare information (Sweeney, 2017). By gathering the data, we were able to break it down and create a bar graph of each unit and how many unchecked boxes for the smoking education that did not get done correctly. We could see if any one nurse was trending and gave direction on how to proceed with the educating of the staff. This information came from our PI department to the nurse managers then down to the staff for correcting. According to N. L. Nagle et al., knowledge innovation and generation provides guidance and support to others (nurses, patients) in the application and use of emerging knowledge… (Nagle, Junger, & Bloomberg, 2017, p. 219). References McGonigle, D., & Mastrian, K. G. (2018). Nursing Informatics and the Foundation of Knowledge (4 ed.). Burlington, MA: Jones and Bartlett Learning. Nagle, L. M., Junger, A., & Bloomberg, L. S. (2017). Evolving Role of the Nursing Informatics Specialist. Forecasting Informatics for Nurses in the Future of Connected Health, 212-221. Sweeney, BSN, RN, J. (2017, Feb 2017). Healthcare Informatics. OJNI, 21. ORDER A SIMILAR ESSAY WRITTEN FROM SCRATCH at : londonessays.com  

Respond to this post with a positive response : Ask questions to help clarify the scenario and application of data, or offering additional/alternative ideas for the application of nursing informatics…

Continue ReadingRespond to this post with a positive response : Ask questions to help clarify the scenario and application of data, or offering additional/alternative ideas for the application of nursing informatics principles. Main Post Nurses rely on gathered information, statistics, and trends to help them in their day to day operations. Nurse managers rely on what is trending when it comes to Performance Improvement. The trending information helps the nurse manager pinpoint where the trouble lies and able to go to the source of the problem and educate the staff and fix the problem. For example, during chart audits, it has come to the attention of the auditor that the smoking cessation education check box has been missed in about 50% of the charts that were checked. This data that was collected was entered into a computer program to break down and pinpoint what area of the hospital it was coming from or from whom. This information was given to the nurse manager to share with the staff from which this trend had occurred. Education was able to be given to correct this problem. Information and information processing are central to the healthcare worker. A healthcare professional is also known as a knowledge worker because he or she deals with and processes information on a daily basis to make it meaningful and inform his or her practice (McGonigle & Mastrian, 2018, p. 21). Nurses have to have a knowledge base in order to do the basics of nursing. Most of the knowledge that a nurse will further acquire is on the job. Such as the scenario given above, nurses have to be trained in the policy and procedures of their facility. Gathering information to be able to educate nurses on what is missing in there charting or other paperwork that is required of them is helpful to create proficient nurses. Healthcare informatics is defined as “the integration of healthcare sciences, computer sciences, information science, and cognitive science to assist management of healthcare information (Sweeney, 2017). By gathering the data, we were able to break it down and create a bar graph of each unit and how many unchecked boxes for the smoking education that did not get done correctly. We could see if any one nurse was trending and gave direction on how to proceed with the educating of the staff. This information came from our PI department to the nurse managers then down to the staff for correcting. According to N. L. Nagle et al., knowledge innovation and generation provides guidance and support to others (nurses, patients) in the application and use of emerging knowledge… (Nagle, Junger, & Bloomberg, 2017, p. 219). References McGonigle, D., & Mastrian, K. G. (2018). Nursing Informatics and the Foundation of Knowledge (4 ed.). Burlington, MA: Jones and Bartlett Learning. Nagle, L. M., Junger, A., & Bloomberg, L. S. (2017). Evolving Role of the Nursing Informatics Specialist. Forecasting Informatics for Nurses in the Future of Connected Health, 212-221. Sweeney, BSN, RN, J. (2017, Feb 2017). Healthcare Informatics. OJNI, 21. ORDER A SIMILAR ESSAY WRITTEN FROM SCRATCH at : londonessays.com  

knowledge we have received from news outlets, media articles, television and word of mouth from

Our knowledge and impressions of the U.S. Courts system have been greatly affected by the knowledge we have received from news outlets, media articles, television and word of mouth from…

Continue Readingknowledge we have received from news outlets, media articles, television and word of mouth from