Reading Reflections

Please submit and analyze  regarding this week chapter reading, explain what are some of the important aspects of this week’s reading, provide examples when possible. 

Ch 12 & 13 of  text book Smith M. & Parker M. (2014). Nursing Theories and Nursing Practice. (4th, Ed.) Philadelphia: F.A. Davis Company.

CASE STUDY 4 – Reflecting on week 9’s lessons in the syllabus, select a patient population (young adult, adult or geriatric), and briefly analyze a common STDs & urological disorder (ex – UTI, Hematuria, Urolithiasis, Urinary Incontinence, Ac. Pyelonephritis, HIV, Bacterial vaginosis, Chlamydia, Gonorrhea, Trichomoniasis, Syphilis) that may affect this population. Briefly tell how it impacts the patient’s quality of life and analyze the current research evidence on this topic and gold standard of care if any for your chosen population. (You may use an example from your clinical rotation (past or present) that you have encountered). Describe how you, the FNP, can/or have made a difference in the care of patients with this specific condition and tell of one specific patient care teaching the patient can benefit from. 

  CASE STUDY 4 – Reflecting on week 9’s lessons in the syllabus, select a patient population (young adult, adult or geriatric), and briefly analyze a common STDs & urological disorder (ex – UTI,  Hematuria, Urolithiasis, Urinary Incontinence, Ac. Pyelonephritis, HIV,  Bacterial vaginosis, Chlamydia, Gonorrhea, Trichomoniasis, Syphilis)  that may affect this population. Briefly  tell how it impacts the patient’s quality of life and analyze the  current research evidence on this topic and gold standard of care if any  for your chosen population. (You may use an example from your clinical  rotation (past or present) that you have encountered). Describe how you,  the FNP, can/or have made a difference in the care of patients with  this specific condition and tell of one specific patient care teaching  the patient can benefit from. Please post  your CS directly in the thread so that your colleagues can see it and be  sure to read and respond/comment on one of your colleagues posting 

Hi,

Write one paragraph in which you state your name and describe what thoughts come to mind when you hear the term “aging”. Then include differences in your perception of aging versus information found when completing the pre-assessment.

FYI: in pre-assessmrnt i leaned that older people experienced less accident in working place because they are more careful and less risk taker. i chose wrong answer that said they experienced more accident.I was right about declined all senses and have ability to learn but in lower pace. Also they enjoy sexual relation  as younger people which i was wrong that chose their ability decline. All other my perception was right regarding aging.

I want you to write `one paragraph or little more , first whatever comes in your mind when you hear AGING, then mention differences based on pre-assessment that i explained. Please don’t forget proper reference.

Question 2: When is the ideal time to complete a clinical breast exam?  What steps would you follow for concerning findings on the clinical breast exam? What age or risk factors indicate the need for a mammogram?

           Clinical breast exams are normally done during a woman’s annual vaginal exam.  Normally performed by a healthcare provider with proper training.  The National Comprehensive Cancer Network recommends that a trained provider carefully feel the breast, underarm and the breast bone area for any concerns such as a lump.  Clinical breast exams should be performed every one to three years starting at the age of 20 and every year starting at the age of 40 (Susan G. Komen Staff, 2018).

           The American Cancer Society does not recommend CBE for screening of breast cancer.  Clinical breast examinations lack the evidence to be an effective screening for breast cancer according to The American Academy of Family Physician’s.  The clinical breast exam is a time burden for clinicians, rather it is recommended that more time is spent on the comprehensive assessment of family history and counseling on mammograms and breast changes (Bredemeyer, 2016). 

           If there are abnormal findings during the CBE, it is important to follow with a mammogram or breast ultrasound to identify the concern, if there is a long family history and/or the patient is over 30 years of age. If the patient is under thirty with no family history the physician may decide to watch the area for growth or pain.  Normally that time frame is approximately one or two menstrual periods.  Once the concern is located, and deemed a true concern, biopsy and further testing will be needed.  It is important to note that most abnormal findings are found to be benign, however it is vital to pay close attention to changes in the area of concern and work with the physician to determine course (Bredemeyer, 2016).

           When a patient has a lengthy family history of cancer, either breast or other cancer, yearly mammograms are necessary to determine concerns early.  In recent years there is also Breast magnetic resonance imaging (MRI) that gives a three dimensional look of the breast, this test can also be used after a positive mammogram comes back (Susan G. Komen Staff, 2018).

           It is important to note that if there is a positive screen for breast cancer, it is important to receive a second opinion to ensure that it is not a false positive.  Normally a biopsy will be done to ensure the pathology.

References

Bredemeyer, M. (2016). ACS Releases Guideline on Breast Cancer Screening. American Family Physician, 711-712.

Susan G. Komen Staff. (2018, July 6). Clinical Breast Exam. Retrieved from Susan G. Komen: ww5.komen.org/breastcaner/clinicalbreastexam