Week 8

Chapters 18-19.

Female Genitalia;male Genitalia.
  Midsagittal view of the female pelvic organs.

Summarize the ovulation cycle and identify the functions of the hormones produced

.

An older woman who has stopped regular menstruation asks whether she can still become pregnant. What is the best response you can give this patient?

What is the name of the tissue that separates the anterior wall of the vagina from the bladder and urethra?

Name the four bones that form the pelvis

why it is important to teach mothers correct perineal care for their newborn infant daughters.

What possibility must you consider if in a child you observe vaginal swelling of the vulvar tissues accompanied by bruising or foul-smelling discharge?

Describe premenstrual syndrome (PMS).   

Identify and explain positions other than the lithotomy in which a pelvic examination can be performed.  

You are about to conduct a pelvic examination on an adolescent girl. What should you take time to do before carrying out the examination?

A 12-year-old girl is experiencing a vaginal mucus discharge. What can you tell this girl to decrease her anxiety?

A new mother is frightened by the appearance of blood-tinged mucus at her newborn daughter’s vaginal entrance. What response can alleviate this woman’s anxiety?

MC is a 28-year-old patient who presents to the urgent care for complaints of abdominal pain and cramping. Today she has noticed a yellow vaginal discharge. 

Her past medical history is noncontributory. She admits to having multiple sexual partners with unprotected intercourse

1-What additional questions regarding her vaginal discharge could you ask at this point?

2- Describe the stages of salpingitis.

3- What physical assessment findings on the vaginal examination and bimanual would you expect to see if the patient has salpingitis?

 Male pelvic organs
A 60-year-old man asks you whether it is still possible for him to become a father. How would you respond to this patient? What effect does aging have on male fertility?

 Which part of the male genitalia is a soft, comma-shaped structure located on the posterolateral and upper aspect of the testis in 90% of males and provides for storage, maturation, and transit of sperm?

Differentiate between the external genitalia for a male and female fetus at both 8 weeks and 12 weeks of gestation.

Summarize the pros and cons of newborn circumcision.

The mother of a newborn you are examining voices concern that one of her son’s testicles has not yet “appeared.” What can you tell this mother to reassure her? 

What is the expected time for final descent of the testes into the scrotal sac? 

Discuss how do you could effectively work with a child to evaluate the testicles.

You are performing a genital examination on a 12-year-old boy who seems noticeably embarrassed and nervous. What communication measures can be included to decrease anxiety and facilitate the examination?

A patient has an erection while you are performing a genital examination. What is the best response to decrease anxiety and embarrassment? 

Describe the cremasteric reflex.

You must answer the 3 questions 3 times. You must submit 3 documents (each one 1 page), in each one you must answer the 3 questions. Copy and paste will not be admitted. You should address the questions with different wording, different references, but always, objectively answering the questions.

_____________________________________________________________

1) **********minimum 1 full pages per document= total 3 pages ( not words)**************************** (cover or reference page not included) 

2)¨**********APA norms  ( All paragraphs need to be cited properly. All responses must be in a narrative format)

3)********** It will be verified by Turnitin and SafeAssign***************** 

4) **********References from the last 5 years  

5) The points don’t be must copied in the work. It must be identified by numbers. 

______________________________________________________________-

Question(s): Technological advances hold promises for improving quality of life, decreasing need for personal care assistance, and enhancing independence and ability to live safely.

1) Choose one of the technologies mentioned in your textbook and discuss / explain it:

Choose one for each answer

Telehealth

Smart Homes

Robots

2) Please, support your answer with a research study

3) Is there any research study of technological innovation related with your topic that promises advantages in the future of healthcare? 

As a professional, you will be called upon to share expertise, inform, educate, and advocate. Your efforts in these areas can help lead others through change. In this Assignment, you will propose a change within your organization and present a comprehensive plan to implement the change you propose.

To Prepare:

• Review the Resources and identify one change that you believe is called for in your organization/workplace.
  • This may be a change necessary to effectively address one or more of the issues you addressed in the Workplace Environment Assessment you submitted in Module 4. It may also be a change in response to something not addressed in your previous efforts. It may be beneficial to discuss your ideas with your organizational leadership and/or colleagues to help identify and vet these ideas.
• Reflect on how you might implement this change and how you might communicate this change to organizational leadership.

The Assignment (5-6-minute PowerPoint presentation):

Change Implementation and Management Plan

Create a narrated PowerPoint presentation of 5 or 6 slides with video that presents a comprehensive plan to implement the change you propose.

Your presentation should be 5–6 minutes in length and should include a video with you as presenter.

Your Change Implementation and Management Plan should include the following:

• An executive summary of the issues that are currently affecting your organization/workplace (This can include the work you completed in your Workplace Environment Assessment previously submitted, if relevant.)
• A description of the change being proposed
• Justifications for the change, including why addressing it will have a positive impact on your organization/workplace
• Details about the type and scope of the proposed change
• Identification of the stakeholders impacted by the change
• Identification of a change management team (by title/role)
• A plan for communicating the change you propose
• A description of risk mitigation plans you would recommend to address the risks anticipated by the change you propose
• APA citation 3 to 5 reference within the 5 years

Website Link: Click on the following link to review one example of unethical research, this story reflects the Tuskegee Experiment.

https://www.history.com/news/the-infamous-40-year-tuskegee-study

Please review the videos below regarding research ethics.

Video: Research Ethics

https://www.youtube.com/watch?v=Zbi7nIbAuMQ

Video: Ethics: Human Subject Research

https://www.youtube.com/watch?v=e0uydNe4cQo

Video: How IRBs Protect Human Research Participants

https://www.youtube.com/watch?v=U8fme1boEbE

Reading Reflection

Read Chapter 12:  Ethical Issues and Consent

Read Chapter 13: Participant Recruitment

Discussion Board Assignment

This week there are no formal discussion board assignments. However, I will request that everyone logs in to acknowledge that they have read both chapters 12 and 13.

Article Link: Institutional Review Boards – Purpose and Challenges

An IRB has the authority to approve, require modifications in (to secure approval), or disapprove research. This group review serves an important role in the protection of the rights and welfare of human research subjects.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4631034/

Participant Recruitment for Research

There are several methods for obtaining participants for your studies. Please remember that not all your participants that are recruited will be eligible to participate in your research studies.  They may be excluded based on your criteria. A prime example would be if you are conducting a study involving Asian females, you would have to exclude European males from the study, this is based on criteria, not discrimination.

https://digital.ahrq.gov/ahrq-funded-projects/emerging-lessons/participant-recruitment-research

Sample Participant Informed Consent

The following link provides an example of a sample participant’s informed consent. Please note the components that are contained within. Many schools have their own version for the students to utilize in research. If this became a requirement in your research paper, this form would be included in the appendices section, following your reference section and would be included in your paper’s table of contents.

https://www.tcd.ie/swsp/assets/pdf/Participant%20consent%20form%20template.pdf

Take a moment to think about how you would incorporate the principles of ethics into your research. Would you willingly violate ethical principles to get your papers published or complete your studies?

How would you inform your participants regarding their rights? What would you do if you discover that a participant does not comprehend the terms of the agreement or has a language barrier? We are responsible for the well-being of our participants. This data must be included on your IRB initial application, also the methodology section of your papers much include this data.

It is also important for us to protect research data which must be secured both during and after the study. It is also our responsibility to inform the IRB that the study has been concluded and documents must be completed to reflect this change.

Please for the purchased answer to 

Preschool-aged white female living in a rural community

· How would your communication and interview techniques for building a health history differ with each patient?

· How might you target your questions for building a health history based on the patient’s social determinants of health?

· What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks?

· Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.

· Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.

· Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.

· By Day 3 of Week 1

Post a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient.