please, write a one paragraph response to the following discussion. APA format required with one reference from peer-reviewed Nursing Journal not older than 5 years.

The health history collection and interview from health care provider or nurse to a patient to collect necessary data can be challenging and demands expertise and sensitivity to establish a professional relationship that enables the patient to express problems, and the nurse to find solutions. The primary goal is to establish a therapeutic communication with the patient to help them communicate matters that are affecting their life. Abilities such as listening, caring, empathy, and self-examination are essential for successful nurse-patient therapeutic communication (Jensen, 2011).

Every patient brings different challenges for the nurses and healthcare providers as they interview the patients. Newman, O’Reilly, Siew, & Kennedy (2017) found in their research that the challenges health care professionals experienced interviewing patients with mental challenges are many. For example, one of them was the lack of understanding of the procedures that patient was having; they describe how the given writing information such as the inform consent, help the patients understand better and be aware of the kind of procedure the patient will go through. Another challenge was the lack of understanding from both patients and health care providers for lack of good verbal communication from both parts; they also describe how verbal explanations are crucial to reinforce and clarify any doubts that the patient has, and give the patient an opportunity to recall and re-phrase what they understood.  This research also mentioned that the most crucial skill that helps providers to fulfill mental patient’s needs was attentive listening, and the most challenging skill to develop as a health care provider of patients with mental conditions was controlled the emotional aspect, and do not let the therapeutic and communication relationship be affected.

comment1

The first method that is commonly used for evaluating evidence is meta analysis.  Many studies with the same rules used from study to study will yield the results that are then summarized (Study.com, 2018). Advantages include a better estimate of the relation that exists in the population than single studies, the estimates are more precise because there is an increased amount of data and statistical power, hypothesis testing and biases associated with publications can be examined, and it helps resolve inconsistencies in research, and identifies potential moderating or mediating variables (Stone & Rosopa, 2017).  A major disadvantage is inadequate sample size.  On the other hand, another study that is used is systemic review.  For example, A systematic review is a form of analysis that medical researchers carry out to synthesize all the available evidence on a particular question, such as how effective a drug is (Medical News Today, 2016).  This type of review is beneficial in that the study is the same and follows the same guidelines.  By using this method which is reliable it can help to identify the best benefits of a new drug and how implementing it would be successful.

Comment2

Systematic review- provides answers to research questions that are well defined by the collection and summerization of all data collected that fits into the required criteria.  Systematic reviews help in identifying, assessing and summarizing the findings of all individual studies relevant to the medical issue being evaluated.  This type of evaluation requires the reviewing of related liturature including the results of carefully designed and closely monitored controlled trials.  These random controlled trials are considered to be the gold standard for a clinical trial.  Valuable in determining the efficiacy and effectiveness of medical interventions.

Seth, a thirty-eight year-old white male of Scandinavian descent, has lived his entire life in Southern Florida. He is very concerned with maintaining a “healthy” appearance. Seth is very athletic and especially enjoys surfing. He has been surfing since the age of twelve and he started making surfboards while he was in high school. After obtaining a college degree in marketing Seth decided to start his own business making surfboards and giving surfing lessons for a local resort near his home. During a routine physical examination the physician assistant that Seth sees commented on the presence and appearance of a small growth (approximately 2-cm in diameter) above Seth’s right eyebrow. This growth was shiny with a pearly border, a central ulcer and engorged surface blood vessels. The physician assistant was concerned that this might be a tumor and asked Seth a number of questions to aid in the diagnosis. Seth reported that he noticed this growth approximately six months ago but thought nothing about it since he often developed “pimples” when he was working on surfboards because of the heat and dust. Seth noticed that the growth would occasionally bleed, but he thought the bleeding most often occurred when he absently scratched above his eyebrows when he was working. Seth also reported that after bleeding the growth would “crust over” and appear to heal, but not disappear. Seth also thinks the lesion has increased in size, but he can’t be certain.

The physician assistant asks Seth to come back in two days to visit with the attending physician and encourages Seth to be sure to use sunscreen whenever possible, especially when he is surfing or teaching surfing classes. Upon returning to see the physician, Seth is told that he probably has a basal cell carcinoma. This, the physician explains, is a cancer that while not benign, rarely metastasizes and grows very slowly. This type of cancer usually occurs in areas that have the greatest exposure to the sun (i.e. the face, head, and neck). While this cancer would probably not metastasize, the physician suggests surgical removal to minimize damage to any underlying tissues and a histological examination of the excised tissue to confirm the diagnosis.

Seth is concerned that if this is indeed cancer he will have to undergo radiation and/or chemotherapy and suffer from both hair loss and nausea like his mother did when she was being treated for breast cancer 10 years ago. The physician assures Seth that these treatments are not required for basal cell carcinoma and explains that this cancer usually remains localized to the specific area of the skin and does not usually spread to other tissues, so radiation and chemotherapy would not be necessary. Seth then asks why it is necessary to remove the tumor if it will not spread and is told that while the tumor does not spread to other body areas it will continue to grow and also invade deeper layers of the skin, such as the dermis, and destroy normal tissues. Seth agrees to the procedure and schedules a follow-up appointment to discuss the results of the biopsy the following week. At the follow-up appointment, Seth is told that the lesion was indeed a basal cell carcinoma. He is told that it will be important for him to try to use both sunscreens, specifically those containing para-aminobenzoic acid or PABA, and protective clothing as much as possible to minimize the effects of the ultraviolet (UV) rays of the sunlight. Seth is also told that while he should not be overly concerned, he should also pay close attention for similar lesions in the future, since a person with a single basal cell carcinoma is likely to develop additional basal cell carcinomas in the future.

Using the medical terminology learn this week as of the following questions about the case:

Identify both the primary risk factors that Seth presents with and other risk factors that may or may not be related to Seth’s case? How are benign and malignant tumors similar and different from each other?

Here are the discussion board requirements.

• The initial discussion post must be at least 250 words of content, referencing the reading of the week, and include a scholarly source.

  hi dear,

 can help me to finish this assignment with good quality and be on time please?

check the example that is attached.

Assignment – Physical Activity Plan Presentation

Physical Activity Plan Presentation (CLO #6)

Develop a presentation outlining a physical activity plan for populations with a medical/physical limitation,  or populations in a specific setting  (e.g.  public school system).  Background information regarding the population and how you will assess the group will be presented.  One activity plan specific to the population chosen will be presented.  Health benefits of the exercise plan for the population will be reviewed.

Charts and handouts to share with the class are encouraged.  Presentations should be 7-10  minutes in length.  Online students will submit recorded presentations. Onsite students will present in-class.

• Example PA Plan Presentation – PowerPoint File (986.9 KB)

– This is an example and not a  “perfect”  presentation.

Thanks,