1. Find a root in the appendix of our textbook or in an online search of medical terms. Then change the root into three other terms by adding different prefixes and/or suffixes. These must be “actual” words that are of accepted use in medical language.
2. Deconstruct each of your three medical terms. Tell what each word part is (prefix, root, and/or suffix) and define each word part.
3. Give the definitions for each new medical term.
4. Then use each term correctly in a sentence IN A MANNER THAT MAKES THE MEANING OF THE TERM CLEAR FROM CONTEXT.
5. Be sure to review the terms already posted on the discussion board for this assignment. Only use terms that have not been previously used. Also, do not use the examples given in the video or in these instructions for your post.
6. After posting your idea, respond to two other posts by members of your Discussion Group in a substantive and meaningful manner. Be sure to address the person by name, restate their three terms, and explain how you think understanding these terms will be helpful to you in the future.
7.  This is a graded activity. Please refer to the rubric for grading criteria.

EXAMPLE:

The root is thyroid for this example.

1. Hyper-thyroid-ism: overactive or excessive production of thyroid hormones.

• Prefix is hyper- : excessive or above
• root is thyroid: thyroid gland
• suffix -ism: condition
• Sentence: Hyperthyroidism can accelerate your body’s metabolism, causing unintentional weight loss and a rapid or irregular heartbeat.

2. Hypo-thyroid-ism: deficiency of thyroid hormone

• Prefix: hypo– : deficient; below; under; less than normal
• Root: thyroid: thyroid gland
• Suffix: -ism: condition
• Sentence: Hypothyroidism (underactive thyroid) Major symptoms include fatigue, cold sensitivity, constipation, dry skin, and unexplained weight gain.

3. Thyroid-itis: inflammation of the thyroid gland.

• Root is thyroid: thyroid gland
•  Suffix -itits: inflammation
• Sentence: The most obvious symptom of subacute thyroiditis is pain in the neck caused by a swollen and inflamed thyroid gland.

 

Patients are frequently uncomfortable discussing with healthcare professional’s issues that involve the genitalia and rectum; however, gathering an adequate history and properly conducting a physical exam are vital. Examining case studies of genital and rectal abnormalities can help prepare advanced practice nurses to accurately assess patients with problems in these areas.

In this Lab Assignment, you will analyze an Episodic note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions.

To Prepare

• Review the Episodic note case study your instructor provides you for this week’s Assignment. Please see the “Course Announcements” section of the classroom for your Episodic note case study.
• Based on the Episodic note case study:
  • Review this week’s Learning Resources, and consider the insights they provide about the case study. Refer to Chapter 3 of the Sullivan resource to guide you as you complete your Lab Assignment.
  • Search the Walden library or the Internet for evidence-based resources to support your answers to the questions provided.
  • Consider what history would be necessary to collect from the patient in the case study.
  • Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
  • Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

The Lab Assignment

Using evidence-based resources from your search, answer the following questions and support your answers using current evidence from the literature.

• Analyze the subjective portion of the note. List additional information that should be included in the documentation.
• Analyze the objective portion of the note. List additional information that should be included in the documentation.
• Is the assessment supported by the subjective and objective information? Why or why not?
• Would diagnostics be appropriate for this case, and how would the results be used to make a diagnosis?
• Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature.

EPISODIC CASE STUDY

 Week 10: Special Examinations—Breast, Genital, Prostate, and Rectal GENITALIA ASSESSMENT 

Subjective: 

• CC: “I have bumps on my bottom that I want to have checked out.” 

• HPI: AB, a 21-year-old WF college student reports to your clinic with external bumps on her genital area. She states the bumps are painless and feel rough. She states she is sexually active and has had more than one partner during the past year. Her initial sexual contact occurred at age 18. She reports no abnormal vaginal discharge. She is unsure how long the bumps have been there but noticed them about a week ago. Her last Pap smear exam was 3 years ago, and no dysplasia was found; the exam results were normal. She reports one sexually transmitted infection (chlamydia) about 2 years ago. She completed the treatment for chlamydia as prescribed.

 • PMH: Asthma • Medications: Symbicort 160/4.5mcg 

• Allergies: NKDA • FH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERD 

• Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)

 Objective: 

• VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT 169lbs 

• Heart: RRR, no murmurs 

• Lungs: CTA, chest wall symmetrical 

• Genital: Normal female hair pattern distribution; no masses or swelling. Urethral meatus intact without erythema or discharge. Perineum intact. Vaginal mucosa pink and moist with rugae present, pos for firm, round, small, painless ulcer noted on external labia 

• Abd: soft, normoactive bowel sounds, neg rebound, neg murphy’s, negMcBurney

• Diagnostics: HSV specimen obtained

 Assessment: 

• Chancre 

PLAN: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses. 

As an advanced practice nurse, one can engage in activism in order to achieve desired policy changes at various levels including their own organization.

Answer the following questions;

1. Should nurses be unionized and

2.  How does being unionized impact a workforce culture of safety?

3.  Include one MSN Essential in your discussion that relates to this topic.As an advanced practice nurse, one can engage in activism in order to achieve desired policy changes at various levels including their own organization.

Answer the following questions;

1. Should nurses be unionized and

2.  How does being unionized impact a workforce culture of safety?

3.  Include one MSN Essential in your discussion that relates to this topic.

250-300 words. APA style. 

Reply to my peers

Peer 1

Telenursing and Telemedicine

Telenursing and telemedicine will only be successful if patients engage in the program. You have been asked by your manager to pilot a program aimed at improving transitions of care using the new telemedicine system recently implemented at your hospital. 

• What are some of the ways that you can encourage both patient and provider engagement to ensure the pilot program success?

One of the ways that could help to ensure the success of the pilot program would be to offer mandatory skills fairs that include hands on participation and requires all team members to be checked off in particular areas of the telemedicine system education. There should be continued training throughout the process as well as resources available at all times to include super users of the telemedicine to assist with any technical issues that may cause frustration. Another important way to ensure success to be to allow any feedback from everybody participating, whether it be from a group discussion or personal surveys it allows everybody to participate and feel that they can include their own input and ideas. 

• What barriers or challenges would you anticipate?

A major barrier or challenge that I would anticipate would be that everybody has their own opinions and that may arise during the program. Of course with any technology IT issues arise whether it be from technical difficulties due to poor internet connection or glitches in the system it happens but can cause some resistance when people are busy and don’t have time to deal with those type of difficulties. Some may just resist the use of telemedicine because they just simply don’t feel comfortable with the technology. Especially those who are older and set in their ways computer literacy is a challenge and that could pose a barrier to the program. Many believe there are some privacy concerns with telemedicine and some may be challenged to use the technology based on hipaa violations under their care.

Peer 2

Telenursing is defined as “the use of tele commuincations and information technology to provide nursing services in healthcare and enhance care whenever a physical distance exists between a patient and a nurse (McGonigle,2017), and telemedicine is defined as ” health service delivered by telecommunication ready tools, supervised or directed by a physician” (McGonigle,2017). Knowing the definition of both I would first start with education to both the patient and the physician. I would explain their roles in telehealth. I would then move on to discuss some of the beneits of telehealth to include; the ability to provide better healthcare access, proven and timely responce to patient need, and reduction of hospital visits. I would allow time for questions and concerns. I would provide a live demonstration . I would then initiate incentives for patient and physician groups for compliance and feedback. 

       As with anything new their will be barriers and challenges. The biggest anticipated barrier would be access to internet or smartphone to conduct the virtual program. The next barrier would be cost to facility to start program up. The third barrier would be getting patients to trust how well virtual care would benefit them. The greatest challenge would be physician not physically next to patient so misdiagnosis and treatment pose a ris

 

The purpose of this assignment is to gain real-world insight into how risk management programs operate within health care organizations.

Select a local health care organization where you can conduct an interview with an employee who is involved in risk management processes. This organization can be your current employer or a different health care facility in your community. Acute care, urgent care, large multi‐provider private medical clinics, assisted living facilities, and community/public health clinical facilities are all ideal options to complete the requirements of this assignment. Select an individual who can provide sufficient information regarding how their organization manages risk within its facility to answer the questions below.

In your interview, address the following:

1. Risk management strategies used in the organization’s risk control program, along with specific examples.
2. How the facility’s educational risk management program addresses key professional, legal, and ethical issues, such as prevention of negligence, malpractice litigation, and vicarious liability.
3. Policies the facility has implemented that address how to manage emergency triage in high‐risk areas of health care service delivery (e.g., narcotics inventories, declared pregnancy policies, blood-borne disease sector, etc.).
4. Challenges the organization faces in managing and controlling high-risk health care (e.g., infectious diseases, nuclear medicine, abortion, class 4 narcotics/opioids, etc.).
5. Strategies the facility utilizes to monitor, evaluate, and maintain compliance within its risk management program.

After conducting the interview, compose a 750‐1,000 word summary analysis of the interview that includes the questions above, in conjunction with the interviewee’s responses. In addition, include the following elements in your response:

1. An assessment of the organization’s risk management program, including how it attends to high-risk health care and legal concerns.
2. Action steps you would take to improve one area of the organization’s risk management program, along with your rationale for doing so.

Cite appropriate references as needed to support your statements and rationale.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.