I need one page paper in nursing, this is the instruction about this one page paper:

Consider the 4 metaparadigm concepts: nursing; person; environment; and health. Select one and articulate your own beliefs, assumptions, and values related to that concept. Describe a personal experience from clinical practice that demonstrates and reflects the beliefs, assumptions, and values you identified. This is your own, personal philosophy; no references should be used. The table below is provided to serve as an instructional guide for this assignment. You should include the following:Identify 1 metapardigm concept from the following: nursing; person; environment; or healthArticulate your personal beliefs, assumptions, and values related to your selected concept Describe a detailed interaction between you and a client or family that depicts the beliefs, assumptions, and values related to your selected concept

*Philosophical Statement Instruction GuideNote: The questions below are designed to help get ideas flowing and are not the only focus of your statement.Nursing (i.e., nursing actions)

What is your definition of nursing?Is the metaparadigm concept nursing an art, a science, or both? Is it a process or a product (set of tasks)?What is nursing mainly (e.g., caring, therapeutic healing, building relationships)?What is the role reflected in nursing (e.g., doing for, being with [being present with], working with)?Where does ethics fit in?Who or what is the object of nursing’s concern?

HealthWhat is your definition of health (e.g., includes absence of disease, ability to perform social roles)?Is health on a continuum?Can clients have a chronic illness and still be termed healthy in your definition of health?What if the client’s view of health and your view of health are different?

PersonWhat is your definition of person (e.g., set of behavioral systems, biopsychosocial and spiritual being, energy field)?Who is the person being nursed (e.g., client, family, community)?What is your definition of person (e.g., set of behavioral systems, biopsychosocial and spiritual being, energy field)?Who is the person being nursed (e.g., client, family, community)?EnvironmentWhat is it? Where is it found?Are there different components to environment (e.g., emotional, spiritual, social, cultural, mainly physical)?Is environment separate from person?What is the nurse’s role in terms of environment?Are there internal and external environments, or is what is internal to a person part of the person?

Description and ExamplesThis whole philosophical statement is a statement of beliefs. However, for the purpose of teasing out and articulating your beliefs, these beliefs are divided into three types: definitions and description, assumptions, and values. Each of these should be written in separate paragraphs to ensure clarity and comprehensiveness.Beliefs: This should be a succinct definition (one or two sentences), followed by a broader description. For example, if part of your definition of person was the person is a biopsychosocial and spiritual being, then each of the component parts (e.g., spiritual being) would be described more fully.Assumptions: A given, something that you take for granted that it is true. Examples are: Humans are rational beings. Individuals desire to work collaboratively with their nurses.Values: Something you consider good (i.e., desirable, worthy, or of esteem). Examples are: All persons are of value and are worthy of respect. Clients should be treated with dignity. Confidentiality and privacy are essential throughout all interactions with clients. Persons should be given choice in their treatment regimens.*adapted from Table 1 in Hernandez, C. A. (2009). Student Articulation of a Nursing Philosophical Statement: An Assignment to Enhance Critical Thinking Skills and Promote Learning. Journal of Nursing Education, 48(6), 343-349.Submission Instructions:Post your content by clicking the “Create Thread” button in the Metaparadigm Concepts: Personal Philosophy Forum. It is recommended that you compose (and spellcheck) your post in Microsoft Word, then copy and paste it into the ‘message’ field. Enter a descriptive title that reflects the ideas of your post In the ‘subject’ field. When replying to your classmates’ posts, be sure you click the “Reply” button below the message to which you intend to reply

APA format 3 peer review references Please follow directions on assignment

  Assignment 1: Assessing the Genitalia and Rectum

Assignment 1: Asse

Assignment 1: Assessing the Genitalia and Rectum

Patients are frequently uncomfortable discussing with health care 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 assignment, you will consider case studies that describe abnormal findings in patients seen in a clinical setting.

In this assignment, you will analyze a SOAP 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.

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 over 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)

 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 3 different references from current evidence based literature.

  

Assignment 1: Assessing the Genitalia and Rectum

Patients are frequently uncomfortable discussing with health care 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 assignment, you will consider case studies that describe abnormal findings in patients seen in a clinical setting.

In this assignment, you will analyze a SOAP 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.

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 over 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 with a healed episiotomy scar present. 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, neg McBurney
• 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.

To prepare:

With regard to the SOAP note case study provided:

• Review this week’s Learning Resources, and consider the insights they provide about the case study.
• 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.

To complete:

Refer to Chapter 5 of the Sullivan text. Analyze the SOAP note case study.  Using evidence based resources, 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 3 different references from current evidence based literature.

Assignment 1: Assessing the Genitalia and Rectum

Assignment 1: Assessing the Genitalia and Rectum

Evaluate the presence and effects of alteration in the homeostatic state secondary to gender, genetic, ethnic and temporal variables

Select one of the case studies below, and include in your discussion an evaluation of the presence and effects of alteration in the homeostatic state secondary to gender, genetic, ethnic, and temporal variables.

Requirements:

1. Make sure all of the topics in the case study have been addressed.
2. Cite at least three sources; journal articles, textbooks or evidenced-based websites to support the content.
3. All sources must be within 5 years.
4. Do not use .com, Wikipedia, or up-to-date, etc., for your sources.
5. 4 pages APA not including Title page and reference page

Case Study 1

Structure and Function of the Respiratory System

Brad is 45 years old and has been working as a coal cutter in a mine for the last 25 years. He likes the job because it pays well and the same mine had employed his father. Like many of his colleagues, Brad has had problems with a chronic cough. He has avoided his annual checkups for fear that he will be told he has “black lung,” or coal worker’s pneumoconiosis. The disease causes fibrosis, decreased diffusing capacity, and permanent small airway dilation. In later stages, pulmonary capillaries, alveoli, and airways are destroyed.

1. How can the disease described above create a mismatch between ventilation and perfusion? Use your understanding of alveolar dead space and physiologic shunt to explain your answer.
2. Individuals with chronic obstructive pulmonary disease have more difficulty exhaling than inhaling. Why is this so?
3. In general terms, what mechanisms in lung disease can affect diffusing capacity across alveolar membranes? Use the Fick law to explain your answer.

 

Case Study 2

Respiratory Tract Infections, Neoplasms, and Childhood Disorders

Patricia was called at work by a woman at the local daycare center. She told Patricia to come and pick up her son because he was not feeling well. Her son, three-and-a-half-year-old Marshall, had been feeling tired and achy when he woke up. While at daycare, his cheeks had become red and he was warm to touch. He did not want to play with his friends, and by the time Patricia arrived, he was crying. Later that afternoon, Marshall’s condition worsened. He had fever, chills, a sore throat, runny nose, and a dry hacking cough. Suspecting Marshall had influenza, Patricia wrapped him up and took him to the community health care clinic.

1. Why did Marshall’s presentation lead Patricia to think he had influenza and not a cold? Why is it important to medically evaluate and diagnose a potential influenza infection?
2. Describe the pathophysiology of the influenza virus. Outline the properties of influenza A antigens that allow them to exert their effects in the host.
3. Marshall may be at risk at contracting secondary bacterial pneumonia. Why is this so? Explain why cyanosis may be a feature associated with pneumonia.

Each chapter in Professionalism in Health Care: A Primer for Career Success presents a Case Study following the career of Carla, a medical assistant. Reread each of the six Case Studies and write a short (two to three pages) summary of Carla’s growth as medical assistant. Included in your summary should be a critique of the Case Studies for both accuracy and effectiveness. In your summary/critique, also comment on the impact unprofessional behaviors have on communication, group dynamic, morale, and patient outcomes.

For this assignment, you will research risk management programs for health care facilities or organizations. Review the criteria below in order to select an exemplar that applies to your current or anticipated professional arena. (Note: Select an example plan with sufficient data to be able to complete the assignment successfully.)

In a 1,000-1,250 word paper, provide an analysis that includes the following:

Brief summary description of the type of risk management plan you selected (new employee, specific audience, community-focused, etc.) and your rationale for selecting that example.

Description of the recommended administrative steps and processes in a typical health care organization risk management program contrasted with the administrative steps and processes you can identify in your selected example plan. (Note: Select an example plan with sufficient data to be able to complete the assignment successfully.)

Analyze the key agencies and organizations that regulate the administration of safe health care and the roles each play in the risk management oversight process.

Evaluation of the selected exemplar risk management plan regarding compliance with the American Society of Healthcare Risk Management (ASHRM) standards relevant to privacy, health care worker safety, and patient safety.

Proposed recommendations or changes you would make to your selected risk management program example to enhance, improve, or to secure compliance standards.

In addition to your textbook, you are required to support your analysis with a minimum of three peer-reviewed references.