please pay attention to my case study

4 references

zero plagiarism

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 

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.

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.

competency

Describe the ethical theories and principles influencing healthcare decisions.

Scenario

As a member of the Nursing Ethics committee in your organization you have been asked to create a poster presentation for the nursing staff breakroom for display during the upcoming Nurses’ Week. You look forward to this opportunity to share your passion for ethics in a creative way. The poster presentation should feature ethical principles, theories, and standards that guide ethical nursing practice pertaining to a current real world controversial healthcare situation in your workplace or current news.

Instructions

Include the following detail in your poster presentation:

• Summarize the controversial healthcare situation chosen from your workplace or current news.
• Explain five ethical principles associated with the controversial healthcare situation.
• Compare and contrast two theoretical frameworks as they relate to the controversial healthcare situation.
• Explain how five of the nine provisions of the ANA Code of Ethics for Nurses relate to and could impact the healthcare decisions made by nurses or clients in healthcare decisions that pertain to the controversial healthcare situation.

Resources

• For assistance on creating professional poster presentations, please visit the Library and Learning Services Answers page: What do I need to know about professional poster presentations?
• For additional PowerPoint® Poster ideas and templates, please visit the MakeSigns Scientific Poster PowerPoint Templates page.
• For additional writing and research support, please visit the following Library and Learning Services resources:
  • APA Guide
  • Nursing Research Page
  • How can I make a Research Appointment with a Rasmussen College Librarian?

The purpose of this assignment is to create an educational risk management presentation.

Building upon the outline for an educational session you created in the Educational Program on Risk Management Part One: Outline of Topic 2 assignment, develop a 12-15 slide PowerPoint presentation that expands in greater detail on how and why your organization should implement your proposed risk management strategy. Incorporate any instructor feedback from the Topic 2 assignment into this presentation and include talking points in the speaker notes section of each slide.

Keep in mind that the PowerPoint is meant to serve as a visual aide to bolster your presentation and is intended to highlight main ideas and key points. Do not use dense blocks of text or more than 7 bullet points of text per slide.  However, you may include supplementary images, graphs, and data where relevant.

To successfully complete this assignment, include the following sections as per your outline from Topic 2, though you may include any additional sections as needed:

1. Introduction
2. Rationale
3. Support
4. Implementation
5. Challenges
6. Evaluation
7. Opportunities

You are required to support your statements with a minimum of six citations from appropriate credible sources

1.  Define epidemiology and identify the epidemiological models used to explain disease and health pattern in populations.
2.  How can you apply the epidemiological methods to describe the stated of health in the community or aggregate?
3. Mention and analyze the factors that have contributed to the failure of health planning legislation to control health care costs.
4. Compare and contrast Freire’s approach to health education with individualistic health education model.

Religion, Culture and Nursing

Read chapter 13 of the class textbook and review the attached PowerPoint presentation, once done please write an essay comparing and contrasting two spiritual or religious beliefs about sickness causation and health.  Make sure that you include the following;

1.  Include the potential benefits of understanding spirituality too both health care providers and patients.
2. What health issues may be better addressed by a nursing care staff with knowledge about religious diversity?

INSTRUCTIONS:

As stated in the syllabus present your assignment in an APA format word document, Arial 12 font attached to the forum in the discussion tab of the blackboard titled “Week 13 discussion questions” and the SafeAssign exercise in the assignment tab of the blackboard(which is mandatory).  A minimum of 3 evidence-based references besides the class textbook no older than 5 years must be used and quoted according to APA guidelines and must be from a gerontology journal.