Skin & Breast

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This discussion contains 2 parts:

  1. KM is a 38-year-old white woman with a 6-year history of psoriasis. Her family history includes allergies and asthma and her mother with psoriasis. KM returns today for an increase in symptoms, and she wants to improve the appearance of her skin. Please discuss the following:
    • What is the underlying cause of psoriasis?
    • What are the common signs and symptoms of this disease?
  2. Define, Compare and Contrast the following conditions:
    • Fibrocystic breast disease
    • Fibroadenoma
    • Malignant breast tumor

DISSSSCUSION

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THE ROLE OF THE RN/APRN IN POLICY EVALUATION

In the Module 4 Discussion, you considered how professional nurses can become involved in policy-making. A critical component of any policy design is evaluation of the results. How comfortable are you with the thought of becoming involved with such matters?

Some nurses may be hesitant to get involved with policy evaluation. The preference may be to focus on the care and well-being of their patients; some nurses may feel ill-equipped to enter the realm of policy and political activities. However, as you have examined previously, who better to advocate for patients and effective programs and polices than nurses? Already patient advocates in interactions with doctors and leadership, why not with government and regulatory agencies?

In this Discussion, you will reflect on the role of professional nurses in policy evaluation.

RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources. 

WEEKLY RESOURCES

To Prepare:

  • In the Module 4 Discussion, you considered how professional nurses can become involved in policy-making.
  • Review the Resources and reflect on the role of professional nurses in policy evaluation.

BY DAY 3 OF WEEK 9

Select an existing healthcare program or policy evaluation or choose one of interest to you.

Review community, state, or federal policy evaluation and reflect on the criteria used to measure the effectiveness of the program or policy described.

Post an evaluation topic and a brief description of the evaluation. Discuss how social determinants impact this issue.

BY DAY 6 OF WEEK 9

Respond to at least two of your colleagues* on two different days by suggesting additional opportunities or recommendations for overcoming the challenges described by your colleagues.

W10 os

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The surrogate role is not one that is frequently mentioned in recent nursing practice literature.  Is that role as defined by Peplau relevant to nursing practice as currently experienced.  If so, in what way.  If not, why? 

400 word, 1 reference

Discussion Board Week 1 – Elderly

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 A 77-year-old African American female presents to the primary care provider for health maintenance…..

Nursing grand rounds part 1

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Hello, this assignment will continue in week 5, the participant could be a nurse that work in my unit (Med surgical), , and you can pick: (anemia, gastritis, diverticulitis) as a medical diagnosis or something else, just make sure to follow the instructions.


Assignment Overview:
 

The Week 3 Assignment is part of a scaffolded assignment and serves as the basis for creation of the Week 5 Assignment.  

For the Week 3 Assignment: Nursing Grand Rounds Presentation Part 1: Holistic Assessment, you will meet with and assess a selected participant and complete the accompanying Holistic Assessment Form.  In Week 5, you will complete the Nursing Grand Rounds Part 2: Presentation, which is a teaching presentation.

For the Week 5 Assignment, you will use the data collected in the Week 3 Assignment to create a PowerPoint presentation designed to educate your selected participant about an identified medical condition they are experiencing. The Week 3 Assignment data will be used as a foundation for creating the patient-centered teaching presentation due in Week 5.


Assignment Directions: 

· Identify an participant known to you who has a current medical health condition. The participant must be 18 years or older and legally capable of consenting to participate in this activity. The participant 
CANNOT be a family member or a client you have cared for in your professional nursing practice. Using a client or patient who was assigned to receive care from you by an employer, agency, facility, or any organization will result in earning a score of zero (0) points for the assignment.

· Be sure the participant is diagnosed with a medical health condition that meets the assignment requirements. The participant’s medical health condition cannot be congenital (i.e., present at birth). Instead, the medical health condition must have a pathophysiology. The medical condition also must be a primary health alteration (e.g., cyclic vomiting syndrome), and not simply a sign or symptom that is a manifestation of a primary medical disorder (e.g., hyponatremia, dehydration, nausea, vomiting, etc.).

· Complete the 

Holistic Assessment Form
 for the selected participant, then upload the completed form to the Dropbox by the end of Week 3. The form should be typed. The course faculty will review and grade the form for completion and accuracy and will approve the participant/medical condition you have selected as the focus for the Week 5 Assignment. 
Be sure you have approval from course faculty before you begin working on the Week 5 Assignment: Nursing Grand Rounds Part 2: Presentation. 

· After successfully completing the Week 3 Assignment and obtaining faculty approval of the selected participant/medical condition, follow the instructions for completing the Week 5 Assignment: Nursing Grand Rounds Part 2: Presentation.

reply

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Option 1: 

The Equal Rights Amendment (ERA) and the Fourteenth Amendment both aim to address issues of equality, but they focus on separate concepts. The ERA, first proposed in 1923, is explicitly targeted at gender-based discrimination, seeking to guarantee equal legal rights for all American citizens regardless of sex “The Equal Rights Amendment would put protection for women and other marginalized genders directly into the United States Constitution.” (MacKinnon & Crenshaw, 2019).  In contrast, the Fourteenth Amendment, ratified in 1868, is a broader constitutional provision that encompasses various civil rights issues, including the Equal Protection Clause, which ensures equal protection under the law without specifying gender “The U.S. The Supreme Court has consistently ruled for decades that the Equal Protection Clause of the Fourteenth Amendment protects women from unequal treatment under the law.” (Herrod et al., 2021). While both amendments share the goal of promoting equality, the ERA is specifically concerned with gender equality, whereas the Fourteenth Amendment has a broader scope, addressing a range of civil rights issues such as race, gender, and other forms of discrimination. 

References: 

Do We Still Need the Equal Rights Amendment in 2022? (2022, March 24). BillTrack50. Retrieved October 14, 2023, from

https://www.billtrack50.com/blog/dividedwefall_era/

Herrod, C., Fischer, S., & Forde, K. (2021, July 5).
Do We Need the Equal Rights Amendment Today? — Divided We Fall. Divided We Fall. Retrieved October 14, 2023, from

https://dividedwefall.org/equality-amendment/

MacKinnon, C. A., & Crenshaw, K. W. (2019, December 26).
Forum: Reconstituting the Future: An Equality Amendment. The Yale Law Journal. Retrieved October 14, 2023, from

https://www.yalelawjournal.org/forum/reconstituting-the-future-the-equality-amendment

DIABETES AND DRUG TREATMENTS

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Each year, 1.5 million Americans are diagnosed with diabetes (American Diabetes Association, 2019). If left untreated, diabetic patients are at risk for several alterations, including heart disease, stroke, kidney failure, neuropathy, and blindness. There are various methods for treating diabetes, many of which include some form of drug therapy. The type of diabetes as well as the patient’s behavior factors will impact treatment recommendations.

For this Discussion, you compare types of diabetes, including drug treatments for type 1, type 2, gestational, and juvenile diabetes.

To Prepare:

  • Review the Resources for this module and reflect on differences between types of diabetes, including type 1, type 2, gestational, and juvenile diabetes.
  • Select one type of diabetes to focus on for this Discussion.
  • Consider one type of drug used to treat the type of diabetes you selected, including proper preparation and administration of this drug. Then, reflect on dietary considerations related to treatment.
  • Think about the short-term and long-term impact of the diabetes you selected on patients, including effects of drug treatments.

 Post a brief explanation of the differences between the types of diabetes, including type 1, type 2, gestational, and juvenile diabetes. Describe one type of drug used to treat the type of diabetes you selected, including proper preparation and administration of this drug. Be sure to include dietary considerations related to treatment. Then, explain the short-term and long-term impact of this type of diabetes on patients. including effects of drug treatments. Be specific and provide examples. 

reply

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Thank you for your post! I want to clarify the interval and ratio level of measurements.

Feedback and Question: In statistics, measurements having starting points are classified as ratio levels of measurement.

Do you know if blood pressure readings are measured starting from zero and cannot go below zero, with zero being the baseline? I recommend watching this YouTube video to learn about the types of data and levels of measurement. I'd love to hear your thoughts after watching it. Thank you.

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

PPT

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Develop a PowerPoint presentation that includes the following criteria:

  • Slide 1: Title Page.
  • Slide 2: SBIRT overview – Describe the history of SBIRT, the SBIRT process and how it is used in clinical practice settings using US research articles.
  • Slide 3:  Case Presentation – Do not include patient identifying information but include demographics i.e. age, gender, race/ethnicity, chief complaint, social history, family psychiatric history, psychiatric history, and risk factors.
  • Slide 4:  Screening Tool used – Describe the screening tool, validity (sensitivity and specificity), scoring information, and citation.  Your patient’s score and the interpretation of the patient’s score are required.
  • Slide 5:  Brief Intervention – How was the Motivational Interviewing process applied and shared your client’s score and need for behavioral changes? Discuss the four stages of motivational interviewing and provide details of how the techniques were used.  A transcript of your encounter with the patient conducting the OARS technique is expected.  Discuss the roadblocks used or those avoided to obtain full points. Discuss the patient’s stage of change before the intervention was performed
  • Slide 6:  Referral for Treatment – Describe 3 referrals for follow-up treatment plan.  Include the name, address, and telephone number of the local large organization.  Be specific with the department where necessary.
  • Slide 7:  Evaluation of the process – Share the patient’s outcome and your evaluation of the SBIRT process.
  • Slide 8:  References –5 references.  7th Edition APA format.  Include Screening Tool authors.