Week 6 – ePortfolio: Submission of Artifact and Reflection

NSG 3200 – Health Promotion

Week 6 – ePortfolio: Submission of Artifact and Reflection

Process: For each nursing course in the RN to BSN program, you will upload at least one required artifact to your ePortfolio. The required artifact will be assigned by faculty and identified in the course syllabus.
(Please review the Patient education brochure to complete the BSN Reflection document). Along with the required artifact, students may also select additional course artifacts to demonstrate achievement of outcomes.
For the required artifact, you will complete a Reflection Document analyzing how the assignment demonstrates achievement of the identified PSLO/GEC/Essential.

Reflection Criteria: In the Reflection Document, begin by reviewing the three sets of standards that form the foundation of your RN to BSN program: the Program Student Learning Outcomes (PSLOs), the General Education Competencies (GECs), and the BSN Essentials. Next, select at least one item from each of the three standard sets (PSLOs, GECs, and BSN Essentials) that correlates with the required artifact. In your reflection, do not focus on the entire course as a whole. Instead, focus your reflection on the knowledge, skills and attitudes associated with creating the required course artifact. There is no maximum number of PSLOs, GECs, and BSN Essentials you must select. However, at minimum, you are required to choose one PSLO, one GEC, and one BSN Essential (along with the specific outcomes related to the BSN Essential) that relate to your course artifact. Answer the questions at the end of the Reflection Document to explain/reflect/discuss/analyze how creating the course artifact helped you to demonstrate the PSLO(s), the GEC(s) and the Essential(s) you selected.

BSN Reflection Document

Instructions for completing this document

During your progression in the RN-BSN program, you will use this process of completing and uploading a reflection and artifact in your ePortfolio. This activity is meant to demonstrate how you have achieved the Program Student Learning Outcomes, General Education Competencies, and AACN’s Baccalaureate Essentials through all the work you do in each course.

Please review and click in the checkbox, under each of the headings: Program Student Learning Outcomes (PSLO’s), General Education Competencies (GEC) and the AACN Essentials. Please follow the specific instructions under each of these headings, demonstrated through your assigned course artifact. For each artifact included in your portfolio, submit one reflection form.

Please note that not every artifact will cover all standards, so you may check one or multiple boxes under each of the three standards (PSLO’s, GEC and AACN Baccalaureate Essentials). However, you are required to reflect on at least one of the boxes you check for each standard. Each course reflection contains nine questions except for NSG4150 where students will complete additional questions 10-17 on Art and Science courses; and, NSG 4850 where students answer questions 18-24 only and complete the program reflection section

Once you have completed the Reflection Document, please click on the “Submit” button. This will save your progress and bring you to the list of your Reflection Documents, where you can download a PDF to submit in the assignment dropbox.

NOTE: Each time that you click the “Next” button, your work is saved. If you are at a stopping point in the document, be sure to click on the “Next” button. When you return to the Reflection Document, select “Edit” to make changes or to pick up where you left off.

1. Review your assigned course artifact and check at least one of the following BSN Program Student Learning Outcomes (PSLO) demonstrated through your artifact:

· Synthesize knowledge from the arts and sciences to form a foundation for the practice of professional nursing.

· Provide holistic, culturally competent care for individuals, families, and populations through health promotion and disease prevention across the lifespan and healthcare continuum.

· Integrate professional values and behaviors when delivering standards-based nursing care to diverse patients and populations.

· Develop leadership skills to provide and continuously improve the delivery of safe, patient-centered quality healthcare.

· Incorporate best practices and the most current evidence when using clinical reasoning to make practice decisions.

· Incorporate the use of information systems and technology in order to communicate, manage knowledge, mitigate error, and support decision-making.

· Integrate effective communication and collaboration skills to improve patient satisfaction and health outcomes.

2. Discuss one PSLO that you are reflecting on and explain how the assigned course artifact demonstrates your progression toward achieving the PSLO you checked above. Relate two class activities that helped you achieve the selected PSLO.

3. Analyze what you have learned by completing the assigned course artifact. What areas of growth or future learning needs must be met to meet the PSLO(s) for your baccalaureate education?

4. Review the assigned course artifact and check at least one of the following General Education Competencies (GEC) demonstrated through your artifact:

· Cultural Competence: Learners will demonstrate an understanding of philosophies that represent social, emotional, and behavioral attributes of society and individuals.

· Communication: Learners will demonstrate an understanding of the views of others and communicate in a professional manner.

· Critical Thinking: Learners will demonstrate the ability to draw conclusions based on evidence and consider prior knowledge, context, and perspectives in predicting implications or consequences.

· Information Literacy: Learners will demonstrate the ability to identify, evaluate and apply information to accomplish a specific purpose.

· Quantitative Literacy: Learners will demonstrate the ability to report, calculate, and analyze quantitative date.

· Scientific Literacy: Learners will gain the ability to read with understanding scientific content and engage in a dialogue about scientific issues.

5. Select one GEC and reflect on it by making specific reference to the course and your artifact as you explain how the assigned course artifact demonstrates your progression toward achieving the GEC you checked above. Relate two class activities that helped you achieve the selected GEC.

6. Review the assigned course artifact and check at least one standard listed under the nine BSN Essentials demonstrated through your artifact (only one standard under one BSN essential is required to be selected):

Essential I: Liberal Education for Baccalaureate Generalist Nursing Practice.

· Physical, natural, life science, math, social sciences.

· Fine art, performing art, humanities

Essential II: Basic Organizational and Systems Leadership for Quality Care and Patient Safety.

· Demonstrate knowledge and skills in leadership.

· Describe quality improvement.

· Advocate for patient safety.

· Demonstrate caring, effective communication with all constituents.

· Describe and navigate in complex organizational systems.

Essential III: Scholarship for Evidence Based Practice (Professional nursing practice is grounded in the translation of current evidence into one's practice).

· Provide evidence-based nursing interventions.

· Delineate interrelationships among theory, practice, research.

· Describe the elements of the research process and application.

· Advocate for protection of human subjects.

· Evaluate credibility of information.

· Participate in retrieval, appraisal, and synthesis of evidence.

Essential IV: Information Management and Application of Patient Care Technology.

· Understand information management and the impact upon patient outcomes.

· Employ a variety of patient care technologies.

· Demonstrate effectiveness in telecommunication technologies.

· Apply decision-making tools to support safe practice.

· Use CIS systems to document interventions and improve patient outcomes.

· Evaluate data to inform the delivery of care.

· Maintain ethical standards related to data and patient rights.

· Participate in evaluation of information systems.

Essential V: Health Care Policy, Finance, and Regulatory Environments

· Understand healthcare policies and financial implications.

· Explore regulatory environments and the impact on healthcare.

· Understand global trends.

· Be familiar with legislative and regulatory process in healthcare.

· Explore socio-cultural, economic, legal influence on practice.

· Describe role of regulatory agencies and impact on patient outcome, quality, and practice.

· Discuss healthcare policy related to access, equity, affordability, and social justice.

· Use an ethical framework to evaluate healthcare policies.

· Participate in political processes that influence healthcare policy.

Essential VI: Interprofessional Communication and Collaboration for Improving Patient Health Care Outcomes

· Understand multi-disciplinary roles of the healthcare team.

· Employ effective communication to resolve conflict, foster teamwork.

· Advocate for high quality care as a member of the healthcare team.

Essential VII: Clinical Prevention and Population Health.

· Assess protective and predictive factors, including genetics, which influence health.

· Assess health from a holistic perspective, including values, attitudes of families, groups, communities, and populations.

· Promote health, manage illness.

· Use EBP to guide health teaching, screening, and counseling, throughout lifespan.

· Assess health, healthcare, and emergency preparedness needs of a defined population.

· Develop an intervention plan that considers health, resources, prevention of illness, injury, disability, and premature death.

· Participate in prevention and population-focused interventions related to effectiveness, efficiency, cost-effectiveness, and equity.

· Advocate for social justice, including health of vulnerable populations.

Essential VIII: Professionalism and Professional Values

· Demonstrate professional standards of moral, ethical, and legal conduct.

· Exhibit accountability, role modeling professional values, professionalism, and integrity.

· Identify personal, professional, and environmental risks that impact personal and professional choices.

· Examine practice for promotion of social justice.

· Articulate value of professional growth and development and lifelong learning.

· Protect patient privacy and confidentiality.

Essential IX: Baccalaureate Generalist Nursing Practice.

· Demonstrate caring and health techniques that promote a therapeutic nurse-patient relationship.

· Conduct assessment across populations and lifespan.

· Recognize constructs of genetics on health, prevention, screening, diagnostics, prognostics, treat.

· Provide holistic care across the lifespan.

· Communicate effectively with patients, families, and healthcare team.

· Provide compassionate, patient-centered, evidence-based care.

· Provide nursing care based on evidence that contributes to safe and high-quality patient outcomes.

7. Select one of the BSN Essentials you have chosen and reflect on the relationship between the essential chosen, your learning, and the course artifact. Relate two class activities that helped you achieve the selected BSN Essential.

8. Describe what you have learned by completing the assigned course artifact. What areas of growth or future learning needs must be met to meet all of the program learning outcomes for your baccalaureate education?

9. Describe how your learning and achievement of these standards will impact your future role as a BSN nurse.

Grading of ePortfolio Assignments

Each ePortfolio assignment will be a graded using an assigned grading rubric.

A grade of 100% is the required passing score for all ePortfolio assignments
. Refer to the assignment rubric. If a revision is required to achieve a passing score, resubmission of an ePortfolio assignment must be completed within 72 hours of receiving your instructor feedback. Students are to refer to the ePortfolio tutorials for further guidance as needed.

All ePortfolio course requirements must be met in order to receive a passing end of course grade. As per the RN- BSN program incomplete policy, students have two weeks to submit the required coursework or the incomplete will be changed to a failing grade (F).

ePortfolio Rubric

Criteria

Excellent

Submission of URL/Link to ePortfolio Home Page

• URL (link) to the ePortfolio is submitted to the assignment drop box. Submitted URL leads directly to the ePortfolio Home Page. The ePortfolio contents are viewable.

15 pts

Excellent

The ePortfolio submission meets all criteria.

Home Section

• Welcome page contains a welcome message and optional upload of a professional photograph.

• Welcome page contains a professional biography to include a summary of work experience, academic background, and professional goals.

Excellent.
The ePortfolio submission meets all criteria.

15 pts

Creation of Course Section (e.g., NSG 3200)

· Course Section (e.g., NSG 3200) is present.

· Course Section (e.g., NSG 3200) is labeled using

correct prefix and number.

Excellent.
The ePortfolio submission meets all criteria.

10 pts

Creation of Course Artifact Page and Upload of Assigned Course Artifact

· One course artifact page is present in the current course section (e.g., NSG 3200) and labeled as Artifact.

· One assigned course artifact document is uploaded to the current course artifact page.

· Course artifact was not linked from Dropbox

submission.

Excellent.
The ePortfolio submission meets all criteria.

15 pts

Completion of Reflection

· 1 selection is made in each subsection (the PSLOs, GECs, BSN Essentials) of the reflection form.

· All narrative prompts are completely addressed.

· One course reflection page is present in

the current course section (e.g., NSG 3200) and

labeled as Reflection.

· One completed PDF course reflection document is

uploaded to the current course reflection page.

Excellent.
The ePortfolio submission meets all criteria.

25 pts

ePortfolio Organization

· Free of blank or duplicate course sections.

· Free of blank or duplicate pages within the course

section(s).

· Evidence of previous submissions organized in

one ePortfolio.

Excellent.
The ePortfolio submission meets all criteria.

20 pts

Totals
*100% required to pass

100

Consider a population health topic that rises to the presidential agenda level.

 Consider a population health topic that rises to the presidential agenda level. Which social determinant most affects this health issue? How did two recent presidents handle the problem? What would you do differently? 

Womens Health Brochure

Women’s Health Brochure

Module 01 Content

1.

Top of Form

Competency

Identify multidimensional nursing care strategies for clients with reproductive system disorders.

Scenario

You work in a gynecological office, and your office has been asked to participate in a women’s health fair. The focus of the fair is health promotion. Preventative screening for female reproductive disorders is vital to identify and treat rapidly to produce the best patient outcomes. Preventative screening includes a mammogram and Pap smear and should be performed based on recommended age and associated risk factors. To promote preventative screening, your office will be creating brochures to distribute at the health fair.

Instructions

Design a women’s health brochure by choosing one of the female reproductive disorders covered in this module. In the brochure, include the following:

· Overview of the disease including disease process, signs and symptoms, and risk factors

· Preventative screening

· Diagnostics tests

· Treatment

· Multidimensional nursing care interventions

Bottom of Form

Ipsum

Select a nursing theorist of choice and research him/her. Identify their key contribution to nursing and explain its importance in healthcare. 500 – 550 words and 3 or more scholarly sources.

Discussion Post-

Describe the role of each component of the ECG in the heart’s contraction: the P wave, the PR interval, the QRS complex, the ST segment, the T wave, and the QT interval. What is the difference between artifact and dysrhythmia? How can you reduce artifacts? What are some situations that can occur if artifact is not reduced or eliminated?

You are working in the Telemetry Unit. The nurse “watching” the monitors is reading a magazine. She constantly turns off an alarm that looks a lot like Ventricular Fibrillation. She tells you that it is not a dysrhythmia, it is just artifact. What do you think about her actions? What is the worst case scenario in this situation? What would you do?

Must be a minimum of 250 words.

Week 2—2 Peer Response 800w. due9-15-23

Week 2—2 Peer Response 800w. due9-16-23

Instructions:

Please read and respond to the two peers' initial postings for week 2 below. Consider the following questions in your responses.

Compare and contrast your initial posting with those of your peers.  

1. How are they similar or how are they different?

2. What information can you add that would help support the responses of your peers?

3. Ask your peers a question for clarification about their post.

4. What most interests you about their responses? 

5. Summaries at least 1 evidence based article that supports there point.

Please be sure to validate your opinions and ideas with citations and references in APA format.

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Response 1 400 words

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Week 2 Discussion: Neurotransmitters

Describe the chemical and electrical processes used in neurotransmission.

        The central and peripheral nervous system both have a very complex and precise structure. The brain has trillions of specialized nerve cells called neurons. Neurons are connected to each other via synapses. Each neuron is connected to thousands of other neurons. Synapses serve as specialized centers that direct communication between neurons via a mechanism known as neurotransmission (Masoli et al., 2022). In other words, neurotransmission means how an impulse moves through one neuron to another neuron. Pulses can move through neurons electrically or chemically.

        Electrical process involves cell membranes. Each neuron has a cell membrane that separates intracellular space from extracellular space and has electrical charge (ions). When a signal arrives to the cell membrane, the ion channels both voltage-sensitive sodium channels (VSSCs) and voltage-sensitive calcium channels (VSCCs ) open and NA+  ions can transfer through these channels and create electrical signals (action potential). This electrical signal will move through axons to reach to the axon terminal (presynaptic nerve terminal) and opens calcium channels.

        According to Huang et al. (2022), in the nervous system, the functioning of brain circuits depends on the accurate integration of synaptic vesicles filled with neurotransmitters at a region known as the presynaptic active zone. When an action potential reaches these vesicles and calcium ions are transferred, the neurotransmitters are released from these vesicles. In other words, electrical impulses within the neuron are then transformed into chemical messengers, a process known as Excitation–Secretion Coupling. When these messengers (neurotransmitters) are released, they activate the receptors on a postsynaptic neuron. Communication within a neuron is electrical, while communication between neurons is chemical (Stahl, 2021). A single synapse can have many communication lines, each using its own neurotransmitter, and each neurotransmitter can be understood by a different set of receptors. This complex setup allows for rich and diverse communication between nerve cells (Agnati et al., 2023).

Why are depolarizations referred to as excitatory postsynaptic potentials and hyperpolarization as inhibitory postsynaptic potentials?

        The neurotransmitter can affect the postsynaptic neuron's cell membrane in two different ways. If the neurotransmitter binds to the receptors on the postsynaptic neuron and reduces the negative charge of the cell membrane, causing slight depolarization, the postsynaptic neuron will reach the threshold to initiate an action potential and transmit signals further along the neural pathway. This process is called Excitatory Postsynaptic Potentials (EPSP). In other words, when the neurotransmitter depolarizes the postsynaptic cell membrane, it is termed excitatory because it initiates an action potential (Stahl, 2021).

        On the other hand, if the neurotransmitter binds to the postsynaptic cell membrane and creates a more negative charge, hyperpolarization occurs. In this case, the postsynaptic neuron receives an inhibitory signal, which means the neuron moves further away from the threshold for initiating an action potential. This pathway is referred to as Inhibitory Postsynaptic Potentials (IPSP). The balance between EPSP and IPSP regulates the activity of neurons (Stahl, 2021).

What are the differences between absolute and relative refractory periods?

        When a neuron has been depolarized and an action potential has been created, this neuron is not anymore able to start another action potential for a limited amount of time. The duration, lasting approximately 1-2 milliseconds, beginning with the initiation of the action potential and extending just beyond the spike potential. This period is referred to as the Absolute Refractory Period (ARP). It's important to note that, even in response to stronger or supra threshold stimuli, no additional action potentials can be generated during the ARP. During this period, sodium channels are closed and sodium ions are not able to flow and create another action plan (Kartik et al., 2023). This is because the system prefers to create one-directional manner and prevent backward transmission of signals along the neuron's axon.

        Relative refractory period usually follows absolute refractory period. Some neurons acquire their abilities to create another action potential little by little, however, the signal should be stronger to depolarize the neurons. Following the inactivation of the sodium (Na) channels, the opening of potassium (K) channels leads to the efflux of K ions. Subsequent recovery of the Na channels from their inactivated state permits the generation of a second action potential. However, due to the sustained efflux of K ions, there is a natural resistance to further depolarization. As a result, a stimulus stronger than the norm is required to start a second action potential (Kartik et al., 2023). This period, lasting approximately 3-4 milliseconds after the absolute refractory period, during which a second action potential can be fired with stronger stimuli due to the recovery of Na channels. The reason of this period is that some ion channels have been recovered and now are able to open their channels and let the sodium ions to flow and create action plan. The relative refractory period is usually longer that absolute refractory period. These refractory periods help to ensure proper timing in neural circuits (Stahl, 2021). 

References

Agnati, L. F., Guidolin, D., Cervetto, C., Guido, M., & Marcoli, M. (2023). Brain structure and function: Insights from chemical neuroanatomy.
 Life, 13(4), 940. 
https://doi.org/10.3390/life13040940Links to an external site.

Huang, S., Piao, C., Beuschel, C. B., & Zhao, Z. (2022). A brain-wide form of presynaptic active zone plasticity orchestrates resilience to brain aging in Drosophila.
 PLoS Biology, 20(12) 
https://doi.org/10.1371/journal.pbio.3001730Links to an external site.

Kartik, S., Hrudini, D., Aparna, J., Navya, T., & Chelliah, S. (2023). “Knowing it before blocking It,” the ABCD of the peripheral nerves: Part A (Nerve anatomy and physiology).
 Cureus, 15(7) https://doi.org/10.7759/cureus.41771

Masoli, S., Rizza, M. F., Tognolina, M., Prestori, F., & D’Angelo, E. (2022). Computational models of neurotransmission at cerebellar synapses unveil the impact on network computation.
 Frontiers in Computational Neuroscience,

 
https://doi.org/10.3389/fncom.2022.1006989Links to an external site.

Stahl, S. M. (2021). 
Stahl’s essential psychopharmacology: Neuroscientific basis and practical application (5th ed.). 

Response 2. 400 words

Describe the chemical and electrical processes used in neurotransmission.

Neurons which are nerve cells can communicate with each other through electrical and chemical signals. Communication occurs at the synapses; this is the site where chemical transmission occurs (Lovinger, 2008). Presynaptic neurons release neurotransmitters which are then received by the postsynaptic neuron also referred to as the neurotransmitter receptor protein (Lovinger, 2008). Neurotransmitter molecules bind to the receptor protein thus changing its function. Electrical signals also called action potential on the other hand are a result of charged particles that create rapid conduction from one end of the cell through the axon and to the next, its speed is dependent on the myelin sheath (Lall, 2023)

Why are depolarizations referred to as excitatory postsynaptic potentials and hyperpolarization as inhibitory postsynaptic potentials?

Depolarizations are referred to as excitatory postsynaptic potentials and hyperpolarization as inhibitory postsynaptic potentials due to the synaptic response that is facilitated by the Ligand-gated ion channels. In other words, the response of the postsynaptic neurons determines if it is excitatory (fires an action potential) or inhibitory (doesn’t fire an action potential) (Lovinger, 2008). Depolarization refers to the opening of sodium ion channels allowing an influx of sodium to enter the cell membrane increasing the likelihood of an action potential. This is followed by resting potential and rapid repolarization (Grider, 2023).

What are the differences between absolute and relative refractory periods?

An absolute refractory period is a period that follows an action potential in which a second action potential cannot occur due to the inactivation of the voltage-gated sodium channel (Grider, 2023). Whereas the relative refractory period is the duration of time in which a second action potential can occur. During this time sodium channels move from an inactive state to a closed state, however, in order for an action potential to happen a larger amount of stimulation is needed (Grider, 2023).

 

References

Grider, M. H. (2023, May 8). 
Physiology, action potential. StatPearls – NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK538143/#:~:text=In%20neurons%2C%20the%20rapid%20rise,opening%20of%20potassium%20ion%20channels.

Lall, S. (2023, May 24). 
How do neurons communicate (so quickly)? – MIT McGovern Institute. MIT McGovern Institute. https://mcgovern.mit.edu/2019/02/28/ask-the-brain-how-do-neurons-communicate/

Lovinger, D. M. (2008). 
Communication Networks in the Brain: Neurons, Receptors, Neurotransmitters, and Alcohol. PubMed Central (PMC). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3860493/#:~:text=Nerve%20cells%20(i.e.%2C%20neurons),the%20cell%20to%20the%20other.

 ReplyReply to Comment

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600 w6 p1

What are the benefits of evaluating the role of outcomes in practice change through research? Discuss how you would evaluate the roles of outcomes through a change proposed from research findings.

Expectations

Initial Post:

keep all posts you win on bids in US sources

  • Length: A minimum of 250 words, not including references
  • Citations: At least one high-level scholarly reference in APA from within the last 5 years

Peer Responses:

Interview #2

INTERVIEW WITH A CULTURALLY DIVERSE CLIENT:
Conduct an interview with either a client or a previous healthcare consumer (this may be a neighbor, a volunteer, or a total stranger). Please be mindful of HIPPA and provide for confidentiality. Do not identify the interviewee.
• What are the client’s origins? Where were they born? Do they speak another language? (10 Points)
• How do they access the healthcare system? What resources are used? (10 Points)
• Do they have a primary care physician/nurse practitioner? (10 Points)
• Identify any healthcare disparities associated with the client. (10 Points)
• Did their socioeconomic status influence their level of or quality of healthcare? (10 Points)
• Have they ever experienced any issues during their care while at a healthcare facility? (10 Points)
• What specific needs would they like to have addressed when visiting a healthcare practitioner/facility? (10 Points)
• Do they require assistance with community resources to improve their level of care? (5 Points)

o If yes, provide a teaching moment and document this in your interview.
o If no, provide a listing of resources for future use if needed. Refer to the following link for Monroe County:
http://monroe.floridahealth.gov/programs-and-services/clinical-and-nutrition-services/_documents/community-resource-guide.pdfLinks to an external site.

Judaism


Judaism Discussion

After studying 

Module 3: Lecture Materials & Resources
, as well as reviewing the 

Judaism Resources
 page, discuss the following:

In your reading of 
Chapter 10 – Encountering Judaism: The Way of God’s People as well as the other readings for the week, you have gained a better understanding of central themes of Judaism. As you learned more about the religion, you may have noticed the many similarities that Judaism shares with Christianity as the relationship between the two religions rather unique. Christianity is rooted in Judaism historically, scripturally, liturgically, and even theologically. No two major world religions have so much in common. Below are a handful of the common elements shared by these two religions, however it is important to note that even though these religions share several common elements, they articulate them differently. Last week, we expounded upon how some of these themes are understood in the context of Catholicism and now you will describe how they are understood in Judaism.

Select the two themes  below and present the Jewish teaching on the chosen theme.

· Jewish Understanding of God

· Freedom and Free Will


Each selected theme must:

· Each theme must Be explained in at least two paragraphs

· Incorporate at least 2 direct quotations with accompanying in-text citations from either the required weekly readings or a resource found on the “Judaism Resources” page linked below

Genitourinary Conditions

 A 53-year-old male patient with complaints of non-specific abdominal pain is admitted to the hospital with hematuria and is undergoing diagnostic testing for bladder cancer.