Discuss how you might diagnose, manage, and support the following two patients presenting with breast conditions: Discussion: Breast Conditions

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Discuss how you might diagnose, manage, and support the following two patients presenting with breast conditions:
Discussion: Breast Conditions
Throughout a woman’s life, her breasts go through many normal, healthy changes. However, patients do not always understand these changes and often visit health care providers for treatment. When examining these patients, you must be able to identify when a breast condition is the result of a safe and normal physiological change and when it is the result of an abnormal change requiring treatment and management. A diagnosis of a breast condition resulting from an abnormal change can be devastating for women, making emotional support as vital to women’s well-being as proper assessment, diagnosis, and management. For this Discussion, consider how you might diagnose, manage, and support the following two patients presenting with breast conditions:
Case Study 1:
You are seeing a 60-year-old Latina female, Gravida 4 Para 3104, who is concerned about a thick greenish discharge from her left breast for the past month. The discharge is spontaneous and associated with dull pain and burning. Upon questioning, she also tells you that she breastfed all her children and is currently not on any medications except for occasional Tylenol for arthritis. Her last mammogram, 14 months ago, was within normal limits. On exam, her left breast around the areola is slightly reddened and edematous. Upon palpation of the right quadrant, a greenish-black discharge exudes from the nipple. You note an ovoid, smooth, very mobile, non-tender 1 cm nodule in the RUIQ at 11:00 5 cm from the nipple. No adenopathy, dimpling, nipple discharge, or other associated findings. Her right breast is unremarkable. The patient expresses her desire to proactively decrease her risk for developing breast cancer.
Case Study 2:
You are seeing a 53-year-old African American female for a lump she found in her right breast two weeks ago in the shower. Her last mammogram was three years ago and she was told it was “benign.” She had two breast biopsies at ages 32 and 34 in her right and left breasts, respectively. At both times she had surgery for removal of fibroadenomas. She does not routinely do breast self-exams. Her mother had a mastectomy for breast cancer at age 63, and she heard that a paternal aunt had a breast removed for cancer when she was in her forties. Both mother and aunt are alive and well today. It was discovered on postmortem exam that her grandfather had prostate cancer. Menarche was at age 15 and she is still having monthly menses. She is Gravida 4 Para 3104 with her first childbirth at age 31. She was on oral contraception for 10 years, has no history of fertility treatments, and had a bilateral tubal ligation after the birth of her last child at age 35. Past medical history is noncontributory. She wants to know how likely it is that she will get breast cancer. Physical exam reveals breasts are symmetrical with no dimpling, retractions, or rash. Her right breast has a 2 cm non-tender, hard, fixed mass at 3:00 6 cm from her nipple. Left breast is non-tender without masses. No nipple discharge bilaterally. No anterior cervical, infra- or supraclavicular, or axillary adenopathy.
To prepare:
Review Chapter 15 of the Schuiling and Likis text.
Review and select one of the two provided case studies. Analyze the patient information.
Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.
Reflect on the appropriate clinical guidelines. Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or nonpharmacologic treatments.
Consider strategies for educating patients on the treatment and management of the disorder you identified as your primary diagnosis.

Explain what physical exams and diagnostic tests would be appropriate for the patient and how the results would be used.

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Explain what physical exams and diagnostic tests would be appropriate for the patient and how the results would be used.
Post a response to the following: Case 2: Volume 2, Case #11: The figment of a man who looked upon the lady
Review this week’s Learning Resources and reflect on the insights they provide.
Go to the Stahl Online website and examine the case study you were assigned.
Take the pretest for the case study.
Review the patient intake documentation, psychiatric history, patient file, medication history, etc. As you progress through each section, formulate a list of questions that you might ask the patient if he or she were in your office.
Based on the patient’s case history, consider other people in his or her life that you would need to speak to or get feedback from (i.e., family members, teachers, nursing home aides, etc.).
Consider whether any additional physical exams or diagnostic testing may be necessary for the patient.
Develop a differential diagnoses for the patient. Refer to the DSM-5 in this week’s Learning Resources for guidance.
Review the patient’s past and current medications. Refer to Stahl’s Prescriber’s Guide and consider medications you might select for this patient.
Review the posttest for the case study.
Provide the case number in the subject line of the Discussion.
List three questions you might ask the patient if he or she were in your office. Provide a rationale for why you might ask these questions.
Identify people in the patient’s life you would need to speak to or get feedback from to further assess the patient’s situation. Include specific questions you might ask these people and why.
Explain what physical exams and diagnostic tests would be appropriate for the patient and how the results would be used.
List three differential diagnoses for the patient. Identify the one that you think is most likely and explain why.
List two pharmacologic agents and their dosing that would be appropriate for the patient’s sleep/wake therapy based on pharmacokinetics and pharmacodynamics. From a mechanism of action perspective, provide a rationale for why you might choose one agent over the other.
If your assigned case includes “check points” (i.e., follow-up data at week 4, 8, 12, etc.), indicate any therapeutic changes that you might make based on the data provided.
Explain “lessons learned” from this case study, including how you might apply this case to your own practice when providing care to patients with similar clinical presentations.

Submit a paper that explains the role of government in the growth, as well as the decline, of hospitals in the United States.

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Submit a paper that explains the role of government in the growth, as well as the decline, of hospitals in the United States.
Submit a paper that explains the role of government in the growth, as well as the decline, of hospitals in the United States.
Your paper should be 3 pages in length and conform to APA Requirements. Include at least two scholarly references from peer-reviewed articles.

Analyze leadership qualities that facilitate collaboration and cooperation at the individual, team, community, and organizational levels within diverse healthcare settings to foster human health.

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Analyze leadership qualities that facilitate collaboration and cooperation at the individual, team, community, and organizational levels within diverse healthcare settings to foster human health.
Engaging Others with Leadership:
Assignment Guidelines with Scoring Rubric
Purpose:
The purpose of this assignment is to demonstrate knowledge of methods to successfully engage others for a specific task. Using Second Life™ to present a team-based scenario, evaluation of the interactions will identify positive areas as well as areas which need to improve.
Course Outcomes:
Through this assignment, the student will demonstrate the ability to:
CO #1: Analyze leadership qualities that facilitate collaboration and cooperation at the individual, team, community, and organizational levels within diverse healthcare settings to foster human health. (MPH PO #1, MSN PO # 1, 7)
CO #3: Develop personal and strategic communication modalities that foster negotiation, advocacy and positive work environments within diverse healthcare settings. (MPH PO #9, MSN PO #3)
CO #6: Analyze techniques that foster goal-directed decision-making that foster priority setting, innovation and dynamic interactions within diverse healthcare settings. (MPH PO #6, MSN PO #6, 8)
Due Date: Sunday 11:59 p.m. MT at the end of Week 4.
Total Points Possible: 200 points
Requirements:
Description of the Assignment
In this 5-8 page paper (not including the title or references pages in the page count), the introduction contains a few statements regarding leadership and engaging others. One potential concern that may occur while engaging others is noted. One potential positive outcome that may occur while engaging others is noted. The sections of the paper are identified.
Section One provides an explanation of the importance of leadership in engaging others including the role of leadership as well as challenges facing leadership while engaging others. In addition to potential role of teams or engaging others in the healthcare environment is presented. Scholarly references to support the information are required.
Section Two focuses on an evaluation of the team ability to accomplish tasks. The team, as presented in the scenario, should be evaluated for each of the following elements:
Ability to handle differences,
Maintaining team order,
Communication (both verbal and nonverbal), and
Team Cohesiveness.
Section Three is where you assume the role of supervisor in order to develop the team. The evaluation should include the following elements:
Overall summary of the discussion and team interactions as presented in the scenario
Discussion of one positive action demonstrated by a team member
Discussion of three non-productive actions demonstrated during the scenario
Discussion of one potential cause for the team dysfunction
Discussion of two actions that can foster teams with multiple generations to work as a productive group
Discussion of two actions that can foster teams with multiple disciplines to work as a group
Scholarly support for actions is required.
Summary of this paper identifies the key points from the information provides as well as insights gained (what was learned) regarding engaging others with leadership.
Criteria for Content:
Introduction contains a few statements regarding leadership and engaging others. One potential concern that may occur while engaging others is noted. One potential positive outcome that may occur while engaging others is noted. The sections of the paper are identified.
Section One provides an explanation of the importance of leadership in engaging others including the role of leadership as well as challenges facing leadership while engaging others. In addition to potential role of teams or engaging others in the healthcare environment is presented. Scholarly references to support the information are required.
Section Two focuses on an evaluation of the team ability to accomplish tasks. The team, as presented in the scenario, should be evaluated for each of the following elements:
Ability to handle differences,
Maintaining team order,
Communication (both verbal and nonverbal), and
Team Cohesiveness.
Section Three focuses on team development. This action should include the following elements:
Overall summary of the discussion and team interactions as presented in the scenario
Discussion of one positive action demonstrated by a team member
Discussion of three non-productive actions demonstrated during the scenario
Discussion of one potential cause for the team dysfunction
Discussion of two actions that can foster teams with multiple generations to work as a productive group
Discussion of two actions that can foster teams with multiple disciplines to work as a group
Discussion of four actions that would foster the entire scenario team to work as a group
Scholarly support for actions is required.
Summary of this paper identifies the key points from the information provides as well as insights gained (what was learned) regarding engaging others with leadership.
Criteria for Format and Special Instructions
This assignment must be submitted to TurnItIn™, as required by the TurnItIn™ policy. A Similarity Index of “blue” or “green” must be obtained. A score in the blue or green range indicates a similarity of less than 24% which is the benchmark for CCN graduate nursing students. Any other level of similarity index level requires the student to revise the assignment before the due date and time. To allow sufficient time for revision, early submission of the assignment to TurnItIn™ is highly encouraged. The final submission will be graded by faculty. If a Turnitin™ report indicates that plagiarism has occurred, the Academic Integrity policy will be followed.
The use of a dictionary is not allowed for this assignment.
The textbook required for this course and lesson information may not be used as a reference for this assignment.
A minimum of seven (7) scholarly references must be used.
When presenting information from a published resource, past tense verbs are required.
Title page, body of paper, and reference page must follow APA guidelines as found in the 6th edition of the manual. This includes the use of headings for each section or topic (except for introduction) of the paper.
The paper (excluding the title page and references page) should be at least 5 pages but not more than 8 pages long. Points will be lost for not meeting these length requirements (too short or too long)
Ideas and information that come from readings must be cited and referenced correctly.
Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal written work as found in the 6th edition of the APA manual.
Past tense verbs are used when presenting information from published resources.