Racist Behavior Body Language & Speech Acts Table
Racist Behavior Body Language & Speech Acts Table
WEEK 10 Week 10: Special Examinations—Breast, Genital, Prostate, and Rectal
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 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. Racist Behavior Body Language & Speech Acts Table
- 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)
- 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: Racist Behavior Body Language & Speech Acts Table
PLAN: This section is not required for the assignments in this course (NURS 6512) but
will be required for future courses.
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Review the Episodic note case study provided you for this week’s Assignment.
Based on the Episodic note case study:
Review this week’s Learning Resources and consider the insights they provide about the case study. Refer to Chapter 3 of the Sullivan resource to guide you as you complete your Lab Assignment. Racist Behavior Body Language & Speech Acts Table
Search the Walden library or the Internet for evidence-based resources to support your answers to the questions provided.
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.
Week 10- Breast, Genital, Prostate, and Rectal.pdf Racist Behavior Body Language & Speech Acts Table
The Lab Assignment
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. Racist Behavior Body Language & Speech Acts Table
Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images
Next week, you examine assessment techniques, health risks and concerns, and recommendations for care related to patient growth, weight, and nutrition. You will also begin your first DCE: Health History Assessment which will be due in Week 4. Plan your time accordingly.
Overview of Digital Clinical Experiences (DCE) and Lab Components
Throughout this course, you are required to not only complete your standard course assignments and discussions, but you will also complete DCE and Lab Components that are either structured as optional or required assignment submissions. Please take the time to review your DCEand Lab Components for this course that are required submissions. See the table below and the attached table for specific DCE and Lab Components for the course.
Note: Each Shadow Health Assessment may be attempted and reopened as many times as necessary prior to the due date to achieve a total score of 80% or better, but you must take all attempts by the Day 7 deadline. You must pass BOTH the Health History and Comprehensive (head-to-toe) Physical Exam of at least a total score of 80% in order to pass the course. Racist Behavior Body Language & Speech Acts Table
|Week||Digital Clinical Experiences||Lab Components|
|Module 1: Comprehensive Health History|
|Week 1: Building a Comprehensive Health History|
|Module 2: Functional Assessments and Assessment Tools|
|Week 2: Functional Assessments and Cultural and Diversity Awareness in Health Assessment|
|Week 3: Assessment Tools, Diagnostics, Growth, Measurement, and Nutrition in Adults and Children||DCE: Health History Assessment (assigned in Week 3, due in Week 4)||Case Study Assignment: Assessment Tools and Diagnostic Tests in Adults and Children|
|Module 3: Approach to System Focused Advanced Health Assessments|
|Week 4: Assessment of the Skin, Hair, and Nails||DCE: Health History Assessment||Lab Assignment: Differential Diagnosis for Skin Conditions (SOAP Note for differential diagnosis)|
|Week 5: Assessment of Head, Neck, Eyes, Ears, Nose, and Throat||DCE: Focused Exam: Cough||Case Study Assignment: Assessing the Head, Eyes, Ears, Nose, and Throat (Episodic SOAP Note)|
|Week 6: Assessment of the Abdomen and Gastrointestinal System||Lab Assignment: Assessing the Abdomen (Analyze SOAP Note)|
|Week 7: Assessment of the Heart, Lungs, and Peripheral Vascular System||DCE: Focused Exam: Chest Pain|
|Week 8: Assessment of the Musculoskeletal System||Discussion: Assessing Musculoskeletal Pain (Episodic SOAP Note)|
|Week 9: Assessment of Cognition and the Neurologic System||DCE: Comprehensive (head-to-toe) Physical Assessment||Case Study Assignment: Assessing Neurological Symptoms (Episodic SOAP Note)|
|Week 10: Special Examinations—Breast, Genital, Prostate, and Rectal||Lab Assignment: Assessing the Genitalia and Rectum (analyze SOAP Note)|
|Module 4: Ethics in Assessment|
|Week 11: The Ethics Behind Assessment||Lab Assignment: Ethical Concerns|