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Microbiology discussion two separate papers same topic. 

You will interview a non-family member, geriatric patient age 65 years or older. You can interview a patient at clinical, a neighbor, someone from church, the local nursing home or Assisted Living facility.

You will need to:

• Obtain verbal permission from your interviewee
• Complete the interview packet
• Write a reflective paper about your interview and experience less than 3 pages
• Perform a minimum of 2 geriatric assessment tools during your interview and include the results in your paper.

Patient Interview Project [Document]

Interview Worksheet [Document]

Please see attached document.   Please answer the discussion question thoughtfully and thoroughly.  Also, The discussion questions should be answered in APA format with citations.  Please do not hesitate to contact me with any clarifying questions about the assignment.   Thank you for your time.

Social media plays a significant role in the lives of nurses in both their professional and personal lives. Additionally, social media is now considered a mainstream part of the process for recruiting and hiring candidates. Inappropriate or unethical conduct on social media can create legal problems for nurses as well as the field of nursing.

Login to all social media sites in which you engage. Review your profile, pictures and posts. Based on the professional standards of nursing, identify items that would be considered unprofessional and potentially detrimental to your career and that negatively impact the reputation of the nursing field.

In 500-750 words, summarize the findings of your review. Include the following:

1. Describe the posts or conversations in which you have engaged that might be considered inappropriate based on the professional standards of nursing.
2. Discuss why nurses have a responsibility to uphold a standard of conduct consistent with the standards governing the profession of nursing at work and in their personal lives. Include discussion of how personal conduct can violate HIPAA or be considered unethical or unprofessional. Provide an example of each to support your answer.
3. Based on the analysis of your social media, discuss what areas of your social media activity reflect Christian values as they relate to respecting human value and dignity for all individuals. Describe areas of your social media activity that could be improved.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Identify two operating indicators and explain how they may supplement a ratio analysis using financial data.  How would you interpret the operating indicators? 

2 paragraphs

Female Genitourinary & Musculoskeletal

As a clinician in one of the hospitals, it is first important for me to evaluate the information given by a patient before coming up with a diagnosis. In the case study provided, the patient complains of a tumor on her left breast and denies any chills or fever. However, to confirm her fears, I need to obtain more subjective information to correct the diagnosis. Such personal data may include whether the patient has noticed any changes in the lump’s size. Moreover, I would also want to know if she has noticed any thickening of the skin around her left breast, and if there has been any discoloration (Andsoy & Gul, 2014). The reason for obtaining this information is to diagnose the patient correctly. 

In terms of objective findings, I would examine if there has been puckering or dimpling of the skin around her left breast. I will also check if the lump has a different texture or appearance than the rest of the breast and axillary masses on her left breast (Andsoy & Gul, 2014). On the other hand, I would also assess if the patient’s bones are affected. Here, I would ask the woman whether she is experiencing joint pain or decreased sensitivity in her hands or legs due to low calcium levels. Finally, I would observe if the patient is experiencing extreme fatigue, swelling of the feet, or extreme abdominal girth. 

Once I have conducted and obtained both objective and subjective findings, the next step is to order various diagnostic tests. I would first order a biopsy test since it helps make a definite diagnosis compared to others. The test involves taking a small sample of tissue from the left breast for testing in the laboratory. It will help me confirm if some sample of the tissue taken is abnormal. The next test is conducting diagnostic mammography, which involves taking pictures of the affected breast, especially if the nipple has some discharge (Andsoy & Gul, 2014). Ultrasound is another diagnostic exam that I might order since it involves soundwaves to create an image of the breast tissue. It is essential since it distinguishes between a solid mass, cancerous, and a fluid-filled cyst, which may not be cancerous. Lastly, I will order an MRI test to use magnetic fields to produce detailed images of the body.

After conducting the diagnostic tests, I will evaluate different diagnoses based on the patient’s present symptoms. The first differential disease will be circumscribed breast lesions. It is a cancerous lump illness that affects the breast. Masses are made up of connective and glandular tissues that appear like a small, round sandstone in the breast. Circumscribed breast lesions are similar in breast cancer characteristics since the lump is moveable under the skin (Chalasani, 2020). The next differential diagnosis is benign breast disease, which comprises a cyst that grows in the breast milk duct (Chalasani, 2020). The tumor causes the breast to produce a discharge, leading to breast swelling and a lump behind or close to the nipple. Lastly, metastasis is another differential diagnosis that involves cancer cells spreading to other areas of the body. Metastatic cancer comprises soft, movable lumps that do not cause any pain but can be confused with breast cancer since they have similar characteristics.

Once I have evaluated differential diagnoses, the next step is to educate the patient on preventing and managing breast cancer. I will recommend the woman maintain a proper diet and exercise in the context of teachings often (Farma et al., 2017). I will also advise her to attend breast cancer screening regularly and do yearly mammogram screening.

References 

Andsoy, I. I., & Gul, A. (2014). Breast, cervix and colorectal cancer knowledge among nurses in Turkey. Asian Pacific Journal of Cancer Prevention, 15(5), 2267-2272. https://doi.org/10.7314/apjcp.2014.15.5.2267 (Links to an external site.)

Chalasani, P. (2020). Breast cancer differential diagnoses. Medscape. https://emedicine.medscape.com/article/1947145-differential (Links to an external site.)

Farma, K. K. F., Jalili, Z., Zareban, I., & Pour, M. S. (2014). Effect of education on preventive behaviors of breast cancer in female teachers of guidance schools of Zahedan city based on health belief model. Journal of Education and Health Promotion, 3, 77. https://doi.org/10.4103/2277-9531.139240

Attention Wizard Kim. 

Week 6 Discussion: Practicum professional Development Objectives/ Progress Appraisal  3 pages. 

Rubrics 

Statistical application and the interpretation of data is important in health care. Review the statistical concepts covered in this topic. In a 750-1,000 word paper, discuss the significance of statistical application in health care. Include the following:

1. Describe the application of statistics in health care. Specifically discuss its significance to quality, safety, health promotion, and leadership.
2. Consider your organization or specialty area and how you utilize statistical knowledge. Discuss how you obtain statistical data, how statistical knowledge is used in day-to-day operations and how you apply it or use it in decision making.

Three peer-reviewed, scholarly or professional references are required.

Choose a nursing theory

Explain the nursing theory including the 4 paradigms of major assumptions: Person, Nursing, Health, Enviroment 

Nursing Theroy: Explain if the selected nursing theory relates to transcultural and holistic care

3 slides  including speaker notes, excluding the title and reference slides.

Qualitative and Quantitative Research Design

Qualitative and quantitative research designs are two different types of data. They both have specific differences that could easily be mistaken for the other. Qualitative research has to do a lot with data that is descriptive and takes into regard a phenomenon that can be observed but not measured, like language, for example (McLeod, 2019).  Quantitative has to do with information about quantities, like numbers for example (McLeod, 2019).

Qualitative research uses a multi method approach (McLeod, 2019). This means that multiple methods can be used to acquire data in regard to a research study. Qualitative research also involves the use of a type of naturalistic and interpretive approach (McLeod, 2019). For example, a group of people that really enjoy using the qualitative research method  are psychologists. The reason why psychologists prefer the use of qualitative research is to understand the social reality of individuals, groups, and cultures in the same way that these individuals feel it or live it (McLeod, 2019). The goal psychologists strive for with qualitative research is to explore and find an explanation to the ‘why’ and ‘how’ of a particular phenomenon or behavior that is occurring in a particular context (McLeod, 2019). 

According to the University of Utah, qualitative research is “a process of naturalistic inquiry that seeks in-depth understanding of a social phenomena that is within their natural setting (“Understanding Quantitative vs. Qualitative Research,” 2019). 

Quantitative research has a much more different approach and goal than qualitative research does. Quantitative research places an emphasis on the statistical, numerical, and mathematical analysis of data or information that is collected through the use of questionnaires, surveys, polls, or through the manipulation of pre-existing statistical data by using computational techniques (“Understanding Quantitative vs. Qualitative Research,” 2019).  Quantitative research aims to measure or test a theory of the attitudes of the targeted audience in response to a specific research goal or objective (“Understanding Quantitative vs. Qualitative Research,” 2019). 

In regard to quantitative research, research and data that previously existed must be retained if manipulation were to take place. When it comes to the manipulation of pre-existing data, the researcher must take the retention of the collection of text, writings, and research into consideration when new data is to be added (“Understanding Quantitative vs. Qualitative Research,” 2019).  Nowadays, in order for this to happen, quantitative research is done frequently online in order to reach a wider audience that is more likely to participate in providing an accurate representation of the views of the targeted population (“Understanding Quantitative vs. Qualitative Research,” 2019). With the technology that we have nowadays, surveys can be conducted easily and more quickly, just in case there is a time constraint in which the research needs to be completed (“Understanding Quantitative vs. Qualitative Research,” 2019).

Before conducting any research, one must consider what type of research would be best for their study. Choosing the type of research approach will greatly affect the type of insights that will be generated at the end of the research study (“Understanding Quantitative vs. Qualitative Research,” 2019). To get a more accurate and concise result, it is best to use the combinations of both qualitative and quantitative research study methods (“Understanding Quantitative vs. Qualitative Research,” 2019).

References

FlexMR. (2019, April 17). Understanding Quantitative vs. Qualitative Research. Retrieved October 28, 2020, from https://medium.com/@FlexMR/understanding-quantitative-vs-qualitative-research-8f7cbf748765FlexMR. (2019, April 17). Understanding Quantitative vs. Qualitative Research. Retrieved October 28, 2020, from https://medium.com/@FlexMR/understanding-quantitative-vs-qualitative-research-8f7cbf748765

McLeod, S. (2019). Qualitative vs Quantitative Research: Simply Psychology. Retrieved October 28, 2020, from https://www.simplypsychology.org/qualitative-quantitative.html