Deliverables: in a word document, provide the following items:

/in /by

Assignment 2 Instructions

Instructions:

Based on the information you learned in Steps 1 and 2 of The Essential Guide to User Interface Design, interview a person about a task he/she performs on his/her job. The person can be a parent, spouse, friend, or colleague—anyone you choose. Your goal is to ask questions that would enable you to design a system to automate a task he/she performs. Ask this person a minimum of twenty questions that will help you perform a task analysis. 

This analysis will become part of a requirements document (a document that will guide a developer in producing the system to automate). Such a document describes the requirements of the system, which includes an algorithm (i.e., how the task is to be performed), the number of expected users, the characteristics of the users (i.e., age, expertise, educational level, attitudes about automation, etc.), the hardware/software needed to accomplish the task, security concerns, location/setting of the system, connectivity, platform, etc.

Next, observe the user performing the task and identify any gaps or inconsistencies between what you observed and the description initially given to you in the interview. Were any differences noted? If so, what do you think accounts for them?

Deliverables:

In a Word document, provide the following items:

Section 1: List the questions you asked your interviewee and include his/her answers.

Section 2: In a minimum of 150 words, describe what you observed when you witnessed your interviewee actually performing the task. Note any differences between the information you gathered in the interview and your direct observation. If differences were observed, indicate why you believe they occurred.

Section 3: In a minimum of 250 words, describe the task to be automated (task analysis).

Note: At this point, you do not have to describe how your system will automate the task. You are only gathering information about the task itself at this stage.

 

Section 4: In a minimum of 100 words, describe your user base (i.e., number of expected users, age, gender, experience/knowledge about performing the task, etc.).

“Do you have any swollen lymph nodes?” Breast cancer can spread to lymph nodes, so her lymph nodes might be affected.

/in /by

Discussion 1

Discussion Question 1

Based on your performance and the expert feedback in your HISTORY collection, describe two missed questions and your understanding of why they were important to collect for this case history. Use specific references from your text to explain.  

This week’s case study was quite insightful for me.  There were definitely several questions that I regretfully missed the opportunity to ask my patient.  One question I should have asked Rachael was “Do you have any swollen lymph nodes?” Breast cancer can spread to lymph nodes, so her lymph nodes might be affected. “Malignant cells from a breast cancer may spread directly to the infraclavicular nodes or into the internal mammary chain of lymph nodes within the chest” (Bates, Szilagyi, & Hoffman, 2017, p. 422). Another question I should have asked was “Is the lump movable?” as lumps that are movable are often benign. “Hard irregular poorly circumscribed nodules, fixed to the skin or underlying tissues, strongly suggest cancer” (Bates, Szilagyi, & Hoffman, 2017, p. 438).  

Discussion Question 2

Based on your performance and the expert feedback in your PHYSICAL EXAM collection, describe two errors in your exam performance or documentation. Use specific references from your text to explain the importance of these findings in correct assessment of this client.

            In my assessment of Rachael, I failed to note the consistency of the lumps in her breast.  It is important to note the consistency of any lumps and determine if they are soft, firm, or hard (Bates, et al., 2017).   I also failed to note delimitation.  Delimitation is describing the boundaries of the lumps.  Noting whether the lumps are well circumscribed or not is another important detail in the breast assessment.  “Assess and describe the characteristics of any nodule: location, size, shape, consistency, delimitation, tenderness, and mobility” (Bates, et al., 2017, p. 438).   

Discussion Question 3

Based on your performance on the PHYSICAL EXAM collection, describe one key finding that you included in your list and describe a specific physical exam that you can perform at the point-of-care to further evaluate the finding. Use specific references from your text.

            One key finding in my physical assessment was a one centimeter right axillary lymph node that was firm but mobile.  To further evaluate this finding, I can completely examine the axillary area.  The text explains exactly how to examine for lymph nodes: “To examine the left axilla, ask the patient to relax with the left arm down and warn the patient that the examination may be uncomfortable. Support the patient’s left wrist or hand with your left hand. Cup together the fingers of your right hand and reach as high as you can toward the apex of the axilla. Place your fingers directly behind the pectoral muscles, pointing toward the midclavicle. Now press your fingers in toward the chest wall and slide them downward, trying to palpate the central nodes against the chest wall. Of the axillary nodes, the central nodes are most likely to be palpable. One or more soft, small (<1 cm), nontender nodes are frequently felt” (Bates, et al., p. 440). If any of the centrally located nodes are large, tender, or hard, or if there is a concerning lesion in the axillary nodes drainage areas, palpate for the other groups of axillary lymph nodes in the pectoral, lateral, and subscapular nodes, as well as re-examine the infraclavicular and supraclavicular nodes (Bates, et al., p. 441.) 

Discussion Question 4

Based on your performance and the expert feedback in your ASSESSMENT identification of problem categories, choose one missed/incorrect category and use specific references from your text to explain the importance of this category in arriving at correct differential diagnoses for this client.

            A missed category that I missed was the unintentional weight loss experienced by Rachael.  Malignancy is linked to unexplained weight loss Gannavarapu, et al., 2018).  Unintentional weight loss should therefore always be investigated further.  As this patient has hypothyroidism, which is generally associated with weight gain, rather than weight loss, this weight loss is of even greater concern.         

Discussion Question 5

Based on your performance and the expert feedback in your ASSESSMENT of differential diagnoses, describe one incorrect/missed differential diagnosis and use specific references from your text to support the inclusion of the diagnosis for this client

                        One diagnosis I missed was fat necrosis.  Upon exam, if breast dimpling or retraction is seen, this suggests underlying cancer.  Cancer can cause fibrous strands to be attached to the skin and fascia which lie over the pectoral muscles.  This may cause dimpling inward of the skin during contraction of the muscle.  Sometimes, this sign may signify a benign condition such as fat necrosis, but it should always be evaluated further to be sure (Bates, et al., 2014, p. 436.)

Discussion 2

Discussion Question 1

Based on your performance and the expert feedback in your HISTORY collection, describe two missed questions and your understanding of why they were important to collect for this case history. Use specific references from your text to explain.

The first question I missed was does your breast problem come and go? To assist a patient in describing a complaint, a nurse practitioner must know how to ask salient and focused questions to draw out necessary information. It is important to know the particular symptoms that  brought the patient to seek medical help.

The second question I missed was when did the problems of your breast start? It is important to ask this history question because identifying when the problem first started and  how it has changed or progressed since the onset helps in the assessment, evaluation and diagnosis process.

Discussion Question 2

Based on your performance and the expert feedback in your PHYSICAL EXAM collection, describe two errors in your exam performance or documentation. Use specific references from your text to explain the importance of these findings incorrect assessment of this client.

My first error was I did not auscultate required respiratory locations, which would have better identified the patient’s lung pathology. Auscultating the lungs for adventitious sounds, particularly crackles at the bases, which might indicate heart failure while other adventitious sounds could indicate a respiratory rather than cardiac cause.

 My second error was I did not auscultate lung in the correct order. To get a correct assessment of a patient lung field auscultation needs to be done in the correct order because breath sounds vary in intensity, volume and duration depending from each base of the lung to another.

Discussion Question 3

Based on your performance on the PHYSICAL EXAM collection, describe one key finding that you included in your list and describe a specific physical exam that you can perform at the point-of-care to further evaluate the finding. Use specific references from your text.

One key finding is breast lumps found in the right breast through breast examination of the patient. This is a physical exam I will perform at the point of care. 

Discussion Question 4

Based on your performance and the expert feedback in your ASSESSMENT identification of problem categories, choose one missed/incorrect category and use specific references from your text to explain the importance of this category in arriving at correct differential diagnoses for this client.

One missed category in my assessment was breast mass/lump, neoplastic. In Rachael’s case, the presence of multiple masses excludes nearly all other diagnoses, Rachael’s family history, and the presence of an axillary lymph node is a must-not-miss.

 It is important to arrive at the correct differential diagnoses for this client because this client’s history meets specific criteria for being  high risk for breast cancer which includes of her age, family history, (first degree relative with breast cancer), personal history (history of ductal hyperplasia), present history, and surgical history (breast biopsy) (16, Goolsby, Grubbs, 2015).

Discussion Question 5

Based on your performance and the expert feedback in your ASSESSMENT of differential diagnoses, describe one incorrect/missed differential diagnosis and use specific references from your text to support the inclusion of the diagnosis for this client.

 Breast abscess was of the one incorrect diagnosis. It contradicts the fact that Rachael experienced no pain and suffered no trauma also with the breast examination.

 Rachael had no pain, breasts were not red, or warm to touch, and breasts had no swelling, which are general symptoms of breast abscess. The patient also did not have a high temperature or feel unwell. Although any breast mass should be carefully evaluated and usually warrants further testing like biopsy and mammogram (17 Bickley, 2016).
 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!Use Discount Code “Newclient” for a 15% Discount!NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

discussion post 363

/in /by

Hi, I need help with discussion board-Initial Post-10 meaningful sentences-

Initial Post: You have studied many theories and you may now be thinking of integrating some of these approaches. If you had to select one theory that you most value and tend to identify with, which theory would it be and why? What is one other theory that you see yourself blending with your primary theory? Be sure to connect your response to something you learned in any chapter read for this course. To clearly illustrate that connection, your response must contain the page number from the textbook in order to earn full credit.

I also need reply (5 meaningful sentences) to the following post: This does not need to be connected to content in the textbook.

POST for reply: Of all the theories we have studies continue to have a strong connection with the person-centered approach. Part of that has to do with Carl Rogers himself. I was able to learn a lot about him in previous theories courses and I find his move from seminary to psychology reflective of the evolution of psychology from philosophy. I appreciate his reliance on the clients expertise of themselves. Rogers goal for therapy is something that I agree with as well. That goals is, ” to assist clients in achieving a greater degree of independence and integration so they can better cope with problems as they identify them” (Corey, 2017 p. 171). I seem to have a draw towards humanistic philosophy. I really believe the in metaphor about the acorn shared on page 170. The final piece that our text hits on that is something that I value about the person-centered approach, are the six conditions Rogers thought were necessary for effective therapy. Those are found on page 173 in our textbook. I agree that these are important to take into consideration as we develop therapeutic relationships with clients.

I also value the postmodern approaches like narrative therapy. I believe that it is connected in many ways to the person-centered approach. I see this especially because of the counselors nonjudgmental stance and allowing the client to share their narrative without diagnosis. I really appreciate how narrative therapy looks at client problems as manufactured in social, cultural, and political contexts (Corey, 2017 p. 382). Developing multicultural competence narrative therapy reminds counselors of these considerations and how a a client’s story is internalized.

 

Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code “Newclient” for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

The post discussion post 363 appeared first on Essay Writers.

Lesson 10 Discussion – custom papers

/in /by

Lesson 10 Discussion
Select two of the discussion questions below and respond to each with an answer of 150-300 words. After identifying the text answer, take your discussion a step further by relating text material to the “real world,” if you can. Also, be sure to write your responses in scholarly format—that is, citing the source of your facts/assertions. An unsupported opinion will not receive any points.
Describe the burglary situation in your community. Have burglaries been rising or declining over the last five years?
As a police investigator, it is helpful to understand who the most prevalent suspects are in burglary cases. Who are the suspects in burglary cases, typically? (i.e., druggies? juveniles? professionals?)
How do the following crimes differ: stealing a suitcase from (a) the baggage claim area at the airport, (b) a locked automobile, or (c) your home?
White-collar crime accounts for the highest dollar loss of all other crimes combined, yet it receives the least attention from law enforcement in terms of resources. How do you explain this?
*Use text book attached and use one additional scholarly source.* PLEASE CITE YOUR SOURCES. NO PERSONAL OPINIONS. STRICTLY FACTS.

 

Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code “Newclient” for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

The post Lesson 10 Discussion – custom papers appeared first on The Nursing TermPaper.