Care of a Patient with Breast Cancer

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Care of a Patient with Breast Cancer

The nurse is counseling Chenique Jackson, a 23-year old patient whose maternal grandmother died of breast cancer. Chenique wants to be genetically tested for the breast cancer gene, but her mother does not wish to be tested, because she doesnt want to know.

If Chenique were to test positive for the breast cancer gene, would her mother automatically be positive for the breast cancer gene too?
Chenique has tested positive for the BRCA1 gene for breast cancer. After speaking with her surgeon, she has decided that she wants to have bilateral prophylactic mastectomies.

What patient teaching should the nurse provide?
Chenique asks the nurse, Will you call and tell my mother that she has the breast cancer gene also?

What nursing response is appropriate?
Because Chenique has chosen to have bilateral prophylactic mastectomies, what members of the interprofessional team may be most helpful in her care after surgery?

CITATION AND REFERENCE

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Nursing education is primarily related with how health care is delivered by health care professionals and is highly related with positive patient outcomes. Nurses need to have advanced education to meet the demands required in today’s healthcare world. There is a strong correlation between nursing education and positive patient outcomes has been favorable among the nursing community and interdisciplinary teams in the healthcare field. The baseline standard for a nursing RN license is an ADN, followed by the Bachelor’s Degree of Science for Nursing. Higher education should be obtained to help provide the best continuum of providing the best care available for patients. For example, the next degree of higher degree after the bachelors is the advanced practice registered nurse, which is a graduate level training. Some examples of roles found with these types of degrees are nurse practitioners, clinical nurse specialists, nurse anesthetist, etc. Unfortunately, research has suggested that nurses are not being fully utilized to the top of their license or to the full extent of their education and skills. Nurses need to change the healthcare field to establish nurses engagement with the training aligned with their scope of practice. It still remains that improved levels of education and training have resulted in better patient outcomes. The American Association of Colleges of Nursing (AACN) helps collaborate with the nursing community to assist with creating highly qualified nurses with education enhancements for both clinical competency and care delivery. The current research has linked patient safety outcomes with advanced education nurses because of the quality of patient care from level of the educated nursing workforce. Nurses receiving a baccalaureate and graduate degree levels has shown overall positive outcomes for healthcare systems. Research has linked higher education of nurses with lower mortality rates, fewer medication errors, and overall positive outcomes. The research is agreeable, because the advanced education helps with everyday healthcare decisions. Personally, the BSN program has enhanced my career by helping me understand my potential as a nurse and get the confidence needed to be a voice in the hospital setting in interdisciplinary teams.

References

American Association of Colleges of Nursing (AACN) website, (2020) Retrieved from:https://www.aacnnursing.org/

National Academies of Sciences Engineering Medicine website, (2020). The Future of Nursing: Leading Change, Advancing Health. Retrieved from: https://www.nap.edu/read/12956/chapter/2

REPLY2

Since healthcare is constantly changing and evolving and new research with evidence based practice is always coming out, nurses have the responsibility of lifelong learning, not only is patient safety increased but there are better outcomes for patients. For instance the findings are: “hospitals with an increased % of RNs with baccalaureate or higher degrees had lower congestive heart failure mortality, decubitus ulcers, failure to rescue, and postoperative deep vein thrombosis or pulmonary embolism and shorter length of stay,” (AACN, 2019)They demonstrate better competency in nursing practice, communication, leadership, integrity and evaluation regarding research,” (AACN, 2019). “The researchers predicted that each additional patient in a hospital nurse’s workload increased the likelihood of a patient dying within 30 days of admission by 7% (NIH, 2014).” A better educated nurse workforce was associated with fewer deaths. For every 10% increase in nurses with bachelor’s degrees, there was a fall in the possibility of patient death by 7%”, (NIH, 2014).

I personally agree that education can better results as well as decrease mortality and I comprehend why this was part of the desires on healthcare changes. I agree that you have to get a degree such as a BSN to get better training. O n the other side nurses with many years of practical wisdom have increased critical thinking as well as the capacity to diminish mortality rates. Such nurses are consistently in front of or in sync with the physicians and able to do whatever is required for the patient. they already has an idea of what is coming next for the patient, so education is needed but it can come in numerous forms,

I have learned various things in the BSN program that have made me a well-rounded nurse and I have been able to implement little changes in the clinic along the way. We must stay aware of new advances in innovation and the conveyance of care so as to give the best practice and care we can.

I am realizing the understanding the fundamental benefit of proceeding with education and believe we need to be advocate for our co-workers also to inspire them proceed on an educational journey. I desire to continue into an MSN program as soon as possible. Up to date information and practical skill in health care may reduce the incidents of admissions to hospitals. With this global healthcare crisis, we are confronting, concentrating on prevention right now is really worth a pound of cure.

References:

American Association of Colleges of Nursing.(2019).The impact of education on nursing practice. Retrieved from https://www.aacnnursing.org/Portals/42/News/Factsheets/Education-Impact-Fact-Sheet.pdf

National Institutes of Health (2014).Nurse staffing, education affect patient safety. Retrieved from https://www.nih.gov/news-events/nih-research-matters/nurse-staffing-education-affect-patient-safety

 

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PROMPT:The idea behind selective adaptation is that when we view a stimulus with a specific property, neurons tuned to that property fire, and if viewing continues for long enough, these neurons adapt

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PROMPT:

The idea behind selective adaptation is that when we view a stimulus with a specific property, neurons tuned to that property fire, and if viewing continues for long enough, these neurons adapt. Discuss how the psychophysical procedure of selective adaptation has been used to demonstrate the link between feature detectors and (a) the perception of orientation, and (b) the perception of size. Be sure to include a discussion of your understanding of the rationale behind selective adaptation experiments and how we can draw conclusions about physiology from the results of such a psychophysical procedure. Provide two examples that support your conclusions.

INSTRUCTIONS:

PLEASE USE REFERENCE AND INFORMATION BELOW STATED FOR ADDITIONAL ASSISTANCE; 

APA FORMAT/HEADING

300 WORDS

PLEASE USE REFERENCES LISTED ALSO FOR ADDITIONAL INFORMATION: 

Introduction to Psychology

NO GRAMMAR ISSUES/NO ERRORS

2-3 CREDIBLE SCHOLARLY SOURCES

PLEASE WRITE IN OWN WORDS/SUMMARIZING!!!!!!!!!!

PLEASE NO IN TEXT CITATIONS!!!!!!!!!!!

 

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Explain how you tell a story or paraphrase in your own words and keep its meaning. 500 words Explain how you tell a story or paraphrase in your own words and keep its meaning.

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Explain how you tell a story or paraphrase in your own words and keep its meaning.500 wordsExplain how you tell a story or paraphrase in your own words and keep its meaning.
Explain how personal and cultural views on plagiarism might present challenges.Identify and explain any evidence of plagiarism and/or paraphrasing that is found in the student passages provided.Explain at least two strategies you might use to revise the student passages and avoid plagiarism.
Assignment: Plagiarism and ParaphrasingWhether or not an act of plagiarism is intentional or accidental, it can be a serious threat to a student’s academic integrity. To avoid plagiarism in your scholarly writing, it is important to recognize what it might look like and learn how to use paraphrasing instead. By paraphrasing and correctly citing the original author for his or her ideas, you are able to take the ideas of others, summarize them, and incorporate them into your own thinking.For this Assignment, read the passages provided and compare the original passages to the student writing samples.Example 1:Passage 1:Reference: Crossen, C. (1994). Tainted truth: The manipulation of fact in America. New York, NY: Simon & Schuster.Doctors, whose first allegiance is supposed to be to their patients, have traditionally stood between drug company researchers and trusting consumers. Yet unless there is evidence of misconduct (the deliberate misrepresentation of something as fact by someone who knows it is not), it is very difficult to discover and virtually impossible to prove that a piece of biomedical research has been tainted by conflict of interest. No study is perfect, and problems arise in the labs of even the most conscientious and honest researchers. Although biomedical research incorporates rigorous scientific rules and is often critically scrutinized by peers, the information can nevertheless be warped—by ending a study because the results are disappointing; changing rules mid-study; not trying to publish negative results; publicizing preliminary results even with final and less positive results in hand; skimming over or even not acknowledging drawbacks; and, especially, casting the results in the best light or, as scientists say, buffing them.This next passage was written by a student who wants to use the Crossen resource in a paper and is trying not to plagiarize. Evaluate the student’s work for evidence of plagiarism and/or paraphrasing.Passage 2:Consumers must trust that the research that has gone into the manufacture of new drugs is safe. But it is hard to know if a conflict of interest between doctors, researchers, and the drug company stockholders has tainted the results. Biomedical researchers incorporate strict rules of science into their work, which is examined by peers. Yet the resulting information can be warped for five reasons: ending a study too soon, not publishing negative results, publishing results too early, skimming over or ignoring drawbacks, and “buffing” the results by showing them in the best light (Crossen, 1994, p. 167).Example 2:Passage 1:Reference: O’Conner, P. (2003). Woe is I: The grammarphobe’s guide to better English in plain English. New York, NY: Riverhead Books.A good writer is one you can read without breaking a sweat. If you want a workout, you don’t lift a book—you lift weights. Yet we’re brainwashed to believe that the more brilliant the writer, the tougher the going.
The truth is that the reader is always right. Chances are, if something you’re reading doesn’t make sense, it’s not your fault—it’s the writer’s. And if something you write doesn’t get your point across, it’s probably not the reader’s fault—it’s yours. Too many readers are intimidated and humbled by what they can’t understand, and in some cases that’s precisely the effect the writer is after. But confusion is not complexity; it’s just confusion. A venerable tradition, dating back to the ancient Greek orators, teaches that if you don’t know what you’re talking about, just ratchet up the level of difficulty and no one will ever know.

 
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