response to below dq 14

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150 word response to below DQ with 1 scholarly source with citation less than 5 years old APA format

Percival posted Feb 27, 2019 7:18 AM


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The assessment, exam, and plan of care for women is directly related to many different social, environmental, and age-related factors. Even though there are many differences among every patient that is seen in the office, there are some aspects of the exam that are the same for every patient. A basic female health assessment for all ages, races, and socio-economic demographics consists of a complete health, mental status, substance use, and domestic and family violence assessments with a more detailed assessment of the female reproductive system (Jarvis, 2016). A detailed history is a very important step in directing the plan of care. Jarvis (2016) explains that subjective history that involves questions about menstrual, obstetric, acute pelvic pain, urinary symptoms, sexual activity, contraceptive use, and STIs are imperative aspects of history gathering for all patients. During examinations, the patient’s medical, social, and family histories should be discussed as well as comprehensive review of system for all patients (Riley, Dobson, Jones, & Kirst, 2013). Because we are talking about women’s health and not certain disease states, age range is one demographics which is going to drive the assessment, exam, and plan of care of each individual. The adolescent period is a time of significant growth and development characterized by physical changes, social changes, expectations, relationships, and thought process (Young, Davis, Schadewald, & Juve, 2013). During this early development of young girls into women, it is important to establish a strong working relationship with these individuals. Jarvis (2016) explains that the first pelvic examinations determines how adolescents approach future care and an accepting attitude and gentle, unhurried approach is very important. Young healthy adolescent tends to have few health problems but there are several common health issues that do impact a developing individual. Mental health and social issues and very important aspects of care that need to be addressed at this stage as it is important for adolescent to be accepted and have a sense of identity among their peers and lack of acceptance can lead to depression, violence, substance abuse, and suicidal ideations (Young, Davis, Schadewald, & Juve, 2013).

Diagnostic test and health screenings are also highly based off of age. Pap test with HPV testing, bone density scans, mammograms, and cancer screening are several of the topics that should be addressed based on individuals age. A pap test, for example, should begin at the age of 21 and be conducted every 3 years where as pap test with HPV testing should begin at the age of 30 (Riley, Dobson, Jones, & Kirst, 2013). Mammogram initiation is also based on age but it also has other demographic factors as to initiating this preventative service. Currently it is recommended for women ages 50 to 75 to receive a mammogram every 2 years although it can be initiated earlier if other risk factors are identified and the benefits outweigh the risks (Riley, Dobson, Jones, & Kirst, 2013).

Besides from age, socio-economic (SES) consideration are also important in developing a plan of care for women. SES encompasses income, educational attainment, financial security, and subjective perception of health and social status (American Psychological Association, 2019). These attributes can affect many parts of a patient’s life and should be taken into consideration when performing assessments, exams, and developing plans of care for our patients.

References

American Psychological Association. (2019). Fact Sheet: Women & Socioeconomic Status. Retrieved from https://www.apa.org/pi/ses/resources/publications/…

Jarvis, C. (2016). Physical examination and health assessment. (7th ed.). St. Louis, MO: Elsevier.

Riley, M., Dobson, M., Jones, E., & Kirst, N. (2013). Health Maintenance in Women. Retrieved from https://www.aafp.org/afp/2013/0101/p30.html

Youngkin, E. Q., Davis, M. S., Schadewald, D. M., & Juve, C. (2013). Women’s Health: A Primary Care Clinical Guide(4th ed.). Upper Saddle River, New Jersey: Pearson Education..

 

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(3) Compare the types of information found in the articles from different levels and the value of the information from each level.

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Literature Searches
An important step in the EBP process is reviewing the current body of literature to better understand the subject or topic in which you are interested. By conducting a review of the literature, you are building foundational knowledge about the topic; later, you can use this background to build new insights. Developing a strong grasp of a topic can only be garnered by taking the time to thoroughly search for relevant information and resources.
For this Discussion, you will practice searching the literature to find evidence on a specific topic.
To prepare:

Choose a simple search term(s) relating to a topic of your PICOT question.

Review the information on the evidence hierarchy discussed in Chapter 2 of the course text, in the article, “Facilitating Access to Pre-Processed Research Evidence in Public Health,” and in the multimedia presentation “Hierarchy of Evidence Pyramid,” found in this week’s Learning Resources.

Review the information on the Walden Library’s website, “Levels of evidence.” Take a few minutes to explore the different types of databases available for each level of evidence and focus on the meaning of filtered and non-filtered resources.

Conduct a literature search in the Walden Library on your selected topic using the databases that you reviewed. Use at least one database for each of the three levels of filtered information and at least one unfiltered database. Record the number of hits that you find at each level of the hierarchy of evidence.

Select one article from the results at each level of the hierarchy. Compare the articles based on the quality and depth of information. What would be the value of each resource if you were determining an evidence-based practice?

Post on or before Day 3: 

(1)a summary of your search.

(2) Describe what topic you selected, the search term(s) that you used, and the number of results found at each level of the hierarchy.

(3) Compare the types of information found in the articles from different levels and the value of the information from each level.

(4) Highlight a useful tip that you could share with your colleagues about conducting an effective literature search.

REQUIRED RESOURCES]]>
 
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module 11 written assignment best practice 1

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Write a 1-2 page paper about some of the Best Practices you have learned about during this course. How will these practices improve patient’s outcomes? You must use APA and have at least three references less than three years old to support your choice

 

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Health Strategies 5 Paragraphs

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 Mr. Cruz is a 34 year old Mexican man who went to the Emergency Department (ED) because of several days of upper respiratory track symptoms. A chest x-ray revealed a small lung nodule of unknown significance. He was felt to have a viral syndrome and was given an appointment to follow-up in the pulmonary clinic in 10 days for further evaluation of the nodule. After missing his initial and two rescheduled appointments, one of the nurses called him home to encourage him to keep his appointment scheduled for next week. As she speaks with him she is not confident that her message is understood. After completing the call the nurse discusses the patient with a HEALTH EDUCATOR expressing her frustration over communicating with patients who cannot speak English. She states: “These people never keep their appointments. I don’t know why we waste our time tracking them down.” 

QUESTIONS:

 1. If you were the “Health Education Strategist” listening to the nurse’s frustration; how would you have responded to the nurse?

 2. In your view what is exactly going on with both the Nurse as well as Mr. Cruz?

 3. How can you help the two bridge the gap?

 4. In your professional life if you ever encountered a similar case, how would you handle it-what strategies you would apply?

 5. Is there any lesson to learn from this story? 

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