Case 1Case 2Case 3 Cases T.R. is a 45-year-old female patient who came to your office complaining of intermittent and bilateral clear nipple discharge for the last two weeks. She thinks is not related to manipulation of the breast but definitively increases with it. She notes that it comes from more than one duct. On health history you documented that patient also has frequent headaches and she has noted some visual problems. R.T. is a 35-year-old female patient who was seen in the clinic because she has been trying to get pregnant for about 7 months but she has not been successful.  Only positive gynecologic history for R.T. has been three episodes of pelvic inflammatory disease in the last five years.  Woman comes in complaining of a breast mass she found on breast self-examination. You have performed a comprehensive assessment and conclude that it is benign.  Questions for the case Discuss the diagnostic test appropriate for T.R. and the rationale.  Discuss your presumptive diagnoses and ICD 10 number. Develop the management plan (pharmacological and nonpharmacological).  Discuss three differential diagnoses for with ICD 10 numbers for each. Discuss a diagnostic plan for R.T. and the rationale. Discuss your presumptive diagnoses and ICD 10 number. Develop the management plan (pharmacological and nonpharmacological).  Name some of the complications of PID. Discuss the different types of benign mass. Discuss how do you differentiate them. Discuss the different types breast tissue sampling procedures done for these masses. Discuss the clinical presentations of malignant Breast Cancer. Once you received your case number; answer the specific question on the table above. Then, continue to discuss the 3 topics listed below for your case: An effective health assessment incorporates not only physiological parameters; please suggest other parameters that should be considered and included on health assessments to reach maximal health potential on individuals. Name the different family developmental stages and give examples of each one. Describe family structure and function and the relationship with health care.

Choose a nursing intervention policy and/or procedure from your practice setting. Examples of policies include things such as a time frame to change central line dressings, protocols on indwelling foley catheter care, procedure to collect blood from indwelling lines, frequency flush and/or solution for peripheral and central lines, time out protocols, procedures for collecting and labeling blood samples, and so on. Use a NJ State Library search interface such as OVID, ProQuest, or EBSCOhost to find two research articles that relate to the policy. The articles must be written within the last five years. Summarize the outcome of the studies and compare/contrast the outcome of the study to the chosen policy.

Competencies Analyze the components of political action in nursing. Explain the process of policy-making in healthcare delivery. Apply the principles of economics as they relate to nursing and healthcare. Appraise economical aspects that influence healthcare delivery systems. Analyze legal components related to nursing practice. Determine strategies that minimize legal risks in nursing practice related to negligence and malpractice. Scenario Your nurse manager has asked you to partner with the nurse educator that coordinates orientation for new nursing hires. The nurse educator suggests that the following areas (policy, economics, and legal) are not well-represented in nursing orientation materials and that your input would be welcome. You are told that the orientation materials should be brief, as they are part of the notebook that each nurse is given regarding hospital and nursing policies and procedures, as well as tips for best practice. Instructions Prepare resource insert sheets for the nursing orientation manual that contains the following: Part One – Policy Section Examines the importance of staying up to date with federal and state health policy, with comprehensive supporting resources Provides resources for staying up to date. Illustrates ways nurses can get involved in the policy process, with comprehensive supporting details. Part Two – Economics Section Identifies key economic principles for nursing, with comprehensive supporting details. Explains the concept of HCACPS Scoring and CMS payment, with comprehensive supporting details. Summarizes ways nurses can be stewards of resources, with comprehensive supporting example(s). Discusses the revenue sources and budgeting, with comprehensive supporting details. Part Three – Legal Section Identifies the basic principles of malpractice, with comprehensive example(s) of best practices to avoid malpractice, with comprehensive example(s) of best practices to avoid malpractice. Assesses best practices for avoiding nursing malpractice. Summarizes the State Board of Nursing Disciplinary Process and resources to find Nursing Practice Standards, Provides stated ideas with professional language and attribution for credible sources with correct APA citation, spelling, and grammar in the nursing orientation resource insert sheets.