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Ambulatory Care Services.edited

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Running head: AMBULATORY CARE SERVICES Ambulatory Care Services Name University affiliation 1 AMBULATORY CARE SERVICES 2 Ambulatory Care Services Technological development, new trends, and evolution have been the order of the day in every field in our society today. Healthcare services provision has not been left with the latest developments either. Today, ambulatory care services are one of the elegant development in healthcare, and it has helped in enhancing health care services and patient outcomes. Ambulatory care services are same-day medical procedures done to patients in an outpatient setting. This paper seeks to describe the different types of ambulatory care settings and what they do, the relevance of the ambulatory care in healthcare environment now, as well as compare and contrast free-standing and hospital-based settings. Types of Ambulatory Care Smartphones, Computers, and the Internet Doctors and patients can engage at personal levels with the technological developments and inventions without physical convergence today using the internet and the gadgets enabling such communications like the computer of smartphones. Communications of feedbacks, inquiries, medical reports, and results have been made easy and convenient due to the availability of these devices. (Romano & Stafford, 2011). Mobile care Today, medical services are provided to patients without necessarily traveling to hospitals. Medical deliveries are done conveniently with the development of remo ...
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NURS 6512 WU Patient with External Bumps on Her Genital Area Clinical Case Study

Week 10: —Breast, Genital, Prostate, and RectalPosted on: Saturday, May 1, 2021 5:14:37 PM EDTWeek 10: Special —Breast ...

NURS 6512 WU Patient with External Bumps on Her Genital Area Clinical Case Study

Week 10: —Breast, Genital, Prostate, and RectalPosted on: Saturday, May 1, 2021 5:14:37 PM EDTWeek 10: Special —Breast, Genital, Prostate, and Rectal*Remember this paper should be in Narrative format and NOT SOAP note*You will ANALYZE (DETAILED) a SOAP note case study that describes abnormal findings in patientsseen in a clinical setting. You will consider what history should be collected from the patients, as wellas which physical exams and diagnostic tests should be conducted. You will also formulate adifferential diagnosis with several possible conditions. The diagnostic testings/ physical examsshould be explained in detail of why they are relevant to the diagnosis given. Avoid ROS and Physical exam descriptions of "WNL" and "normal", you must write out the description.*If there is any information missing, you must add it, in order to make your analysis complete*Based on the Episodic note case study:GENITALIA ASSESSMENTSubjective:CC: “I have bumps on my bottom that I want to have checked out.”HPI: AB, a 21-year-old WF college student reports to your clinic with external bumps on her genital area. She states the bumps are painless and feel rough. She states she is sexually active and has had more than one partner during the past year. Her initial sexual contact occurred at age 18. She reports no abnormal vaginal discharge. She is unsure how long the bumps have been there but noticed them about a week ago. Her last Pap smear assessment was 3 years ago, and no dysplasia was found; the assessment results were normal. She reports one sexually transmitted infection (chlamydia) about 2 years ago. She completed the treatment for chlamydia as prescribed.PMH: AsthmaMedications: Symbicort 160/4.5mcgAllergies: NKDAFH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERDSocial: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)Objective:VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT 169lbsHeart: RRR, no murmursLungs: CTA, chest wall symmetricalGenital: Normal female hair pattern distribution; no masses or swelling. Urethral meatus intact without erythema or discharge. Perineum intact. Vaginal mucosa pink and moist with rugae present, pos for firm, round, small, painless ulcer noted on external labia.Abd: soft, normoactive bowel sounds, neg rebound, neg murphy’s, negMcBurneyDiagnostics: HSV specimen obtainedAssessment:ChancrePLAN: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.Review this week’s Learning Resources, and consider the insights they provide about the case study. Refer to Chapter 3 of the Sullivan resource to guide you as you complete your Lab AssignmentConsider what history would be necessary to collect from the patient in the case study.Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.Analyze the subjective portion of the note. List additional information that should be included in the documentation.Analyze the objective portion of the note. List additional information that should be included in the documentation.Is the assessment supported by the subjective and objective information? Why or why not?Would diagnostics be appropriate for this case, and how would the results be used to make a diagnosis?Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature.

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NURS 6512 WU Patient with External Bumps on Her Genital Area Clinical Case Study

Week 10: —Breast, Genital, Prostate, and RectalPosted on: Saturday, May 1, 2021 5:14:37 PM EDTWeek 10: Special —Breast ...

NURS 6512 WU Patient with External Bumps on Her Genital Area Clinical Case Study

Week 10: —Breast, Genital, Prostate, and RectalPosted on: Saturday, May 1, 2021 5:14:37 PM EDTWeek 10: Special —Breast, Genital, Prostate, and Rectal*Remember this paper should be in Narrative format and NOT SOAP note*You will ANALYZE (DETAILED) a SOAP note case study that describes abnormal findings in patientsseen in a clinical setting. You will consider what history should be collected from the patients, as wellas which physical exams and diagnostic tests should be conducted. You will also formulate adifferential diagnosis with several possible conditions. The diagnostic testings/ physical examsshould be explained in detail of why they are relevant to the diagnosis given. Avoid ROS and Physical exam descriptions of "WNL" and "normal", you must write out the description.*If there is any information missing, you must add it, in order to make your analysis complete*Based on the Episodic note case study:GENITALIA ASSESSMENTSubjective:CC: “I have bumps on my bottom that I want to have checked out.”HPI: AB, a 21-year-old WF college student reports to your clinic with external bumps on her genital area. She states the bumps are painless and feel rough. She states she is sexually active and has had more than one partner during the past year. Her initial sexual contact occurred at age 18. She reports no abnormal vaginal discharge. She is unsure how long the bumps have been there but noticed them about a week ago. Her last Pap smear assessment was 3 years ago, and no dysplasia was found; the assessment results were normal. She reports one sexually transmitted infection (chlamydia) about 2 years ago. She completed the treatment for chlamydia as prescribed.PMH: AsthmaMedications: Symbicort 160/4.5mcgAllergies: NKDAFH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERDSocial: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)Objective:VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT 169lbsHeart: RRR, no murmursLungs: CTA, chest wall symmetricalGenital: Normal female hair pattern distribution; no masses or swelling. Urethral meatus intact without erythema or discharge. Perineum intact. Vaginal mucosa pink and moist with rugae present, pos for firm, round, small, painless ulcer noted on external labia.Abd: soft, normoactive bowel sounds, neg rebound, neg murphy’s, negMcBurneyDiagnostics: HSV specimen obtainedAssessment:ChancrePLAN: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.Review this week’s Learning Resources, and consider the insights they provide about the case study. Refer to Chapter 3 of the Sullivan resource to guide you as you complete your Lab AssignmentConsider what history would be necessary to collect from the patient in the case study.Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.Analyze the subjective portion of the note. List additional information that should be included in the documentation.Analyze the objective portion of the note. List additional information that should be included in the documentation.Is the assessment supported by the subjective and objective information? Why or why not?Would diagnostics be appropriate for this case, and how would the results be used to make a diagnosis?Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature.

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The document titled Wek 8 is the Discussion question and the wording in red are some of my responses to add to the discussion.

GCU Roles Between Leadership and Management Comparative Essay

Describe the difference in roles between leadership and management. Explain how the goals of management and leadership ove ...

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Describe the difference in roles between leadership and management. Explain how the goals of management and leadership overlap and provide one example. As a nurse leader, describe how you can facilitate change by taking advantage of this overlap.Compare two leadership theories. Provide an overview of each and discuss the strengths and weakness in relation to nursing practice.Review your state's mandated reporter statute. Provide details about this in your post. If faced with a mandated reporter issue, what are the steps in reporting the issue? Create a mandated reporter scenario and post it. Respond to one of your peer's scenarios using the guidelines for submission/reporting in your state. Be sure to include a reference to your state's website related to mandated reporting.

7 pages

Community Health Plan

Stemming from the health history of the family, right from the pioneer parents in the family tree, the family hails from a ...

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Construct a table in which you use the PEN-3 Model as your framework to identify cultural influences on health that you mu ...

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Construct a table in which you use the PEN-3 Model as your framework to identify cultural influences on health that you must consider in addressing prevention and management of the outbreak among your chosen population. Remember to include cultural factors that increase the occurrences of vaccine-preventable disease outbreaks among your population as well as cultural factors that influence vaccination adherence.See the table example provided.Note that in the column on the left you must add what the P, E, and N represent within each domain and clearly address each one. The rest of the information will be attached in a file.

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Healthcare access policies have a positive impact on the general health of a population, especially if they are appropriat ...

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