What are some possible issues that could arise if Ms. Brown has a positive test? What legal and ethical issues would you consider? What considerations would you take into account if she has a teenage daughter?

What are some possible issues that could arise if Ms. Brown has a positive test? What legal and ethical issues would you consider? What considerations would you take into account if she has a teenage daughter?

Read the “Case Example: Screening for Breast or Ovarian Cancer Risk” as found on pp. 243–244 in Stanhope & Lancaster (2012). Write a paper which completely answers the three questions following the case study (including the secondary questions listed under each numeral). Refer to the screening resources in Course Activities to help you gain a better understanding of issues surrounding screening and other preventative services.

The finished Assignment should be a minimum of a 3-page expository essay, excluding the title page and references. The viewpoint and purpose of this Assignment should be clearly established and sustained.
use the headings Question 1, Question 2, and Question 3 to organize your material

include an introductory paragraph that gives a summary of the case example and a concluding paragraph which brings your paper to a reasonable conclusion (with no heading for either)

include Stanhope & Lancaster (2012) as a reference, include Stanhope & Lancaster (2012) as a reference, properly cited within the body of your paper.

no more than 10% of the paper should include direct quotations; synthesize the material rather than merely quoting it.

HERE IS THE CASE STUDY:

WHAT DO YOU THINK?: A Case Example: Screening for Breast or Ovarian Cancer Risk

During an initial visit to the High Risk Breast and Ovarian Cancer Clinic, a 37-year-old, Ms. Brown, reports that she had found a mass during a self-breast examination in 2006. She subsequently had the mass inspected by a clinician and underwent a mammogram, which showed a suspicious finding. A breast core-biopsy was performed and the pathology report indicated that she had atypical ductal hyperplasia. Ms. Brown then had a breast lumpectomy, and the lump was benign. In 1996, she had undergone a total abdominal hysterectomy and bilateral salpingo-oophorectomy for endometriosis. Ms. Brown briefly took hormone replacement therapy but stopped in 2006 when the breast mass was identified. She initiated Evista therapy as a breast cancer reduction measure, but after 6 months she stopped the medication because of the side effects. Ms. Brown reports that she is not entirely opposed to considering using Evista again. Her family history indicated that a paternal grandmother likely had a type of “female cancer.” This grandmother died in her middle 30s to early 40s. There were also three cousins on the paternal side of the family who had unilateral breast cancer when they were in their 30 and 40s.

On the maternal side of the family, her grandmother was diagnosed with breast cancer when she was in her 40s. She is alive and doing well at age 72. One of the grandmother’s sisters had lymphoma and died in her late 60s. A maternal great-aunt who was a sister to her maternal grandfather, not maternal grandmother, died in her 70s of ovarian cancer. A sister to her maternal great-aunt (another maternal great-aunt) died in her 70s or 80s of a primary brain cancer.

Reflect on these questions and see what implications they have for nursing action and for public health concerns:

1.What are some possible issues that could arise if Ms. Brown has a positive test? What legal and ethical issues would you consider? What considerations would you take into account if she has a teenage daughter?
2.What effect would the client’s literacy level have on how you would handle this case?
3.If you were caring for a family with multiple family members who obtain genetic testing and some members are found to be genetic mutation carriers while others are not, what would you anticipate might occur in relation to family dynamics? What actions might you take? Consider the referrals you might make.

243 244

Over 180,000 new cases of breast cancer are diagnosed annually, and between 5% and 10% of them have an inherited susceptibility. It is important for the nurse to take a brief family pedigree as done above to identify inherited risk factors. If Ms. Brown were to have had a BRCA-1 or BRCA-2 mutation, many more implications for decision making would arise, including prophylactic surgery for prevention of breast and/or ovarian cancer. In addition, men with a BRCA-1 mutation are at increased risk to develop prostate cancer or colorectal cancer. Men who have the BRCA-2 mutation are at risk for male breast cancer and pancreatic cancer. For women, both BRCA-1 and BRCA-2 mutation carriers have the greatest risk for breast and ovarian cancer. It is important when interpreting genetic information to be sensitive to the many issues involved, including emotional, socioeconomic, lifestyle, and environmental issues that may affect the onset of disease (Calzone et al, 2010

Please cite this article as :

(“Bookshelf | Public Health Nursing?: Chapter 11 Genomics in Public… (page 244),” n.d.)

Please reference this article as:

Bookshelf | Public Health Nursing?: Chapter 11 Genomics in Public… (page 244). (n.d.). Retrieved August 2, 2015, from https://online.vitalsource.com/#/books/978-0-323-08001-9/pages/66266035


 

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How should the Chief Nursing Officer impact nurses in their everyday duties?Write a short essay (500-600 words) responding to the following prompt. You should submit your response as a Word document.

How should the Chief Nursing Officer impact nurses in their everyday duties?Write a short essay (500-600 words) responding to the following prompt. You should submit your response as a Word document.

Question
Write a short essay (500-600 words) responding to the following prompt. You should submit your response as a Word document.

How should the Chief Nursing Officer impact nurses in their everyday duties? You should use the following excerpt from the IOM report “The Future of Nursing” to help you develop your discussion, and you can use your own experience as a healthcare professional to support your argument. Please review the sections in “Audience Expectations” on genre and objectivity and consider both as you choose your writing strategies. Personal narrtive is not appropriate for this assignment; rather, include your own critical and analytical ideas based on your experiences. Because this is a relatively short essay, do not attempt to address every aspect of the Chief Nursing Officer’s impact on nurses. Instead, focus on two or three areas you think most important. Research and outside sources are not required for this essay; use only the resource provided. Research and incorporating sources are covered in future units.


 

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Examine three barriers that you believe represent the most significant obstacles to an effective competitor analysis.

Examine three barriers that you believe represent the most significant obstacles to an effective competitor analysis.

Examine service categories commonly provided by nursing homes. Determine two specific service categories that you believe are common factors of competition among nursing homes. Justify your response.
Analyze the main service area factors for healthcare organizations factors. Suggest two consumer factors and two service area factors that could provide a competitive advantage to a walk-in clinic.
Conducting a Competitor Analysis” Please respond to the following:

Examine three barriers that you believe represent the most significant obstacles to an effective competitor analysis. Propose a strategy to overcome each of the three barriers that you have identified.
From the e-Activity, analyze Michael Porter’s technique for a competitive analysis. Determine one factor for each of Porter’s five forces of an environmental analysis that apply to the organization that you selec


 

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What Did You Learn in this Masters Nursing class NR-500?This answer must be at least 300 words, reference not included in word count. Needs at least 2 references that are peer reviewed articles within the last 5 years.

What Did You Learn in this Masters Nursing class NR-500?This answer must be at least 300 words, reference not included in word count. Needs at least 2 references that are peer reviewed articles within the last 5 years.
MUST BE PLAGIRISUM FREE!!!

This answer must be at least 300 words, reference not included in word count. Needs at least 2 references that are peer reviewed articles within the last 5 years. Both articles need to be cited within the answer at least once. Needs to be in APA format. ANAWER MUST BE ORIGINAL, no plagiarism. Below is the question.

What Did You Learn in this Masters Nursing class

Reflecting on this course, consider and answer the following questions: How do you envision using the AACN essentials and information learned in this course to identify, guide, and evaluate your practicum project? How do you envision using the concepts learned in this course in your future nursing practice?

Course Description

This nursing course introduces the graduate student to the conceptual foundations and skills essential for the master’s-prepared nurse. A framework for professional nursing practice, the scholarly communication of ideas, the use of critical inquiry and information dissemination, and the professional development of the master’s-prepared nurse will be explored.


 

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How can we use nursing theory to challenge professional and organizational assumptions, explore alternatives, and guide nursing actions.

How can we use nursing theory to challenge professional and organizational assumptions, explore alternatives, and guide nursing actions.

CONTEMPORARY SCHOOL OF NURSING, HOSPITAL, NURSING HOME, OR OTHER FACILITY IN THE HEALTHCARE ARENA AND RESEARCH THE NURSING THEORY USED THERE.

Choose a contemporary school of nursing, hospital, nursing home, or other facility in the healthcare arena and research the nursing theory used there. Describe the changing role of the nurse today and how they are influenced by the organizational nursing theory.

Your presentation should include (60 pts.):

How the nursing theory enhances professional nursing practice in the roles of advocate, provider, teacher, manager, researcher, and leader. (20 pts.)

How using nursing theory and theory from other disciplines as a basis for the nursing process helps promote health and healing. (10 pts.)

How we can use nursing theory to challenge professional and organizational assumptions, explore alternatives, and guide nursing actions. (30 pts.)

This assignment is a PowerPoint presentation only. (40 pts.) The presentation should include no more than 20 slides. If you use graphics be sure they are small in size, so your presentation can be loaded quickly.

When you have completed this assignments, you will be able to differentiate the concepts of person, environment, health, and nursing, as they relate to select nursing theories by: (Competency 1)

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Can you show how Jefferson’s theory of revolution (found in its shortest form in the Declaration of Independence) follows from John Locke’s theory of government?

Can you show how Jefferson’s theory of revolution (found in its shortest form in the Declaration of Independence) follows from John Locke’s theory of government?

I need two essays done before 02/07/16 at 3:30PM.
I need two essays done before 02/07/16 at 3:30PM. The essays must include reference from the Text and video that I will post for you to complete each essay. MLA Format. I will also use turnit it to check for plagarism.

Written Assignment 3

Answer the following essay questions. Each response should be approximately 750 words in length (about three typed pages, double-spaced) and should reflect your reading of the assigned materials and your listening to the audiotape or viewing of the video program (as applicable). Mastery of the principles on which your response is based must be evident by your indication of which principle you are using and why you have selected this principle to support your response.

Essay Questions

Can you show how Jefferson’s theory of revolution (found in its shortest form in the Declaration of Independence) follows from John Locke’s theory of government? Could it follow from Hobbes’s theory of government? Under what circumstances?
Please watch video ethics in government. https://www.youtube.com/watch?v=mGe-3U7WHkI

Where does patient autonomy leave off and professional expertise begin in the practice of medicine? In the video presentation “Does Doctor Know Best?” (Program 4), one physician is delighted to encourage the patient to question physician judgment, to make her (the patient’s) own decision, to take treatment into her own hands. Another physician argues that such deference is just “catering” or “pandering” to the patient and will delay treatment. What do you think?
Please watch video Does Doctor Know Best: https://www.youtube.com/watch?v=xBo9xR5QGh4


 

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Write a 2 pages discussion creating a scenario or case study that illustrates the type of organization you would expect to work as a Nurse Practitioner.

Write a 2 pages discussion creating a scenario or case study that illustrates the type of organization you would expect to work as a Nurse Practitioner.

Write a 2 pages discussion creating a scenario or case study that illustrates the type of organization you would expect to work as a Nurse Practitioner.

List the type of organization (cardiology private clinic).
List the type of and how many clients it serves.
Identify the professional fit for advanced nursing role.
Implement your Nurse Practitioner role in this organization.
Identify your State Board of Nursing and referenced Nurse Practice Act which would support your role in this type of organization.


 

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The lease terms, which include maintenance, call for a $71,000 lease payment at the beginning of each year. WNH’s tax rate is 40 percent. Should the home lease or buy?

The lease terms, which include maintenance, call for a $71,000 lease payment at the beginning of each year. WNH’s tax rate is 40 percent. Should the home lease or buy?

Walton Nursing Home (WNH) is evaluating a guideline lease agreement on laundry equipment that
costs $250,000 and falls into the MACRS three-year class. The home can borrow at an 8 percent rateon a four-year loan if WHN decided to borrow and buy rather than lease. The laundry equipment has a four-year economic life, and its estimated residual value is $50,000 at the end of Year 4. If WHN buysthe equipment, it would purchase a maintenance contract which costs $5,000 per year, payable atthe beginning of each year. The lease terms, which include maintenance, call for a $71,000 lease payment at the beginning of each year. WNH’s tax rate is 40 percent. Should the home lease or buy?


 

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What details did the patient or parent provide regarding the personal and medical history? A 3 y/o African American female who present with her mother with a complaint of coughing for a week.

What details did the patient or parent provide regarding the personal and medical history?
A 3 y/o African American female who present with her mother with a complaint of coughing for a week.

Mother reports that she has been coughing every night. She has also had a mild fever of 100.5 at home. Her mother has been using a decongestant/antihistamine syrup and albuterol syrup at home from her previous prescription. Initially the cough improved but it worsened over the last 3 days. She is noted to have morning sneezing and nasal congestion and she goes to pre-school where some of her classmates were noted to be sick. She has no know allergies and up to date with immunization. Previous medical condition is asthma that has been controlled by albuterol inhaler and Nebulizer as needed

With this patient in mind, address the following in a SOAP Note:

•Subjective: What details did the patient or parent provide regarding the personal and medical history? Include any discrepancies between the details provided by the child and details provided by the parent, as well as possible reasons for these discrepancies.

•Objective: What observations did you make during the physical assessment? Include pertinent positive and negative physical exam findings. Describe whether the patient presented with any growth and development or psychosocial issues.

•Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?

•Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management? Include pharmacologic and non-pharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan.


 

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Explain how to design the LAN at a remote branch site and discuss how it will interconnect through a WAN to the main Health Systems hospital site.

Explain how to design the LAN at a remote branch site and discuss how it will interconnect through a WAN to the main Health Systems hospital site.

Assignment Preparation
Complete the practice labs provided in the Virtual Resource: Hands-On Labs activity for this unit.

Assignment Overview
Health Systems, Inc., the regional hospital that you worked with in the Unit 1 assignment, has hired you to create a design document about how to build remote access to their organization. For this assignment, you will explain how to design the LAN at a remote branch site and discuss how it will interconnect through a WAN to the main Health Systems hospital site.

Assignment Instructions
Use Visio to create a diagram for your project. You may access Visio via the Toolwire Resources in this unit. Include the following in your diagram:

Display the basic LAN and WAN topology for your remote sites.
Display router and switch placement.
Display computers and workstations.
After creating your diagram, write a paper in which you complete the following:

Describe your diagram. Include specifications about the topologies, cabling, routers, and switches.
Provide an analysis of your diagram. Explain the role that the devices on your network play in network communication.
Support your diagram. Provide reasoning for choosing the switching and routing, transmission media, and topology.
Submission Req


 

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