As a mentor of a newly grad nurse, it is important that I listen to her/his feelings and concerns, before proceeding and examining the patient. As mentioned by Jarvis (2012), it is normal to feel embarrassed and nervous before the examining the genitalia; that is why it is vital to explore your own feelings with an experienced examiner. I will let him/her know that her feelings is very common to a newly grad nurse, and I myself felt that way when I started in nursing. Discussing the feelings and concerns will hopefully lessen the apprehension. As a result, the examination will be more comfortable and smooth for the patient. I will let my new grad nurse to approach the exam in a confident, calm, and professional manner, to avoid being perceived
She was first seen on November 10, 2103, but this report was intentionally delayed until the results from the endometrial biopsy where obtained.
Great post. I don’t see your primary diagnosis for the case scenario. However, based on the signs and symptoms, patient seems to have genital warts. Genital warts are small bumps that can be found on the genital area or around the anus (Youssef, 2012). The human papilloma virus (HPV) is the cause of genital warts. Since the patient has a history of chlamydia, and admits to having more than one sexual partner in the past year this increases her chance of getting genital warts. Genital warts are caused from the HPV virus, and are very contagious (Stanley, 2016). Some of the risk factors for genital warts are being under the age of 30, smoker, immune system weaknesses, history of child abuse, and if the mother had the virus during childbirth
Hi Roseann. You have a very informative initial discussion post. Excellent work. Being understanding and supportive to new nurses can make a huge difference. This will help them decrease their nervousness and boost their confidence. I would discuss with him/her the importance of considering the patient’s cultural values and beliefs. Our role as a nurse is to advocate for the comfort, safety, and privacy of each of our patients. It is imperative to protect modesty by ensuring the patient is carefully draped and that the curtains are completely closed (Jarvis, 2012). Also, I would explain to the new nurse the importance of treating patients with utmost respect and provide an explanation before doing any procedures or nursing care.
The beginning of the lab consisted of taking inventory of what bone were present in the case number that was being worked on. The Bones that were present in case number 002 were the right tibia, right radius, mandible, right scapula, left humerus, left femur, left Os coxae, the cranium, and two right molars. The first part of the lab was estimating sex from the remains. The method used was Buikstra which helped determined with sex using the Os coxae. While observing the Os coxae I noticed that the ilium looked a low and wide when put together with the femur in posterior position. The morphoscopic method was also used to give a rate from 1-5 of the bone to estimate sex. The ventral arc, subpubic concave and the preauricular sulcus was present
Hello Cameon. Great thoughts on your discussion post. A genital exam on both female and male is uncomfortable for new nurses and also to patients, specifically for those who have experienced abuse or has strong religious belief. I would explain to the new nurse that as long as things are done in a professional appropriate matter it should not be problem. When I precept new nurses, I always ask their feelings and understanding about the procedure and education. I would discuss the procedure of breast or testicular exam to the new nurse before performing them on patients, to alleviate nervousness. Also, guiding the new nurse to change their educational approach based on the patient’s age is vital. I agree using age appropriate terminology is
M. genitalium is a bacterium that colonises the male and female reproductive tract by infecting the ciliated epithelial cells of the urethra, cervix, throat and anus. The M. genitalium bacterium is of the Mollicutes class, characterised by their lack of a bacterial cell wall and their very small genomes (580 kb to 2200 kb). Mollicute bacteria have evolved regressively from gram-positive bacterial ancestors; more specifically, from certain clostridia. Many of their properties, such as small genome size; small number of rRNA operons and tRNA genes; lack of a cell wall; and limited metabolic activities, are seen as the result of this evolution. Other properties, such as the “anaerobiosis of their earliest evolving members, the high adenine-plus-thymine content of their DNA, their lack of sensitivity to rifampin, and the regulatory signals for the transcription of their DNA, have been inherited from their eubacterial ancestors” (Bove, 1993). The genome size of M. genitalium is 577 to 590 kilobases, one-fourth smaller than the genome of Mycoplasma
This is 23 year old WM. Patient is requesting STD screening. Patient is also requesting HIV and syphilis screening. Patient was on the street, and was exposed to unprotected sex throughout the year. Patient is also concerned about lesions on his penis. Patient denies any abnormal drainage, dysuria, or pain. Patient denies any chest pain, SOB, N/V/D,or fever. Patient denies any depressive moods.
STI or Sexual Transmitted Infection is one of the most common issues that sexually active people obtain from unprotected sex. This can lead to a serious problem when left untreated. In Tad and Kara's case, I would think that Tad is not telling the truth and he is hiding something from Kara. If Tad is not hiding something even though he claimed that he has never taken sexual risks, he should not be upset. Kara is just protecting herself from possible sexual related illness. If he does not want to be tested then Kara has the right to refuse to his request or desire. On the other hand, Kara should understand that if Tad loves him and value their relationship, he would consider her health. It is not worth it to stay in a relationship that one cannot
The vagina is a great organic human nature. It is a tiny muscle, and tight enough to be able to give birth. However, some women experience vaginal symptoms such as stiff or discomfort during sex, which is why they think it too small, or not be able to enter the penis easier. But this is often a relief when business foreplay (body more calm muscles and facilitate sex ) and have a lot of mucus.If you still feel uncomfortable during sex after testing method is done, you may have the disease Vaginismus muscle in the first one-third of the vaginal contractions hardware itself which can not bribe or painful erection only once. Vaginismus disease commonly caused by a combination of factors such as sexual conflict (sexual abuse) and vaginal infections,
Penile cancer sounds like a joke. It’s not. Penile cancer is still a cancer, and by being a cancer, it can and probably will, be lethal to your health. There are multiple types of penile cancers, each one varying in seriousness. These types of cancers include Melanoma, a cancer found in sun-exposed skin, and sarcoma, a cancer that develops in sorts of blood vessels, smooth muscles, and other connective tissue cells in the penis. Penile cancer is serious, albeit rare, taking up only 0.1% of cancer induced deaths. The mortality rate for penile cancer is 25 to 33%.
Female genital mutilation is a public health concern that must be addressed immediately due to its assortment of short and long-term effects and victims might have enduring psychological effects that will last a lifetime. Aside from the agony and misery involved in this procedure, there can be long-standing health consequences associated with this surgical procedure. Female genital mutilation affects the physical and mental wellbeing of those operated on. The level of complications during this procedure depends upon different components such as the type of mutilation, the sorts of instruments utilized as well as the capability of the person performing the procedure. The psychological stress that these females sustain also depends on the above-mentioned factors. Short-term effects that are associated with female genital mutilation include pain, hemorrhaging, infection, fever or even mortality. Performing surgery in unsanitary conditions can exacerbate infections as well as other conditions associated with this atrocious surgery. Long-term consequences that are associated with female genital mutilations include an increased risk of HIV transmission, difficulties during childbirth, painful sexual intercourse, sexual dysfunction as well as cysts (Berg et al., 2014).
Sexually transmitted diseases (STDs) have been prevalent for over a century now in the United States, which means that STDS have had enough time to impact Americans. From different beliefs, way of thinking, and art forms it becomes prevalent that STDs have made their mark. They have impacted how doctors and women are viewed and the prevalence of Christianity.
Online STD testing comes with a couple of distinct benefits. Whether the process involves collecting one's own sample and mailing it a laboratory for analysis or ordering tests online and visiting a facility, online STD testing offers an easy, convenient method of getting tested for STDs in a manner that won't compromise customer privacy. Tracey Powell is the founder and CEO of getSTDtested.com, an Internet-based business that facilitates testing for customers wanting to get the facts about their health, and according to him, more and more people are starting to embrace the testing methods offered by his company. One question that Tracey often gets asked is "how does your company deliver test results?" It's a valid question, as STD test results do have the power to truly be life-changing. For this reason, Tracey has developed a system designed to
I believe we will all become anxious during this new process. I have never dealt with real anxiety personally until I started the program and I now have to practice calming techniques with myself. I'm usually the calm person when a patient begins to deteriorate or when something is going on with a family member or friend. Coworkers make fun of me sometimes because how calm I remain and still get the job done. I'm glad that you mentioned having the confidence to ask questions. Thats one of the biggest fears in new nurses that I experience while orientating them, so I make it a point in the training process on how to ask an appropriate question.
Apollo relies on care and other core activities they undertake to create value for the customers, or patients. Care is the most significant of the tasks due to the fact that “a patient spends 80% of the time in the hospital for the care part rather than the cure” (2013, p. 3). Care is an encompassing activity that includes housekeeping, food and beverage service, facilities and nursing. The care element is the most challenging to measure due to the subjectivity of patient opinions. Other value creating propositions that Apollo uses are admissions and billing, staffing and the patient treatment, or cure. These can be evaluated with much less effort due to the feedback being more objective.