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Approach to Care of Cancer Essay Paper

Write an Approach to Care of Cancer Essay Paper (1,250-1,750 words) describing the approach to care of cancer. In addition, include the following in your paper:

Describe the diagnosis and staging of cancer.

Describe at least three complications of cancer, the side effects of treatment, and methods to lessen physical and psychological effects.

Prepare this Approach to Care of Cancer Essay Paper assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This Approach to Care of Cancer Essay Paper assignment uses a grading rubric. Instructors will be using the

rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this Approach to Care of Cancer Essay Paper assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.

 

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                        1

Unsatisfactory          0-72%

0.00%

2

Less Than Satisfactory          72-75%

75.00%

3

Satisfactory          76-79%

79.00%

4

Good          80-89%

89.00%

5

Excellent          90-100%

100.00%

80.0 %Content

30.0 %
 
Explanation of the Diagnosis and Staging of Cancers is Provided.

An explanation of the diagnosis and staging of cancers is not provided.

An explanation of the diagnosis and staging of cancers is provided but is missing relevant information.

An explanation of the diagnosis and staging of cancers is provided that meets the assignment criteria.

An explanation of the diagnosis and staging of cancers is provided that is offered in a detailed manner. Approach to Care of Cancer Essay Paper

An explanation of the diagnosis and staging of cancers is provided that is offered in a detailed manner, while demonstrating higher level or critical thinking.

20.0 %
 
At Least Three Complications of Cancer are Identified With Comprehensive Discussion of Available Treatments.

Less than three complications of cancer are identified. Approach to Care of Cancer Essay Paper

At least three complications of cancer are identified but lacking a comprehensive discussion of available treatments.

At least three complications of cancer are identified with a comprehensive discussion of available treatments.

More than three complications of cancer are identified with a comprehensive discussion of available treatments.

More than three complications of cancer are identified with a comprehensive discussion of available treatments, while demonstrating higher level or critical thinking.

30.0 %
 
Provides Recommendations to Address Physiological and Psychological Side Effects of Care.

Recommendations to address physiological and psychological side effects of care are lacking.

Recommendations to address physiological and psychological side effects of care are missing relevant information.

Recommendations to address physiological and psychological side effects of care meet the assignment criteria.

Recommendations to address physiological and psychological side effects of care are offered in a detailed manner.

Recommendations to address physiological and psychological side effects of care are offered in a detailed manner, while demonstrating higher level or critical thinking. Approach to Care of Cancer Essay Paper.

15.0 %Organization and Effectiveness

5.0 %
 
Thesis Development and Purpose

Paper lacks any discernible overall purpose or organizing claim.

Thesis and/or main claim are insufficiently developed and/or vague; purpose is not clear.

Thesis and/or main claim are apparent and appropriate to purpose.

Thesis and/or main claim are clear and forecast the development of the paper.  It is descriptive and reflective of the arguments and appropriate to the purpose. Approach to Care of Cancer Essay Paper.

Thesis and/or main claim are comprehensive; contained within the thesis is the essence of the paper.  Thesis statement makes the purpose of the paper clear.

5.0 %
 
Paragraph Development and Transitions

Paragraphs and transitions consistently lack unity and coherence.  No apparent connections between paragraphs are established. Transitions are inappropriate to purpose and scope.  Organization is disjointed.

Some paragraphs and transitions may lack logical progression of ideas, unity, coherence, and/or cohesiveness.  Some degree of organization is evident.

Paragraphs are generally competent, but ideas may show some inconsistency in organization and/or in their relationships to each other.

A logical progression of ideas between paragraphs is apparent.  Paragraphs exhibit a unity, coherence, and cohesiveness.  Topic sentences and concluding remarks are appropriate to purpose.

There is a sophisticated construction of paragraphs and transitions.  Ideas progress and relate to each other.  Paragraph and transition construction guide the reader.  Paragraph structure is seamless.

5.0 %
 
Mechanics of Writing (includes spelling, punctuation, grammar, language use)

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used.

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, and/or word choice are present.

Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.

Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used. Approach to Care of Cancer Essay Paper.

Writer is clearly in command of standard, written, academic English.

5.0 %Format

2.0 %
 
Paper Format (1- inch margins; 12-point-font; double-spaced; Times New Roman, Arial, or Courier)

Template is not used appropriately or documentation format is rarely followed correctly.

Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.

Template is used, and formatting is correct, although some minor errors may be present.

Template is fully used; There are virtually no errors in formatting style.

All format elements are correct.

3.0 %
 
Research Citations (In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment)

No reference page is included. No citations are used.

Reference page is present. Citations are inconsistently used.

Reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present. Approach to Care of Cancer Essay Paper.

Reference page is present and fully inclusive of all cited sources. Documentation is appropriate and GCU style is usually correct.

In-text citations and a reference page are complete. The documentation of cited sources is free of error.  Approach to Care of Cancer Essay Paper

Vulnerability and rural populations

1.  In your own words and using evidence based references define vulnerability and rural populations and give some of examples of these two groups in your community (Miami).

2.  Which sorts of resources are available in your community to address the needs of the poor and/or the vulnerable?

3.  How the community health nurse can address the needs of the vulnerable and the rural population?

4.  Please mention the differences or similarities between the vulnerable and the rural population.

present your assignment in an APA format word document using an Arial 12 font .  A minimum of 2 evidence based references (excluding the class textbook) are required.

A minimum of 500 words excluding first and last page are required. Vulnerability and rural populations.

PICOT Question and Literature Search

The first step of the EBP process is to develop a question from the nursing practice problem of interest.

Select a practice problem of interest to use as the focus of your research.

Start with the patient and identify the clinical problems or issues that arise from clinical care.

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Following the PICOT format, write a PICOT statement in your selected practice problem area of interest, which is applicable to your proposed capstone project. PICOT Question and Literature Search.

The PICOT statement will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Conduct a literature search to locate research articles focused on your selected practice problem of interest. This literature search should include both quantitative and qualitative peer-reviewed research articles to support your practice problem.

Select six peer-reviewed research articles which will be utilized through the next 5 weeks as reference sources. Be sure that some of the articles use qualitative research and that some use quantitative research. Create a reference list in which the six articles are listed. Beneath each reference include the article’s abstract. The completed assignment should have a title page and a reference list with abstracts. PICOT Question and Literature Search.

Suggestions for locating qualitative and quantitative research articles from credible sources:

Use a library database such as CINAHL Complete for your search.

Using the advanced search page check the box beside ”Research Article” in the ”Limit Your Results” section.

When setting up the search you can type your topic in the top box, then add quantitative or qualitative as a search term in one of the lower boxes. Research articles often are described as qualitative or quantitative. PICOT Question and Literature Search.

To narrow/broaden your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Diabetes and pediatric and dialysis. To determine what research design was used, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods.

Prepare this PICOT Question and Literature Search assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This PICOT Question and Literature Search assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. PICOT Question and Literature Search

Cultural Safety Essay – The vision of the National Aboriginal and Torres Strait Islander Health Plan 2013-2023

Cultural Safety Essay

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Assessment Task 1

Assessment name: Cultural Safety Essay

Task description: The vision of the National Aboriginal and Torres Strait Islander Health

Plan 2013-2023 is:

“The Australian health system is free of racism and inequality and all

Aboriginal and Torres Strait Islander peoples have access to health

services that are effective, high quality, appropriate and affordable”

(Australian Government, 2013, p. 7).

For health professionals to be effective agents in realising this vision they

are required to be culturally safe practitioners, who are literate in the

dynamics of race and racism and their impacts on well-being.

Furthermore, health professionals must be knowledgeable of the

historical and political influences of Aboriginal and Torres Strait Islander

peoples’ well-being.

This reflective assignment requires you to first demonstrate your

understanding of the key concepts associated with cultural safety,

and then apply them to context of Aboriginal and Torres Strait

Islander peoples’ health and well-being.

In this assessment you will be required to utilise the 5Rs Reflection

Framework to discuss changes in your thoughts and feelings throughout

the initial learning process. Furthermore, discuss the application of

culturally safety to the Aboriginal and Torres Strait Islander peoples’

health and well-being context from a profession and individual

perspective.

Learning outcomes 1. Apply the principles of cultural safety to the context of Aboriginal

assessed: peoples and Torres Strait Islanders’ health and well-being to analyse and

advance your current position on the continuum of cultural safety.

2. Describe historical, social, and political issues and how they inform

current experiences of health and well-being, in order to realise

their significance as determinants of current health and well-being

of Aboriginal peoples and Torres Strait Islanders.

3. Discover the everyday experiences of Aboriginal peoples and Torres

Strait Islanders that inform their health care and apply this knowledge

to facilitate effective partnerships with individuals, families, and

communities.

What you need to do: Respond to the follow assessment tasks:

Step 1

Demonstrate your understanding of the following concepts:

a) Compare and contrast personal racism and systemic/institutional

racism (200 words).

b) Briefly discuss the power dynamics associated with the whiteness

of nursing (100 words).

c) Compare and contrast cultural safety and cultural awareness

training (200 words).

Page 2 of 7

Step 2 (100 words)

In accordance with the 5Rs of Reflection Framework, report and

respond to one (1) assumption that you became aware of through

developing new knowledge and understanding from the readings,

learning activities and reflective process.

Step 3 (400 words)

Discuss historical (including political) factors that contributed to

institutional racism and white privilege, particularly in regards to

Aboriginal and Torres Strait Islander peoples’ access to health care,

education and employment.

Step 4 (300 words)

Discuss how culturally safe nursing practice may challenge personal and

institutional racism that impact on Aboriginal and Torres Strait Islander

peoples’ access to health care.

Step 5 (500 words)

In accordance with the 5Rs of Reflection Framework, reflect on your

reactions (feeling and thoughts) to the learning materials (required and

recommended readings, videos, lectures and tutorial material). Report,

respond, relate, reason and reconstruct your perception of:

a) Aboriginal and Torres Strait Islander health and well-being; (250

words).

b) your role in ensuring cultural safe nursing care for Aboriginal and

Torres Strait Islander peoples (250 words).

Length: 1800 words +/-10% (word length includes in-text referencing and

excludes your reference list and appendices).

Estimated time to 30 hours

complete task:

Weighting: 40 %

Individual/Group: Individual

Presentation Your responses to the assessment tasks must adhere to the prescribed

requirements: formatting.

Format of assignment: Your assignment should be written in first-person

Page 3 of 7

style and prepared as follows:

• Has a cover sheet with the assessment title, your name, student

number, tutor name and total word count. Coversheet template is

recommended and available on your Blackboard site.

• Include a ‘footer’ on each page with your name, student number,

unit code and page number.

• 3cm margins on all sides, and double-spaced text.

• Times New Roman, font size 12.

• APA style referencing

• Include a complete reference list on a new page.

• Headings can be used for each step.

• Include the word count for each step.

•

What you need to One word document that contains the following items: submit:

1. Assignment Cover Sheet & your response to the assessment

tasks (above) written as per the presentation requirements

(above).

Resources needed to • Week 1 – 5 required and recommended readings,

complete task: videos, lectures and tutorial material.

• 5Rs Reflection Framework

•

•

Page 4 of 7

Reflective Framework

This framework will enhance the quality of your reflections, the personal

entries that you choose to elaborate on in your assessment, your thinking

skills, your learning and your practice.

There are several different reflection models that can be used to guide the

writing of your reflections. One of the most popular reflection models is the 5 R’s

framework.

Reporting | Responding | Relating | Reasoning | Reconstructing

The table below provides exemplars that apply each of the Rs of the 5Rs

Reflection Framework.

Steps Content of Exemplar

reflection

Reporting What happened, what did I’ve been going to the lecture and tutorials for

the situation /issue 2 Aboriginal and Torres Strait Islander A brief descriptive involve?

. It’s not what I was account of a expecting. situation/issue (i.e. the

reflective trigger)

Responding Your observations, Concepts like ‘racism’ and ‘cultural safety’

Your emotional/ feelings, questions about promote ideas that are unknown to me, which

the situation/ issue makes me feel that they are not real issues. As personal response to for ‘whiteness’ and ‘white privilege’, these are the situation issue etc. concepts that make me feel uncomfortable.

Relating Making connections I thought that this unit was about learning

Personal and/or between the about the cultures of Aboriginal and Torres

theoretical situation/issue and your Strait Islander peoples in order to help them

understandings relevant experience, skills, better once I am a registered nurse. Instead

to the situation/ issue knowledge and there is consistent emphasis on learning my

understanding own culture. I didn’t think that my culture was

an important factor to consider.

Reasoning Explaining the situation/ I hadn’t thought about how powerful the

Your explanation of the issue in terms of the medical profession is in Australia and how

significant factors, much their perspective influences nursing and situation/ issue relevant theory and/or what I will have to do at work (Willis & Elmer

experience 2011).

Reconstructing Your deeper level of Apparently my culture and that of biomedicine

Drawing conclusions understanding about the and the health care system has strong impacts

situation/issue that is on people’s health outcomes (Willis & Elmer and developing a future used to 2011). Importantly, Aboriginal and Torres action plan reframe/reconstruct your Strait Islander peoples are often

future practice and further disadvantaged by these due to the inherent

develop your systemic/institutional racism (Sherwood &

understanding of Geia, 2014). When I think about it I can see

professional practice that the system is set up and benefits those

who control it and have the most power within

it.

Adapted from NSB102 Assignment 1 (Cox, 2017). Source of the 5 Rs: Bain, J.D., Ballantyne, R., Mills, C., and

Lester, N. C., (2002). Reflecting on practice: Student teachers’ perspectives. Post Pressed, Flaxton, Qld.

Page 5 of 7

Task 1 Rubric

Name: Cultural Safety Essay

Learning outcomes assessed:. Weighting: 40 %

Criteria 7 6 5 4 3 2 – 1

Theoretical Demonstrates Demonstrates a strong Demonstrates a sound Demonstrates an adequate Demonstrates partial Demonstrates limited to no understanding comprehensive understanding of key understanding of key understanding of key concepts understanding of key understanding of key

Cultural Safety Essay – The vision of the National Aboriginal and Torres Strait Islander Health Plan 2013-2023

Weighting: 30% understanding of key concepts genuinely based concepts based on learning based on learning material. concepts and little use of concepts and showed little concepts genuinely on learning material. material. the learning material. evidence of completing

LO: 1,2. based on learning and utilising any of the material. learning material.

Application of Demonstrate Demonstrate strong Demonstrate sound Demonstrate adequate Made general about the Demonstrate limited to no knowledge comprehensive understanding of the understanding of the understanding of the application of key understanding of the

Weighting: 30% understanding of the application of key application of key concepts to application of key concepts to concepts to the application of key application of key concepts to the Aboriginal the Aboriginal and Torres the Aboriginal and Torres Aboriginal and Torres concepts to the Aboriginal

LO: 1,2,3. concepts to the and Torres Strait Islander Strait Islander peoples’ health Strait Islander peoples’ health Strait Islander peoples’ and Torres Strait Islander Aboriginal and Torres peoples’ health context. context. context. health context. peoples’ health context.

Strait Islander peoples’

health context.

Demonstrate Demonstrated critical Demonstrated deep Demonstrated sound Demonstrated adequate Partially demonstrate self- Demonstrated limited to reflection on your reflection on one reflection on one personal reflection on one personal reflection on one personal reflection. no reflection on learning

learning and the personal assumption assumption that was assumption that was assumption that was Made general and implication for implications for that was emphasised or emphasised or challenged emphasised or challenged by emphasised or challenged by practice. observations in response

practice challenged by new by new knowledge gained new knowledge gained in this new knowledge gained in this to the assessment tasks. knowledge gained in this in this unit. unit. unit. Cultural Safety Essay – The vision of the National Aboriginal and Torres Strait Islander Health Plan 2013-2023.

Weighting: 30% unit. Demonstrated deep Demonstrated sound Demonstrated adequate

LO: 1,2,3.

Demonstrated critical reflection on personal reflection on personal reflection on personal

reflection on personal perceptions of: perceptions of: perceptions of:

perceptions of:

• Aboriginal and Torres • Aboriginal and Torres • Aboriginal and Torres Strait

• Aboriginal and Torres Strait Islander peoples’ Strait Islander peoples’ Islander peoples’ health and

Strait Islander health and well-being; health and well-being; and, well-being; and,

peoples’ health and and, • the individual role in • the individual role in delivery well-being; and, • the individual role in delivery culturally safe care culturally safe care to

• the individual role in delivery culturally safe to Aboriginal and Torres Aboriginal and Torres Strait

delivery culturally safe care to Aboriginal and Strait Islander peoples. Islander peoples. Cultural Safety Essay – The vision of the National Aboriginal and Torres Strait Islander Health Plan 2013-2023

care to Aboriginal and Torres Strait Islander

Torres Strait Islander peoples.

peoples.

Page 6 of 7

Communication in • Accurately met all • Met most aspects of • Met several aspects of • Met few aspects of • Met limited aspects of • Ignored presentation

writing incorporating presentation presentation presentation requirements. presentation requirements. presentation requirements, and

expected information requirements. requirements. • Mostly used professional • Sometimes used requirements. APA referencing

literacy standards • Consistently used • Almost always used non-discriminatory professional non- • Rarely used conventions.

•

Weighting: 10%

professional non- professional non- language. discriminatory language. professional non- Rarely used

discriminatory discriminatory • Generally correctly applied • Sometimes applied discriminatory professional nonlanguage.

language. APA style of APA style of referencing language. discriminatory

• • • language. Consistently and Almost always applied referencing. correctly. Rarely applied

accurately applied APA style of • • Mostly expressed ideas • Expressed ideas clearly. APA style of APA style of referencing. referencing correctly. clearly. referencing. • Sound spelling and • Expressed ideas clearly • Ideas were not clearly •

•

Mostly accurate spelling grammar. Expressed ideas and fluently. expressed. • Attempted to and grammar. clearly, concisely and • Kept to word limit. • • Was under or over the communicate your Almost always accurate fluently with accurate • Kept to word limit. ideas in writing. spelling and grammar. required word limit. spelling and grammar. •

• Kept to word limit. Was significantly under • Kept to word limit. or over the required

word limit. Cultural Safety Essay – The vision of the National Aboriginal and Torres Strait Islander Health Plan 2013-2023

Nursing Administration, Nursing Education, and the Advanced Practice Nurse (APRN) future trends and opportunities essay

Instructions:

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1.Research and identify an article on Nursing Administration, another article on Nursing Education, and a third article on the Advanced Practice Nurse (APRN) that focuses on future trends and opportunities facing each area.

2. For each article summarize what you learned or surprised you regarding nursing administration, education, or advanced practice.

3. Minimum of 100 words with reference APA format. Article should be peer-reviewed and 5 years old.

Nursing Administration, Nursing Education, and the Advanced Practice Nurse (APRN) future trends and opportunities essay

Clinical issues literature review

Write an 5-6 page paper that synthesizes the evidence you have reviewed. Compare and contrast the research. Discuss: • What was the clinical issue studied? • How were the studies conducted? What research frameworks were utilized? • Who was the population in the studies? • Where did the studies take place? • When were the studies conducted? What length of time did the studies cover? • Why did the authors decide to conduct a study on the topic? • What is the clinical significance of the studies? See the Mini-Literature Review Paper Grading Rubric in the Course Overview or Course Syllabus for specific grading criteria. All direct quotations and other sources used must be credited using APA Style. Clinical issues literature review.

References:

Pederson, H. J. (2017). BREAST CANCER RISK ASSESSMENT AND TREATMENT: CURRENT CONCEPTS IN GENETICS AND GENOMICS. 
Contemporary OB/GYN
, 
62
(12), 1-4. Clinical issues literature review.

Keyzer-Dekker, C. G., de Vries, J., Mertens, M. C., Roukema, J. A., & van der Steeg, A. W. (2014). The impact of diagnosis and trait anxiety on psychological distress in women with early stage breast cancer: A prospective study. 
British Journal Of Health Psychology
, 
19
(4), 783-794. doi:10.1111/bjhp.12076. Clinical issues literature review.

Howard, A., Balneaves, L., & Bottorff, J. (2009). Women’s decision making about risk-reducing strategies in the context of hereditary breast and ovarian cancer: a systematic review.
Journal Of Genetic Counseling
,
18
(6), 578-597. doi:10.1007/s10897-009-9245-9. Clinical issues literature review

Antepartal testing and perfect child essay

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Address this question: Should antepartal testing be used for reason other than the assessment of fetal health and well-being (e.g., select the “perfect child” on the basis of characteristics, gender, and absence of genetic health problems of any kind)?

Support your answers in an APA formatted summary! Antepartal testing and perfect child essay.

Ethics in Public Health Research Essay

You will need to discuss the fragile balance between the need for public health agencies to acquire data and the demand for security of sensitive information. Review the article 
Ethics in Public Health Research. 

As public health director in a small county, you must maintain records that track diabetes rates, the incidence of HIV, and immunization records. Recently, there have been at least two breaches when computers were stolen from employees or an outside hacker broke into the system and downloaded data. Ethics in Public Health Research Essay.

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Now you must write an open letter addressing the community and explain how the department is going to protect the information. In your letter, address the following questions. Ethics in Public Health Research Essay.

1. Explain why the health department collects this information conveying the idea of how it serves the greater good.

2. Discuss the public’s interest in privacy and why this is important in our society.

3. Discuss why the department needs to infringe on the community’s privacy.

4. Explain how the department might ensure greater security.

5. Be sure to identify at least one applicable regulation, statute, or source that supports the ability of the department to collect this information.

Assignment Expectations

1. Limit your response to 3 pages, not including title and reference pages.

2. Be sure to utilize at least 3-4 scholarly references to support your discussions. Ethics in Public Health Research Essay.

3. Be sure to properly cite your references within the text of your assignment and listed at the end.

4. Be sure to apply critical thinking skills to the write-up of your assignment, especially for numbers 1, and 2 above. Ethics in Public Health Research Essay.

GI Case Study: H. Pylori infection

Support with 1 journals no older than 5 years.

Week 8

GI Case Study: H. Pylori infection

Questions: As an NP student, needs to determine the medications for recurrent H. Pylori infection.

According to the ACC/AHA Guidelines, what medication should this patient be prescribed? Write her complete prescriptions using the prescription writing format.

ACC/AHA Guidelines

Chief complaint:
 “ I have recurrent H. Pylori infection”.

HPI: 
M.C. a 46-year-old hispanic female presents to the GI clinic for complaint of recurrent H. Pylori infection. She was treated about 2 ½ months ago with H. Pylori triple therapy and failed treatment. She has pmhx of dyspepsia, GERD.

She also indicates that she has noticed that her symptoms of dyspepsia are worsening for past 2 months. She has associated her symptoms with nausea, upset stomach with all foods.

Denies associated symptoms of hematochezia, melena, hemoptysis, abdominal pain, fever, chills, pain or any other symptoms.

PMH:

H. Pylori infection gastritis

Diabetes Mellitus, type 2

Surgeries: None

Allergies
:
 
NKDA

Vaccination History:

She receives an annual flu shot. Last flu shot was this year

Social history:

High school graduate, married and no children. He frequently eats out in restaurants. He drinks one 4-ounce glass of red wine daily. He is a former smoker that stopped 3 years ago.

Family history:

Both parents are alive. Father has history of DM type 2, Tinea Pedis.

mother alive and has history of atopic dermatitis, tinea corporis and tinea pedis.

ROS:

Constitutional: Negative for fever. Negative for chills.

Respiratory: No Shortness of breath. No Orthopnea

Cardiovascular: No edema. No palpitations.

Gastrointestinal: No vomiting. +Dyspepsia. + Nausea. No constipation. No melena. No abdominal pain.

Skin: No lesions. No rash. No itching.

Psychiatric: No anxiety. No depression.

Physical examination:

Vital Signs

Height: 5 feet 5 inches Weight: 140 pounds BMI: 31 obesity, BP 110/70 T 98.0 po P 80 R 22, non-labored

HEENT
: Normocephalic/Atraumatic, PERRL, EOMI; No teeth loss seen. Gums no redness.

NECK
: Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement.

LUNGS
: Lungs clear bilaterally. Equal breath sounds. Symmetrical respiration. No respiratory distress.

HEART
: Normal S1 with S2 during expiration. Pulses are 2+ in upper extremities. No edema.

ABDOMEN
: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses.

GENITOURINARY
: No CVA tenderness bilaterally. GU exam deferred.

MUSCULOSKELETAL
: Slow gait but steady. No Kyphosis.

SKIN:
 Dry. Intact.

PSYCH
: Normal affect. Cooperative.

Labs day of visit
:: Hgb 15.2, Hct 40%, K+ 4.0, Na+137, Serum Creatinine normal 1.0, AST/ALT normal. TSH 3.7 normal, glucose 98 normal

A:

Primary Diagnosis: Recurrent H. Pylori infection gastritis

Secondary Diagnoses:

Dyspepsia

Differential Diagnosis:

Peptic Ulcer Disease

Previous medication plan:
 
two months ago and failed.

Clarithromycin 500 mg po BID for 2 weeks

Omeprazole 40 mg po BID for 2 weeks and then po daily.

Cipro 500 mg po BID for 2 weeks

Plan: Tests

Pt had EGD done 2 weeks ago that showed H. Pylori positive gastritis in biopsy results.

Urea breath test 8 weeks after treat with H. Pylori medications. Pt needs to stop PPI’s 2 weeks prior to Urea Breath test.

Labs: 
No new labs are needed.

Referrals
: may refer based on effect of medication therapy given for 2 weeks.

Follow up
: return to office in 8 weeks to reevaluate her symptoms. GI Case Study: H. Pylori infection.

How would you explain and prepare a 10-year-old girl for menstruation?