Physical Assessment: Objective Data
To determine that a patient may be at risk for breast cancer, conducting a physical assessment before any other diagnostics tests is vital. The nurse would be able to collect all the necessary data and findings to formulate a nursing diagnosis to refer to the appropriate health care professionals. As per the physical assessment of the breasts, the nurse will conduct inspection and palpation of the breasts and axillae of the patient to determine if there are any abnormal findings that may pose as manifestations of breast cancer. Note: There is no auscultation step of the physical breast examination.
The nurse will first start inspecting the breasts. The size and shape of the breasts will be examined bilaterally. …show more content…
The skin should appear to be of even colour and appear smooth in texture. Abnormal findings should be noted if the nurse notices areas of bulging, redness in skin colour, or dimpling. The should be no signs of edema. The above findings are significant as skin changes can indicate many manifestations related to breast cancer. Uneven skin tones can indicate hyperpigmentation. Bulging, redness, or dimpling can indicate signs of inflammation, following redness and heat. Edema detected in the skin can pose a condition that suggests cancer (p. 428). One of the signs and symptoms of breast cancer is lymphatic obstruction. This condition can cause edema. To detect if edema is present, the “skin around the breasts and the areola will appear to be thickened and the hair follicles will look exaggerated, giving a pig-skin or orange peeled look “(p. 428). Note: If a female is pregnant …show more content…
For inspection, the axillae will be examined for any rash for infection. Palpation of the axillae will occur with the following steps (Jarvis, 2009, pp. 417-418):
1. The nurse will lift the patient’s arm and support it on his/her left arm so that the patient’s muscles are relaxed and loose.
2. The nurse will use her right hand to palpate the axilla and will use their fingers to reach high into the axilla. The nurse will be palpating for any tender and enlarged lymph nodes along the axilla.
3. The nurse will then move their fingers firmly down in 4 directions: down the chest wall in a line from the middle of the axilla, along the anterior border of the axilla, along the posterior border, and along the inner aspect of the upper
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d) Setting out procedures When setting out for procedure its done in two stages in our practice. First is initial setting of the instruments and materials before patient enter room. All (chair, spittoon, work tops...) is wipe down with disinfectant wipes and then set up instrument tray with some cotton wool rolls, articulation paper and 3 in 1 tip on little table on the side the chair handy for clinician. This table is moveable and can be set in desirable position. Hand pieces and local anaesthetic syringe with needle are place on the stationary table in the reach of clinical in the case she may need them.
It’s common sense, a strange lump is always a bad sign. Although this particular lump was unique, even to the examining doctor Howard Jones. He described it as “shiny and purple like grape jello”. (Henrietta Lacks, p. 36) That “knot” Henrietta felt inside her was Epidermoid Carcinoma of the cervix and it was at stage
Lifestyle and environmental factors have been closely analyzed for any links that may increase breast cancer risk. During research, it has been found that newer lab tests that are more sensitive, can detect cancer cells that maybe have broken away from the tumor in order to help predict the recurrence of the
Unit 1 Test Multiple Choice Questions 1.Who usually takes over the emergency medical care of a patient at the scene after an emergency medical responder has initiated care? a.Physicians b.Emergency department staff c.EMTs d.Treatment center specialists 2.Dressings, bandages and other equipment that have been used in emergency care should be replaced − a.when you finish your work shift. b.when you check equipment and supplies at the beginning of your shift. c.as soon as possible.
Many are often not diagnosed early enough because they look like moles or other discolorations on the skin. However, Melanoma cancer will have irregular shapes and an oddly shaped border. There may also be wider variations in the colors. This type of cancer is the most dangerous as it does spread quickly to other areas in the body if it is not treated.
It is very important that we show compassion and that we empathize with patients. While we do this, it is also important to remember not to pity the patient in any way. Some ways a Medical Assistant can demonstrate professionalism when supporting patients who might be uncomfortable with having their skin examined are using relaxed words, showing gentleness, and making sure that the patient feels home-like at all times. Also, as a Medical Assistant you have to respect a patient’s culture when you’re in care for them ask questions and be prepared if the patient needs someone else present at the time. Another way to show professionalism is making sure all doors and windows are closed in each exam room to have privacy towards the patient.
Diagnostic mammography. Diagnostic mammography is similar to screening mammography except that more pictures of the breast are taken, and it is often used when a woman is experiencing signs, such as a new lump or nipple discharge. Diagnostic mammography may also be used if something suspicious is found on a screening
A Phlebotomists Nightmare Deep within the bowels of Camden Clark Medical Center I began my workday as any other. My basket consisted of sharp fresh needles, silky gauze, alcohol swabs, and several unused tubes. My patients dreadfully awaited to be drawn as I stock my supplies.
The most frequent occurring type of skin cancer is basal cell carcinoma. It is uncontrolled and abnormal growths or lesions, arising from hair-bearing skin. In the basal cell that lines the deepest layer of the epidermis. They appear on the surface of the skin and may look as open sores, red patches, pink growths, shiny bumps, or scars. They may be caused by accumulation of intense, or even occasional, sun exposure.1 Basal cell carcinoma rarely metastasizes from it’s origin site.
Hello class, In order for me to help a patient who has never had a mammogram perform I will have to get familiar with the way a mammogram is perform, otherwise I might get the patient more concerned and misinformed about the procedure. The first thing I will do is explain that a mammogram is an x-ray picture taken of your breast to detect any tumors that might be benign or malign that can be cancerous. This procedure is perform on women who are over the age of 50 and up or women who have any cancer family history. Some physicians might recommend a mammogram to women of any age who might be experiencing any symptoms that might lead to cancer.
UNIT MQQ 553–QUALITY AND RISK MANAGEMENT LECTURER NAME: Benu Chatterjee TOPIC NAME Risk Management and Quality Improvement in Health Care Submission Date: 20th Nov 2014 Student Name: Bushra Zafar Student ID: 876036 TABLE OF CONTENTS Executive Summary 3 Introduction 4 Evaluation 5 Quality Nursing Care 5 Qualitative Measures 6 Risk Management Plan and Quality Improvement Plan 7 Conclusion 9 Bibliography 10 Executive Summary Introduction Quality improvement efforts and risk management are complementary, and together are key modules of clinical governance. Risk management reinforces quality management in healthcare. This leads to: • Improvement in quality and patient safety • Improvement in efficiency through productivity
Phases of therapeutic relationship: Pre-Orientation: • This is a phase in which a nurse goes through before the actual interaction with the client. • This phase begins when the nurse is assigned a client to develop therapeutic relationship with him, till she goes to him for interaction. • Reaction of the nurse in pre- interaction phase . • The nurse feels and thinks about the client before interaction according to her knowledge, fears and mis-concepts • Express feelings of inadequacy and fear of hurting or exploiting the client .
Breast cancer awareness for young women is a crucial health teaching issue that requires attention beyond the classroom, knowing the risk factors could save a life. A women’s body changes throughout her life, paying attention to your body is the primary factor in recognizing any
Towards the end of the procedure the nurse counted all sponges and needles with the scrub to make sure that no equipment was left within the patient. The nurse also continued to document information such as the length of the surgery and the amount of blood lost throughout the procedure. Lastly, the circulating nurse cleaned the room and then transferred the patient into a hospital bed to be transferred to the post-anesthesia care unit. Ignatavicius and workman (2013) addressed that these are all responsibilities of the circulating nurse (p.
The first arrow goes through various serosal cavities. Mainly injuring the thoracic cavity, pleural cavity, parietal and visceral cavity, and the pericardial cavity. The two pleural cavities are found in the thoracic cavity which includes the lungs, heart, trachea, part of the esophagus, thymus gland, and thoracic duct. The heart will also be affected due to the location of the arrow. The heart is found in a small chamber called