Week 10: Special Examinations—Breast, Genital, Prostate, and Rectal
One critical element of any physical exam is the
ability of the examiner to put the patient at ease. By putting the
patient at ease, nurses are more likely to glean quality, meaningful
information that will help the patient get the best care possible. When
someone feels safe, listened to, and cared about, exams often go more
smoothly. This is especially true when dealing with issues concerning
breasts, genitals, prostates, and rectums, which are subjects that many
patients find difficult to talk about. As a result, it is important to
gain a firm understanding of how to gain vital information and perform
the necessary assessment techniques in as non-invasive a manner as
possible.
For this week, you explore how to assess problems with the breasts, genitalia, rectum, and prostate.
Learning Objectives
Students will:
- Evaluate abnormal findings on the genitalia and rectum
- Apply concepts, theories, and principles relating to health
assessment techniques and diagnoses for the breasts, genitalia,
prostate, and rectum
Learning Resources
Required Readings (click to expand/reduce)
Required Media (click to expand/reduce)
Assignment: Lab Assignment: Assessing the Genitalia and Rectum
To Prepare
- Review the Episodic note case study your instructor provides you for
this week’s Assignment. Please see the “Course Announcements” section
of the classroom for your Episodic note case study.
- Based on the Episodic note case study:
- 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 Assignment.
- Search the Walden library or the Internet for evidence-based resources to support your answers to the questions provided.
- Consider what history would be necessary to collect from the patient in the case study.
- Consider what physical exams and diagnostic tests would be
appropriate to gather more information about the patient’s condition.
How would the results be used to make a diagnosis?
- Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.
The Lab Assignment
Using evidence-based resources from your search,
answer the following questions and support your answers using current
evidence from the literature.
- 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.
By Day 7 of Week 10
Submit your Assignment.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
- Please save your Assignment using the naming convention “WK10Assgn+last name+first initial.(extension)” as the name.
- Click the Week 10 Assignment Rubric to review the Grading Criteria for the Assignment.
- Click the Week 10 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
- Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK10Assgn+last name+first initial.(extension)” and click Open.
- If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
- Click on the Submit button to complete your submission.
Grading Criteria
To access your rubric:Week 10 Assignment Rubric
Check Your Assignment Draft for Authenticity
To check your Assignment draft for authenticity:Submit your Week 10 Assignment draft and review the originality report.
Submit Your Assignment by Day 7 of Week 10
To participate in this Assignment:Week 10 Assignment
What’s Coming Up in Module 4?
Week 11 Final Exam
Next Module
To go to the next Module:Module 4
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