Breast Cancer Risks, Genetics, and the Environment
Cancer is a nonselective disease. Cancer can occur at any age, and although treatments have been improved, cancer still can be a deadly disease. Some cancer is linked to environmental causes such as cigarette smoke or UV radiation. Other causes may be genetic, such as inheriting the gene for breast cancer. Early detection can impact the outcome of cancer; therefore, it is important to recognize early symptoms and tests for prevention.

Tanya has received some troubling results from her “23 and Me” DNA test. She has inherited the BRCA1 gene for breast cancer.

Even though Tanya has the breast cancer gene, it does not necessarily mean she will ever develop breast cancer. However, she does have a chance. In this unit, you are going to evaluate the medical histories and breast cancer risks of Tanya’s friends and estimate how they might reduce their risks. You will learn about the various risk factors, both genetic and lifestyle-related, as well as prevention methods for breast cancer.

Overview
With advancements in medicine, genetic testing can be used to determine if you have the gene for a specific type of cancer. For example, the BRAC1 is a gene for breast cancer, but just because you have the gene you may not develop cancer; however, it still gives a person a greater risk. In this assignment, you are going to evaluate the medical histories and breast cancer risks of Tanya’s friends and estimate how they might reduce their risks. You will learn about the various risk factors, both genetic and lifestyle-related, as well as prevention methods for breast cancer.

cf_patient_case_study_profile_form
For this assignment,

• you will use a Patient Case Study Profile Form to evaluate four patient profiles and their medical histories
• Examine the four patient profiles and medical histories of Tanya’s friends (Mary, Paula, June, and Nora) with respect to their breast cancer risk.
• Use the National Cancer Institute’s Breast Cancer Risk Assessment Risk Calculator Tool to estimate the patient’s risks of developing breast cancer
• Provide recommendations for each patient profile as to how they might reduce their cancer risk

By successfully completing this assignment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

• Apply concepts of human biology to the social sciences
• Examine each patient profile and cancer risks
• Analyze each patient profile cancer risks and causes using provided resources
• Use the risk calculator to estimate the patient’s risks of developing breast cancer
• Recommend how each patient might reduce their risk of cancer

COVID-19  Influenza differential diagnoses

A diagnosis with e DDX must be included as well as IF any meds Rx must have dose frequency – Also include edu and POC as well as follow up or referral

1**A 3-month-old child is brought in by his mother with fever, cough, and runny nose.

1. What physical findings would cause you to triage the patient to the hospital?
2. If you decide to manage the patient conservatively, what type of patient education would be important to include?
3. What differential diagnoses would you consider for this patient? Support your answer with two or three peer-reviewed resources.

2**Judy, a 16-year-old patient of yours, was born with cystic fibrosis. What considerations would you have for this patient for getting through the cold/flu season? Support your answer with two or three peer-reviewed resources.

CAUTI

Improving two-way communication with this strategy will ensure the provision of important feedback of the patients by the nurses about the prevention of CAUTI through discontinuing the catheter.

In the implementation and evaluation of the quality improvement initiative. You will describe the communication flow, the processes and tools required, and the evaluation plan. You will also explain how the improvement model promotes change and provide a comprehensive review of the initiative. The patient care
the issue (CAUTI)

Prompt

For this milestone, use evidence-based resources to address the following critical elements:

a) Analyze the current organizational processes that facilitate the communication flow used to implement a change initiative.
b) Determine the organizational processes and tools required to effectively communicate the implementation components for the initiative.
c) Utilizing tracer methodology, produce an evaluation plan that measures the effectiveness of the quality improvement initiative. Include necessary detail to deliver key points and requirements, such as specific data collection methods, timeframes for evaluation, and intended re-evaluation.
d) Review the applicability of the quality improvement model and its use in promoting change through a quality improvement initiative. In other words, evaluate the effectiveness and the ease of use, timeliness, and efficiency of your chosen model for the progress and success of your initiative.
e) Provide a comprehensive review of the quality improvement initiative with a final analysis of the role of leadership in planning, implementing, and evaluating quality improvement initiatives within the organization.

Employee Alleging Discrimination

In this discussion, you get to be the lawyer. Choose one of the 2 case scenarios below to discuss. Then pick aside and  Decide whether you want to represent the employee alleging discrimination or the hospital defending the claim.

Case 2: A management position has opened up due to a recent retirement in the medical staff office at the local hospital where you work. You and your pregnant coworker Melissa are talking about it at lunch one day. Melissa is very excited because she has been told several times by different senior managers that the next management position available would be hers.
The next day, however, it is announced that a male coworker with less experience, education, and time on the job was offered the position. Melissa feels very strongly that it is because she is pregnant and going on maternity leave in two months. Melissa has an impeccable performance record throughout her employment at the hospital, and other than two weeks of doctor-ordered bed rest for gestational diabetes, she has not missed a day of work during her pregnancy. She has consulted an attorney to see what her rights are and whether there is any action that can be taken against the hospital.

Case 3: An individual who is undergoing gender reassignment/gender-affirming surgery was travelling and became acutely ill. The patient sought immediate care in a different city with new healthcare providers. Unfortunately, the providers and facilities had little experience or training related to transgender patients. The patient had emergency surgery, and while in the recovery room, the patient needed to use the restroom. The staff did not want to assist the patient to the restroom due to their fear of caring for a transgender patient. The patient could hear the staff arguing about whose responsibility it was to help the patient, who was heavily medicated and unable to walk to the restroom. The patient overheard the staff calling an administrator and asking what they should do. Unable to wait any longer to go to the restroom, the patient became incontinent and was extremely embarrassed about the entire situation. The patient has sought an attorney to determine whether there is any action that can be taken against the hospital.

Write a one-page letter to the other side arguing why your client is right. Set out the facts, the specific law or laws supporting your client’s position, and what your client wants to resolve the situation (for example, a request for a formal investigation, the offer of a promotion, or dropping the claim).