Arrange an appropriate time and setting with your volunteer “patient” to perform a skin, hair, and nails examination. 

Download and review the Skin, Hair, and Nails Student Checklist and Key Points, provided in this week’s Learning Resources, and review the Seidel’s Guide to Physical Examination online media.

 Perform the skin, hair, and nails examination, covering all of the areas listed in the checklist.

• Skin: Start by observing the color, texture, moisture, temperature, and any lesions. Use a good light source. Ask the patient about any changes, itching, or pain.
• Hair: Look at the color, distribution, and texture. Ask about any changes, loss, or scalp problems.
• Nails: Observe the color, shape, and condition of the nails. Look for any abnormalities like ridges, spots, or discoloration. Ask about any changes or problems.

Remember to always explain what you’re doing to the patient and ensure they’re comfortable throughout the examination.

Discussion Topic

Discussion Board Week 2

Genitourinary

A 25-year-old woman presents for care and reports a 2-day history of burning with urination, urinary frequency, and feeling as though she is not emptying her bladder completely. She is sexually active with the same male partner for the past 4 months and is using a progesterone IUD for contraception. 

Her past medical and surgical histories are negative, and she has no known drug allergies (NKDA). 

She denies fever, chills, vaginal discharge, concerns about the IUD, or previous urinary infections or problems.

Questions

1. What would you do for her during today’s visit? Assessment, labs, etc.
2. Based on the patient’s clinical presentation, what is the clinical diagnosis chosen for this visit?

Please answer using the SOAP format

Please follow your 7th edition APA guidelines for discussion board postings. Please post an initial post and post 2 responses to your peers within the course by Sunday by 11:59 PM.

NR599-11532

Week 4

MidWeek Comprehension Questions

Discussion

Purpose

Information literacy is critically important for all nurses, especially APNs. APNs must be able to determine what information is needed, find the information, critique the information, provide care based on this information, and evaluate the outcomes of the process. Sound challenging? Continue to reflect upon strategies to facilitate this process. Provide a brief response (100 words or less) 

Option 1

Social insurance programs have been effective in reducing poverty among elderly and disabled individuals. Social Security, for example, provides a financial safety net for retirees and those with disabilities, reducing their reliance on other forms of assistance. Medicare provides access to healthcare services for millions of elderly and some disabled individuals. This has improved health outcomes for many seniors and alleviated financial burdens related to healthcare(Sherry Glied et al., 2022). Unemployment compensation helps individuals who lose their jobs by providing financial assistance during periods of unemployment, which can stabilize the economy by maintaining consumer spending. These programs serve as a critical social safety net, helping people facing unexpected life events, such as disability or job loss. Social insurance programs can help mitigate income inequality by providing benefits to those in need, particularly in the case of Social Security and unemployment compensation( Greenberg & Page, 2018). Changing demographics, such as an aging population, can place pressure on the sustainability of social insurance programs. As the number of retirees increases relative to the working population, funding challenges can arise. Economic recessions and downturns can strain unemployment compensation programs as more people seek benefits, leading to increased financial burdens on these systems. The effectiveness and funding of these programs can be influenced by political ideology. Some argue for expanding and strengthening them, while others advocate for reducing government involvement and spending.The cost of these programs can be a subject of political debate and fiscal concern, potentially leading to changes in eligibility criteria, benefits, or funding mechanisms. Ensuring the long-term sustainability of these programs often involves adjusting contribution rates, retirement ages, or benefit levels, which can be politically contentious. The effectiveness of Medicare is closely tied to broader debates about healthcare access and costs, which are influenced by socioeconomic factors and political decisions. In essence, the effectiveness of social insurance programs can be seen in their ability to reduce poverty, provide financial security, and act as a safety net during challenging times. However, their sustainability and funding mechanisms are influenced by socioeconomic and political forces. Public policy decisions, demographic changes, and economic conditions all play a role in shaping the future of these programs and determining how well they meet the needs of the population. The effectiveness of these programs will continue to be a topic of debate and policy consideration(Goss, 2010).

                                                            
Reference 

Greenberg, E. S & Page, B. I. (2018).
The Struggle for Democracy, 2018 Elections and Updates Edition. (12th ed.). Pearson.

Goss, S. C. (2010, August 1).
Social Security Administration. Social Security Administration Research, Statistics, and Policy Analysis. https://www.ssa.gov/policy/docs/ssb/v70n3/v70n3p111.html 

Sherry Glied, K. A., Elizabeth Lee, S. M., & Kinder, M. (2022, March 9).
The social insurance system in the US: Policies to protect workers and Families. Brookings. https://www.brookings.edu/articles/the-social-insurance-system-in-the-u-s-policies-to-protect-workers-and-families/