Comprehensive exams in women’s health need to

As with any assessment, the chief complain is often what drives what our questions are and what clinical pathways we explore.  With women’s health that approach is not any different, as we need to explore the “what was”, “what is” and “what will be” for the patient.  The comprehensive assessment is one that is longer in nature and normally saved for the first visit, as if this patient will be a returning patient a more focused examine comes during their following appointments.  The follow is a “blanket” comprehensive assessment that can be tweaked for any patient (Elson, 2008);

1. Chief complaint (is this a focused complaint or a first meeting or annual meeting)
2. History of present illness
3.  Menstrual History
   1.  Age at menarche
   2. Last menstrual period
   3. Menstrual characteristics
      1. Length
      2. How long is flow
      3. Amount of flow
4. Other symptoms? (breast tenderness, pelvic pain, etc)5
5. Pain?
6. Intermenstrual bleeding
7. Perimenopause/menopause
   1. Bleeding pattern
   2. Vasomotor symptoms
8.  Contraception
   1. Current method; is it working?
   2. Previous method; any complications and reason for change
9. Cervical and vaginal cytology
   1. Results and date of most recent pap
   2. Hx of abnormal paps? Why? Treatment?
10.  Infections
    1. Hx of STD?
    2. Hx of vaginitis (types, frequency and treatment)
    3. Hx of PID
11.  Fertility/infertility
    1. Any desire for future?
    2. Difficulty conceiving? Treatments in past?
12. Sexual hx
    1. Type
    2. Concerns about libido, orgasm, dyspareunia
    3. Any hx of abuse? Assault?
13. Obstetric hx
    1. Describe each pregnancy and outcome
    2. Any maternal, fetal or neonatal complications?
14. Past medical history
    1. Current and past illnesses
    2. Hospital admissions
    3. Surgical hx
       1. GYN and Non-gyn
    4.  Medications/allergies
       1. OTC, prescribed, herbal
       2. Allergies to meds, food, environment and reactions?
15. Family hx
    1. Significant illnesses of family
    2. Hereditary concerns
16. Social hx
    1. Relationship status
    2. Level of education
    3. Occupation
17. R.O.S.
18. Abdomino-pelvic
    1. GYN
    2. GI
    3. GU
19. Breast
20. Others

18.Health Maintenance

1. Smoking, alcohol use, drug use
2. Diet
3. Supplement intake
4. Exercise
5. Regular screenings (mammo, pap, colonoscopy)
6. Immunizations and dates

Health maintenance is very important for all ages when related to women’s health.  The following are some ideas of health maintenance for each age group (Well-Woman Recommendations, 2018);

1. Adolescents
   1. If sexually active the patient should have discussion with provider on sexually transmitted diseases and contraceptive use
   2. Drugs and alcohol use
   3. Peer pressure with sexual situations
2. Childbearing
   1. Annual blood work to identify challenges in anemia, TSH, Cholesterol and minerals.
   2. Breast self-awareness
   3. Reproductive health plan
   4. Imitate partner violence

• Peri-menopausal
  1. Hormone therapy
  2. Mammograms
  3. Advance directives
  4. Problems with sexual encounters (pain, dry, etc)

1. Menopausal
   1. Sleep patterns
   2. Changes of the body (hair growth, hormonal changes, sexual changes)
   3. Breast self-awareness
2. Geriatric Women
   1. Sexual function
   2. Injury prevention
   3. Neglect/abuse

Elson, N. B. (2008, July). The Gynecologic History and Examination. Retrieved from The Global Library of Womens Health: https://www.glowm.com/section_view/heading/TheGynecologicHistoryandExamination/item/3#3521

Well-Woman Recommendations. (2018, January 5). Retrieved from The American College of Obstetricians and Gynecologists: https://www.acog.org/About-ACOG/ACOG-Departments/Annual-Womens-Health-Care/Well-Woman-Recommendations?IsMobileSet=false

Imagine you work for a successful company and have been asked to be a guest speaker for an entry-level organizational behavior course at a local college. The goal of this presentation is to help the college students gain a basic understanding of organizational behavior and be able to speak to its importance in an organization.

Create a 350- to 700-word handout, such as a chart or a fact sheet, you can hand out to students during your presentation. Ensure your presentation does the following:

• Defines organizational behavior.
• Describes how different components of organizational behavior are used within an organization. 
• Identifies how the use of organizational behavior can lead to the success and failure of an organization.

Cite any reputable references. Reputable references include trade or industry publications; government or agency websites; scholarly works; your textbook, Organizational Behavior, Theory, and Design in Health Care (2nd ed.); or other sources of similar quality.

Format your references according to APA guidelines.

Compare and Contrast College Expectations

Instructions:

In previous units you have discussed time management strategies, the PRICE of Success model, and, here, academic success strategies. 

In this discussion post, please consider these topics in your discussion of the following:

In a minimum of 150 words compare and contrast your expectations of college at the start of this class and at the end of this class.  Do not make simple statements like “I learned a lot” without being specific about what you learned. 

Estimated time to complete: 2 hours

This topic is valued at 80 points. There is no peer response required for this unit, but feel free to discuss these topics with classmates. 

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Research a health care organization or a network that spans several  states within the U.S. (Example: United Healthcare, Vanguard, Banner  Healthcare, etc.).

Harvard Business Review Online and Hoover’s Company Records, found  in the GCU Library, are useful sources. You may also find pertinent  information on your organization’s webpage.

Review “Singapore Airlines Case Study.”

Prepare a 1,000-1250-word paper that focuses on the organization or  network you have selected.

Your essay should assess the readiness of the health care  organization or network in addressing the health care needs of  citizens in the next decade, and include a strategic plan that  addresses issues pertaining to network growth, nurse staffing,  resource management, and patient satisfaction. Provide a comparison to  the health care organization or network and the Singapore Airlines.  Include any cultural issues that may influence the practices listed above.

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

This assignment uses a rubric. Please review the rubric prior to  beginning the assignment to become familiar with the expectations for  successful completion.

You are required to submit this assignment to LopesWrite. Please refer  to the directions in the Student Success Center.

NRS451V.R.SingaporeAirlinesCaseStudy_Student_02-04-13.docx 

Written Assignment #1

Submit to assignment Drop box by 11:59 pm Saturday, 1/26

In a 2-page paper, address the importance of academic honesty as it relates to student writing. Discuss the reasons why students plagiarize,

the potential consequences of plagiarism, and how it can be avoided.

(Note: this assignment should not include scholarly/manuscript writing for publication or research).

Requires a minimum of 2 references: one from an English titled, peer-reviewed NURSING journal (less than 5 years-old) and

one from the APA Manual: 

ISBN: 9781433805615

American Psychological Association. (2009). American Psychological Association Manual (6thed.). Washington: Author.

 Use three level-one headings.

Professional, governmental, or educational organizations (.org, .gov, or .edu) may be used as supplemental references.