- Read and choose one (1) scenario below to respond to.
- The title of your post should the Scenario number (for example, Scenario #1).
- Scenario #1 – The Breasts and Axillae:Ms. C., a 50-year-old African American cashier at a major supermarket chain, comes to the clinic because she has a lump in her left breast. She first noticed it 3 months ago. It is tender to touch, and it has increased in size. There are no changes in the skin over her breast. She denies fever or chills, and she is not breast-feeding. Her medical history is unremarkable. She has never had surgery. She drinks socially, and smokes two packs of cigarettes per day. She does not exer.cise. She eats foods high in fat. She is married and has two children, ages 13 and 25. Her mother died of breast cancer at the age of 65.
- Based on her presenting signs, what other questions would you ellicit?
- How would you demonstrate knowledge of cultural sensitivity/humility in approach to this patient?
- What would you assess?
- What could be the problem?
Scenario #2 – The Abdomen:Mr. J.C., a 55 year-male Caucasian, is admitted to the Medical-Surgical Unit with complaints of sharp pains in his right lower abdomen. He also complains of nausea and a slight headache. He denies vomiting. Upon assessment, you palpate his right lower abdomen, and he grimaces and screams as you remove your hands. His Temperature is 101.2F; Pulse 96 even and regular; Respiration 20 even/unlabored; Blood pressure is 130/82.- Based on his presenting signs, what other questions would you ellicit?
- How would you demonstrate knowledge of cultural sensitivity/humility in approach to this patient?
- What would you assess?
- What could be the problem?
Scenario #3 – Peripheral Vascular System:Mrs. L., a 35-year-old African American, reports having pain and tenderness in her right leg. She describes the pain in the back of her leg as dull and throbbing and says that it gets worse when she stands and walks and gets better with rest and elevation. She has noticed swelling in the right leg with an ulcer that won’t heal for the past three weeks. She denies numbness and tingling or loss of mobility in both extremities. She has smoked one pack of cigarettes daily for the past 12 years and has a history of diabetes mellitus type 2 and has high blood pressure. Mrs. L is single and has three children. She is currently unemployed; she was laid off three months ago. She is 5 feet 3 inches and weighs 190 lbs. She denies use of recreational drugs. Her mother is alive at age 68 and has a history of hypertension and diabetes. Her father died at age 63 of a heart attack. She does not exercise routinely. Her last physical exam was 5 years ago.- Based on her presenting signs, what other questions would you elicit?
- How would you demonstrate knowledge of cultural sensitivity/humility in approach to this patient?
- What would you assess?
- What could be the problem?
Requirements: 100 words | .doc file
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