2024 Discussion 400 words. Make sure you provide 2 references and utilize APA style.. . Discussion Rubric
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How should nurses assure policy change for advanced practice registered nurses?” What role does the Affordable Care Act (ACA) play in addressing workforce shortages in rural communities?
2024 Week 10 replies
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Step 3 Read other students’ posts and respond to at least two of them by Friday 11:59pm MT.Compare methods for assessing the literacy levels of clients described by your peers. Which methods do you feel best preserve clients’ self-esteem without them feeling the stigma of low literacy? Use your personal experience, if it’s relevant, to support or debate other students’ posts. If differences of opinion occur, debate the issues professionally and provide examples to support opinions.
2024 case study
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Breast CancerR M. is a 72-year-old female who went to her health care provider with a complaint of “feeling tightness” around a lump in her right breast. She has a history of hypertension and smoking (25 pack-year history).Subjective DataHas a family history of breast cancer-one sister recently had lumpectomy and radiation therapy. Mother and aunt died from breast cancer when they were in their 60s.Has had history of “lumpy” breasts, but this lump feels “different”Says she cannot quit smoking because of all of the stress in her life. Her husband recently left her, and she has not seen her two daughters in more than 6 months.She spends most of her time watching TVObjective DataPhysical Examination5’9”, 205 lbBlood pressure 165/100, pulse 76, respirations 20, temperature 98.8°FPalpable mass in right breast in upper outer quadrantDiagnostic StudiesBilateral mammogram and ultrasound of right breastCase Study ProgressR.M. goes to her follow-up visit and is told that the mammogram and ultrasound show a 4-cm mass. She undergoes a core needle biopsy. The results indicate that the mass is infiltrating lobular carcinoma. She undergoes a lumpectomy and axillary lymph node dissection. Six of 15 axillary lymph nodes are positive for cancer. Two weeks after surgery, she is being seen to discuss further treatment options.