week 1 I human Rachael Hardy case study

Based on your performance and the expert feedback in your HISTORY collection, describe two missed questions and your understanding of why they were important to collect for this case history. Use specific references fr ...

Based on your performance and the expert feedback in your HISTORY collection, describe two missed questions and your understanding of why they were important to collect for this case history. Use specific references from your text to explain. 1) Have you gained or lost weight unintentionally despite normal appetite and exercise? I did ask the question of whether the patient had any recent weight loss or gain and had gathered the information regarding the patient’s recent 11-pound weight loss and decreased appetite. It is important to ask about weight loss as this has been proven to be a significant predictor of cancer. According to a recent meta-analysis (Nicholson, Hamilton, O’Sullivan, Aveyard, & Hobbs, 2018,) weight loss was linked with atleast ten types of cancer and should guide the primary care provider’s decision for urgent and further investigation. 2) Does your breast problem come and go? Knowing whether the “lumps” come and go might direct the provider towards a diagnosis of fibrocystic breasts. According to the American Cancer Society (2017), monthly hormone changes often cause cysts to get bigger and become painful and sometimes more noticeable just before the menstrual period. Based on your performance and the expert feedback in your PHYSICAL EXAM collection, describe two errors in your exam performance or documentation. Use specific references from your text to explain the importance of these findings in correct assessment of this client. There were no errors in my physical exam. I covered all the assessments the expert stated should be covered but my examination involved many more assessments than needed for the patient’s complaint. Based on your performance on the PHYSICAL EXAM collection, describe one key finding that you included in your list and describe a specific physical exam that you can perform at the point-of-care to further evaluate the finding. Use specific references from your text. The main key finding is the presence “lumps” as reported by the patient and the physical exam consisted of a clinical breast exam that confirmed a palpable mass, palpable lesion, and palpable axillary lymph node. According to Ravi and Rodrigues (2012, p. 154), “clinical examination is a simple method to detect breast lumps and their nature as it is inexpensive and non-invasive and if found to be accurate, might be of great value as a diagnostic tool”.