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Question:

Assessment description: 

You are to write an essay, including an introduction and conclusion, The aim of this assessment, is to consider the following case study and discuss and analyse the following key concepts:

Michael was working as a Registered Nurse when a vaginal examination of a female Aboriginal patient was required. While Michael explained to the woman why the examination was required, he did not ask the woman if she was comfortable with him doing the examination.  

The woman was uncomfortable with Michael doing the examination; however she felt that she had no choice.  Following this incident, the woman’s family made a complaint to the facility manager about Michael doing the examination, stating that he had not taken her personal and/or cultural considerations into account. The facility manager used the NMBA code of conduct to review Michael’s conduct and provided him with direction on providing culturally safe and appropriate care.  

While Michael believed that he was providing safe and respectful care for his patient, his conduct fell below that expected in the Code of Conduct for nurses, particularly in that he had made assumptions about what was culturally safe and respectful for his patient, without including the patient in the decision-making about her care.  

This case study is based on a case from the Nursing and Midwifery Board of Australia website

Assessment Task

In addition to NMBA Code of Conduct for Nurses and Registered Nurse Standards for Practice, using a minimum of 5 additional scholarly references

 

Answer:

Radical Abdominal Hysterectomy

A hysterectomy can be defined as a surgical procedure done to take out a uterus from a woman. This could be conducted due to various reasons. Such reasons may include; the uterine fibroids that may be causing bleeding, pain or any other related problem; in the case where the woman’s uterus slides from its initial position to the virginal duct; utterly, cervical or ovarian cancer; endometriosis; unusual virginal blood loss; prolonged genital discomfort; or the stiffening of the uterus. This however, in non-cancerous case is considered appropriate after all other possible therapies are proven to be ineffective.

There are various types hysterectomy. In choosing the most appropriate type to suit a given case, the involved surgeon is however expected to choose between the two major types; the removal the uterus as a whole or partially, depending with the reasons as to why hysterectomy is done.

In noncancerous situation, supracervial or subtotal hysterectomy. In this hysterectomy, the surgeon removes only the upper part of the uterus. In this scenario, the cervix is left in good shape and in the right position. When this situation however becomes more serious, the total hysterectomy which involves the removal of the whole uterus and the cervix is recommended.

Another type of is radical hysterectomy. This involve the removal of the whole uterus, the tissues around the uterus, the cervix, the top parts of the vagina. In cases where the remove of ovaries is involved, the process is referred to as oophorectomy. The radical hysterectomy is most common in the cases where the women involved or rather the victim is suffering from cancer.     

 

Bariatric Patient

The term bariatrics was coined around 1965, from the Greek root bar- ("weight" as in barometer), suffix -iatr ("treatment," as in pediatrics), and suffix -ic ("pertaining to"). The field encompasses dieting, exercise and behavioral therapy approaches to weight loss, as well as pharmacotherapy and surgery. The term is also used in the medical field as somewhat of a euphemism to refer to people of larger sizes without regard to their participation in any treatment specific to weight loss, such as medical supply catalogs featuring larger hospital gowns and hospital beds referred to as "bariatric."

Overweight and obesity are rising medical problems. There are many detrimental health effects of obesity: Individuals with a BMI (Body Mass Index) exceeding a healthy range have a much greater risk of medical issues. These include heart disease, diabetes mellitus, many types of cancer, asthma, obstructive sleep apnea, and chronic musculoskeletal problems. There is also a focus on the correlation between obesity and mortality.

Overweight and obese people, including children, may find it difficult to lose weight on their own. It is common for dieters to have tried fad diets only to find that they gain weight, or return to their original weight, after ceasing the diet. Some improvement in patient psychological health is noted after bariatric surgery.

Cervical cancer

This is a type of cancer that originates from the cervix. It is said to be whenever there is an unusual cell growth in the abdomen of a woman. These cells have a special capacity to attack and/or gradually spread to all other body parts. In early stages of the attack, it is very difficult to identify the symptoms related to this cancerous condition. This condition however, does not last for long before its’ first sign or symptom is manifested. Among the symptom of the cervical cancer is the severe genital pains and unusual vaginal bleeding. Another symptom may include severe pains when having sex. This is however a minor symptom since, it’s not always a reliable symptom.

Among the risk factor regarding cervical cancer may include a weak immunity of the body, the use of contraceptives, involvement in sexual practices at young ages, having multiple associates when it comes to practicing sexual intercourse and smoking. Cervical cancer naturally grows on or after precancerous alterations over 10 to 20 years.

A very high percentage of cervical cancer circumstances are squamous cell carcinomas, and a very minimal percentage is accounted for by adenocarcinoma and other types. Identification is characteristically through screening of cervix, and by a biopsy later on. Therapeutic imaging is done afterwards in determining if the cancer has already spread to other body parts or not.

Since the risk of getting cancer still remains, more strategies are laid to prevent the condition. Most of these strategies encourage the continued systematic Garbage (Pap) examinations. Besides, other approaches in preventing cervical cancer are; ensuring one has limited number of sexual partners or none at all and ensuring the use of condoms in every instance of sexual intercourse. Cervical cancer screening using the Pap test or acetic acid can identify precancerous changes which when treated can prevent the development of cancer. Treatment of cervical cancer may consist of some combination of surgery, chemotherapy, and radiation therapy. Five-year survival rates in the United States are 68%. Outcomes, however, depend very much on how early the cancer is detected.

 


Worldwide, cervical cancer is both the fourth-most common cause of cancer and the fourth-most common cause of death from cancer in women. In 2012, an estimated 528,000 cases of cervical cancer occurred, with 266,000 deaths. This is about 8% of the total cases and total deaths from cancer. About 70% of cervical cancers occur in developing countries. In low-income countries, it is one of the most common causes of cancer death. In developed countries, the widespread use of cervical screening programs has dramatically reduced rates of cervical cancer. In medical research, the most famous immortalized cell line, known as HeLa, was developed from cervical cancer cells of a woman named Henrietta Lacks.

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