The study was unable to find an effect of the screening program on breast cancer mortality. In women 55-74 years old, a mortality decline of 1% per year in the screening areas was found (RR 0.99). There was a similar decline of 2% in mortality per year in the non-screening group (RR…
Situation: The client is a 50-year-old female teacher who was notified of an abnormal screening mammogram. Diagnosis of infiltrating ductal carcinoma was made following a stereotactic needle biopsy of a 1.5 x 1.5 cm lobulated mass at the 3:00 position in her left breast. The client had a modified radical mastectomy with lymph node dissection. The sentinel lymph node and 11 of 16 lymph nodes were positive for tumor. Estrogen receptors and progesterone receptors were both positive. Further staging work-up was negative for distant metastasis. Her final staging was stage IIB. Her prescribed chemotherapy regimen is 6 cycles of CAF after a single-lumen central line was placed.…
using independent judgement in recognizing the need to extend the scope of the procedure according to the diagnostic findings…
As an advanced practice registered nurse (APRN), we must be able to screen and diagnose appropriately. Understanding the difference and the purposes they serve are imperative. According to PubMed Health (2016), screening should be done prior to the patient being ill to detect the disease process at an early stage. Diagnostic test determines the exact cause of the symptoms. I believe as an APRN there are many factors to consider prior to screening a patient for a particular disease. These factors include age, ethnicity, personal and family history, cost and geographical location to name a few. Knowing current evidenced-based screening practices should also be a key consideration. For these reasons, I do not believe screening for a specific disease…
Many lives have been lost due to the physician’s negligence. The physician that saw Abigail Williams, Betty Parish, Betty Hubbard and Anne Putnam Jr. and made an incorrect…
with patients. When an unexpected outcome occurs, it is prudent to explore the occurrence and…
Consider a situation, a patient go to a doctor and when the doctor ask him to show his previous test report and prescription; the patient tell the doctor that these are lost. Then just imagine what will be happen? What the doctor should do in that case? It’s just impossible and difficult for the doctor to overcome such situation instantly. Moreover due to the lack of previous report there will be possibility for erroneous treatment.…
•Reporting visits in the outpatient setting for diagnostic tests that have been interpreted by a physician…
HISTORY OF PRESENT ILLNESS: The patient states she has been having vaginal bleeding more like spotting over the past month. She denies the chance of pregnancy although she states that she is sexually active and using no birth control.…
Supporting details: A mammogram can be an early detection in treating women with breast cancer.…
Doctors make mistakes in a patient’s medical care. Doctors are not perfect because they’re human and, as a result, they misdiagnose patients. For example, a woman was diagnosed with cancer, then she decided to take a lethal dose of painkillers which led to her death. However, during her autopsy the medical examiner found she never had cancer (St. Clair). In a study by John Hopkins Medicine more than 250,000 Americans die each year due to medical errors (Allen and Pierce). Doctors make mistakes all the time and this results in patients dying without being diagnosed with a terminally ill illness.…
With the help of my clinical preceptor, I reported my assessment findings to the primary health care provider using SBAR communication. In return the primary health care provider could decide which diagnostic tests were needed to be ordered. Knowing about the diagnostic tests to be ordered, my clinical preceptor have communicated to the laboratory and radiology department of SGMC to schedule an appointment for the patient. For the patient to show up for her appointment, she was given three schedules so that she can show up for the…
A provider should have a special relationship with patient’s and owe a duty of care to the patients that should not be breached. If the provider fails to provide responsibility to the patient, he or she could be liable for damages. If the provider knows their patient has an abnormal test result, their duty to the patient is to let the patient know and treat any treatable illnesses. If provider misconduct is shown, it is required that it be reported to a practice administrator, office manager or even another provider. Office staff misconduct is an improper and illegal act. A medical professional’s duty is to its patients. If a medical professional notices provider misconduct, they are required to report the incident. After all, the well being of the patient come first. Office staff misconduct needs to be reported to the practice administrator, security, office manager, or office…
Institute of Medicine has noted several factors that play in misdiagnosis and they are as follows. Rushed visits, time constraints are always a factor in almost all lines of work especially so with health care. According to Rice (2015) time or resources are limited, all people, including physicians rely on mental shortcuts or heuristics, an abbreviated way of thinking. That can lead physicians to make quick assumptions and introduce cognitive bias. This not only increases the likelihood of missing disease warning signs, but leads to poorer quality decisions. Unclear communication with patients, communication is vital, it is easier to make a sound diagnosis with a complete history of a patient. Misread or misplaced x-rays, I have prior experience working in a Radiology Department and I can attest to the sheer volume of cases or they have to see. The Radiologist at a busy hospital reads hundreds of plates a day, eventually, mistakes are bound to happen. Most of these missed findings do not lead to any adverse outcome, however, if one does legal action is almost always a guarantee. Doctors’ unrecognized bias, each doctor has their own mental inclination that sways their decision when making a diagnosis. The issue lies here when doctors unknowingly oppose evidence in favor of their initial disposition. Lastly, is record keeping, this has always been an issue in every healthcare setting. It has evidently gotten better since the usage of electronic records, however mishaps still do happen. Omitted findings from records or missing records itself delays if not changes the…
Secondary prevention measures as those that identify and treat asymptomatic persons who have already developed risk factors or preclinical disease but in whom the condition is not clinically apparent. These activities are focused on early case findings of asymptomatic disease that occurs commonly and has significant risk for negative outcome without treatment. Screening tests are examples of secondary prevention activities, as these are done on those without clinical presentation of disease that has a significant latency period such as hyperlipidemia, hypertension, breast and prostate cancer. With early case finding, the natural history of disease or how the course of an illness unfolds over time without treatment can often be altered to maximize well-being and minimize suffering.…