I have copied and pasted the originial discussion instructions/questions. I have also copied and pasted two of my peers original responses that I need to respond to.
Purpose:
The purpose for the discussion board is to give students the opportunity to interact and discuss components on a variety of topics for this module with each other. This helps absorb the class material, share ideas and learn from each other. In addition, the discussion is to learn how nurses can help keep people healthy, optimize care, and improve outcomes.
Task(s): Discussion topics: Select ONE to respond to:
For this discussion, respond to one of the following…
1. In current practice health challenges require comprehensive multi-disciplinary care. Considering the growing population with musculoskeletal conditions needing persistent and long term involvement of the healthcare team. What are some approaches that nurses and the healthcare team might implement for persons with chronic musculoskeletal diseases?
2. Discuss inspection of the abdomen, including findings that should be noted. Describe the proper positioning and preparation of the patient for the examination.
3. Discuss ways of creating an environment that will provide psychological comfort for the man and the examiner during examination of male genitalia. List teaching points to include with the teaching of testicular self-examination (TSE).
4. Describe the size, shape, and location of the male prostate gland; and then describe the following normal physical characteristics of the prostate gland that would be assessed by palpation: Size, Shape, Surface, Consistency, Mobility, Sensitivity.
5. Discuss ways of creating an environment that will provide psychological comfort for both the woman and practitioner during the female genitalia examination. Describe the appearance of the following abnormalities of the cervix: Chadwick sign, Erosion, Polyp, and Carcinoma.
PEER 1:
According to the Cleveland Clinic, the prostate gland is a structure found in men that is located below the bladder and anterior to the rectum (2022). The prostrate gland is usually similar in size and shape to a walnut (Cleveland Clinic, 2022). In some cases, the prostate gland can become enlarged. This is usually seen in men over age 40. Some of the common health issues related to the prostate gland include prostate cancer, prostatitis, and benign prostatic hyperplasia. One of the ways that we can check for these conditions is to palpate the prostate gland.
According to the Centers for Disease Control and Prevention, palpation of the prostate gland is done through digital rectal exam (DRE) (2023). This is done by inserting a gloved, lubed finger into the rectum to feel for the prostate. The examiner should feel for any abnormalities of the prostate gland such as enlargement of lumps on the surface. The prostate should feel smooth without lumps or ridges. It should also have a rubbery texture and should not be excessively firm to the touch. The prostate gland is normally similar to the shape of a walnut of golf ball and abnormalities in shape is a cause for concern. Texture and shape should be consistent all the way around the gland. The prostate is also a movable organ and is not fixed in one certain spot. It’s position and mobility can be affected by stool and urine volumes as well.
References
Centers for Disease Control and Prevention. (2023, July 17). What is screening for prostate cancer?. Centers for Disease Control and Prevention. https://www.cdc.gov/cancer/prostate/basic_info/screening.htm#:~:text=Digital%20rectal%20examination%20(DRE)%20is,anything%20abnormal%2C%20such%20as%20cancer.
Cleveland Clinic medical. (2022, August 9). Prostate: Anatomy, location, Function & Conditions. Cleveland Clinic. https://my.clevelandclinic.org/health/body/23965-prostate
PEER 2:
During abdominal inspection, meticulous attention to patient positioning and preparation is vital for an accurate assessment. The patient should recline in a supine position on an examination table with their arms resting comfortably at their sides and their knees slightly flexed. This position helps to relax the abdominal muscles and facilitates palpation. A sheet or drape should cover the patient’s chest and pelvic area to ensure privacy and maintain dignity.
Various findings should be noted during abdominal inspection. These include assessing the contour of the abdomen for any abnormalities such as distension, flatness, or protuberance. Additionally, visible pulsations, scars, striae, and prominent veins should be observed. Skin characteristics like color, texture, and presence of lesions are also important to note. Abdominal masses, asymmetry, or areas of tenderness should be identified as they could indicate underlying pathology.
Proper lighting is essential for a thorough examination, aiding in the detection of subtle abnormalities. It is crucial to ensure adequate illumination in the examination room, utilizing directed light sources if necessary.
