You are about to perform a rectal examination of an older adult.

• What are the steps to examine this patient?
• Explain your rationale.
• What are some findings you can have while assessing the rectal sphincter?
• Describe the differences during the rectal examination of acute prostatitis and benign prostatic hypertrophy.
• What findings would expect on physical examination of acute prostatitis and benign prostatic hypertrophy?

Submission Instructions:

• Your initial post must be at least 600 words, formatted, and cited in current APA style 7 edition with support from at least two academic sources.
• You must respond to at least two peers by extending, refuting/correcting, or adding additional nuance to their posts and supporting your opinion with a reference. Response posts must be at least 150 words. Your post will include a salutation, response (150 words), and a reference.
• Quotes “…” cannot be used at a higher learning level for your assignments, so sentences need to be paraphrased and referenced.
• Acceptable references include scholarly journal articles or primary legal sources (statutes, court opinions), journal articles, and books published in the last five years—no websites or videos to be referenced without prior approval.

Read and watch the lecture resources & materials below early in the week to help you respond to the discussion questions and to complete your assignment(s).

(Note: The citations below are provided for your research convenience. You should always cross reference the current APA guide for correct styling of citations and references in your academic work.)

Read

• Jarvis, C. (2019).
  • Chapter 26
• Barriers to health promotion in community dwelling elders Download Barriers to health promotion in community dwelling elders
  Stark, M. A., Chase, C., DeYoung, A. (2010). Barriers to health promotion in community dwelling elders. Journal of Community Health Nursing, 27(4), 175-186. doi: 10.1080/07370016.2010.515451
• Comprehensive Older Person’s Evaluation (Links to an external site.)
  Elsevier. (2012). Comprehensive older person’s evaluation . https://coursewareobjects.elsevier.com/objects/elr…
• Aging Macular Degeneration (Links to an external site.)
  Elsevier. (n.d.). Aging macular degeneration. Evolve: Jarvis: Physical examination & health assessment, 6th edition – Clinical reference – Health promotion guide . https://coursewareobjects.elsevier.com/objects/elr…
• Colon and Rectal Cancer: What Is Your Risk? (Links to an external site.)
  Elsevier. (n.d.). Colon and rectal cancer. Evolve: Jarvis: Physical examination & health assessment, 6th edition – Clinical reference – Health promotion guide. Elsevier.com. https://coursewareobjects.elsevier.com/objects/elr…
• Prostate Cancer: What Is Your Risk? (Links to an external site.)
  Elsevier. (n.d.). Prostate cancer. Evolve: Jarvis: Physical examination & health assessment, 6th edition – Clinical reference – Health promotion guide. https://coursewareobjects.elsevier.com/objects/elr…
• Write Up Guideline (Links to an external site.)
  Elsevier. (n.d.). Complete Physical Examination Form . https://coursewareobjects.elsevier.com/objects/elr…

Supplemental Online Materials & Resources

• CDC. (2016). Workplace Health Model | Workplace Health Promotion | CDC. https://www.cdc.gov/workplacehealthpromotion/model/index.html (Links to an external site.)
• Healthypeople.gov. (2020). MAP-IT in Action – In the Workplace: Employees Organize To Improve Workplace Wellness | Healthy People 2020. https://www.healthypeople.gov/2020/implement/workplaceWellness?_ga=1.80621335.1828370353.1479592249 (Links to an external site.)
• Health Education England. (2018). Making Every Contact Count (MECC). http://www.makingeverycontactcount.com/ (Links to an external site.)
• E-Learning for Healthcare. (2018). Making Every Contact Count – e-Learning for Healthcare. https://www.e-lfh.org.uk/programmes/making-every-contact-count/ (Links to an external site.)

If you are interested in seeing one of the training videos, watch an Open Access session on the website above.

• Improving Glycemic Control Among Incarcerated Men Download Improving Glycemic Control Among Incarcerated Men
  Ranson, P., Outland, L. (2015, October 6). Improving Glycemic Control Among Incarcerated Men.

The presentation Improving Glycemic Control among Incarcerated Men: A Health Promotion Model from the Virginia Henderson Repository of Sigma Theta Tau International Honor Society of Nursing

Requirements: as instructed

Answer  preview

A rectal exam is a valuable diagnostic procedure that is often underutilized despite its many utilities. It consists of inspecting the rectum and the neuromuscular function of the perineum. It is particularly instructive in cases of hemorrhoids, gastrointestinal (GI) bleeding, constipation, inflammatory bowel disease, trauma, and neurological disorders (Elsevier, n.d.). It is a very uncomfortable procedure for a patient and is seldom performed unless a disease is suspected. It is, however, very useful where there is rectal bleeding, urinary or fecal incontinence, change in bowel habits and rectal tone, and as a secondary approach to an examination of the vagina or cervix (Elsevier, n.d.-b). A rectal exam is more often necessary for elderly patients since diseases that affect the bowels are more common amongst the elderly. Older patients are more likely to suffer from constipation due to physical inactivity,

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