The nurse suspects that an older adult patient has features of basal cell carcinoma appearing in form of a small dome-shaped lesion with a pearly surface on the face.
What is Basal cell carcinoma?
The most prevalent type of skin cancer that is not melanoma is basal cell carcinoma (BCC).
- It is a tumour that causes localized damage and has a variety of clinical and histological characteristics.
- When viewed at low power magnification, a basaloid epithelial tumour emerging from the epidermis is the primary characteristic of basal cell carcinoma.
- Normally, the palisade-like basaloid epithelium forms a fissure from the surrounding tumour stroma.
The nuclei grow congested in the centre, with scattered mitotic figures and visible necrotic bodies.
The presence of a mucinous stroma serves as a helpful distinguishing factor from other basaloid cutaneous tumours. Additionally, some tumours may exhibit foci of regression, which are regions of eosinophilic stroma devoid of basaloid nests.
Hence, the answer is a small dome-shaped lesion with a pearly surface on the face.
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Duodenal ulcer is the diagnosis for a patient who experiences chronic intermittent pain in the epigastric area when the stomach is empty and in the middle of the night.
A duodenal ulcer is a peptic ulcer that develops in the first part of the small intestine. It occurs in the lower part of the esophagus. Few symptoms of duodenal ulcer are a dull or burning pain in the belly. The main cause of this ulcer is bacterial infection. The bacteria causes the lining of the stomach to become inflamed and an ulcer can form. Few medications such as ibuprofen may also cause ulcer.
The wound generally heals on its own but if the ulcer is deep it can cause serious pain or bleeding.
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Answer:
Explanation:
The performance improvement programs are observed, monitored, also the result based activities in which the employees are expected to perform better under this program.
The 4 reasons for the evaluation of the performance improvement evaluation are as follows:
1. The plan provides a detail feedback, that helps in recognizing the performance.
2. Cause employs to remain engaged in the set goals.
3. It emphasis for thanking the employees for performing their goals.
4. It allows the check in of the overall progress of goals and duties which can help in scrutinize the program.
The questions that should be answered in Performance improvement evaluation process are as follows:
1. To give an idea to the employee to improve the performance in the future.
2. To address and justifies the termination policy for the staff employees. 3. It identifies the reason for poor performance.
3. To justify the warning actions against any employ.
4. To justify the termination of the staff from the employment.
