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Advanced practice nurses must be equipped to critique scholarly literature and discern its value for application to practice. Select one current single-study qualitative scholarly article related to your PICOT question. Appraise the article using the Rapid Critical Appraisal Questions for Qualitative Evidence (Melnyk & Fineout-Overholt, 2023, Appendix C). Summarize your appraisal of the article in your own words. 

1. Define aging from biologic, sociologic, and psychological theories.
2. Develop nursing interventions based on the psychosocial issues and biologic changes associated with older adulthood.
3. Discuss several nursing implications for each of the major biologic, sociologic, and psychological theories of aging.
4. Based on your experience what health promotion strategies would you recommend to facilitate successful aging?

• Describe and discuss the pathological conditions that might affect the sexual responses in older adults.
• How and why do you think Nutritional factors, psychological factors, drugs and complementary and alternative medications affect the immune system in older adults.

T.R. is a 45-year-old female patient who came to your office complaining of intermittent and bilateral clear nipple discharge for the last two weeks. She thinks is not related to manipulation of the breast but definitively increases with it.

She notes that it comes from more than one duct. On health history you documented that patient also has frequent headaches and she has noted some visual problems.

• Discuss the diagnostic test appropriate for T.R. and the rationale. 
• Discuss your presumptive diagnoses and ICD 10 number.
• Develop the management plan (pharmacological and nonpharmacological). 
• Discuss three differential diagnoses for with ICD 10 numbers for each.

continue to discuss the 3 topics listed below for your case:

1. An effective health assessment incorporates not only physiological parameters; please suggest other parameters that should be considered and included on health assessments to reach maximal health potential on individuals.
2. Name the different family developmental stages and give examples of each one.
3. Describe family structure and function and the relationship with health care.

Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.