Assessment of Genitalia and Rectum

Assessment of the Genitalia and Rectum
Student Name
University
Course
Instructor
Date of Submission
Assessing the Genitalia and Rectum
Overview
Regularly, care providers are faced with various challenges
that require knowledge and skills to address. As indicated by
McBain, Pullon, Garrett, and Hoare (2016), it is not easy to
evaluate the genitalia and make use of the evaluation in making
and influencing a medical conclusion. Genitalia assessment is
challenging at the point when a client visits a care facility
giving unclear subjective information. Care providers should be
equipped with adequate assessment and communications
capabilities to enable them to gather objective data which is

critical it the determination of the correct diagnosis (McBain,
Pullon, Garrett & Hoare, 2016). This assignment aims to
disintegrate the subjective and objective data that is provided
and recommending additional information that ought to be
included in the SOAP note. The process ought to match the
present-day intuitive literature. Besides, the current literature-
based proof will be availed. Analytic evaluation that is critical
in the evaluation process will be assessed, and the patient's
subjective data will be documented. This is aimed at supporting
or disproving the evaluation. The care provider will uphold an
analytical test by making use of pertinent health support
regarding the importance of making an appropriate diagnosis.
Finally, the paper will distinguish practical conclusions to take
into consideration and justify each outcome, including the
current diagnosis.
Analysis of subjective data
In this part, I will assess the subjective data regarding the
subject situation. Subjective information incorporates the data
that is availed by the client regarding his or her symptoms.
Under normal circumstances, it incorporates perceptions,
feelings, and concerns. Subjective information is critical since
it provides the care provider with the patient's background
concerning the purpose of the presentation. The therapists can
understand the whole matter by giving ear to the patient (Colby
et al., 2017). When the client is giving subjective information,
the therapist is expected to take notes to have a better
understanding of the patient's problem. The notes enhance the
illustration of the patient's account. Patients have a better
understanding of them thus listening giving ear to their
problems will potentially facilitate a better outcome. Listening
enhances the therapist to promote for the patients' needs
appropriately. The client's objective data is as indicated below:
. CC: “There are bumps in my bottom which is would like to be
assessed”
• HPI: MD is aged 21, and she is a BB college student. She
presents at the care facility complaining of external bumps

around her genital region. As per her report, the bumps are not
painful but they are firm. She expresses that she is active
sexually and that she had been involved in numerous sexual
relationships over the past 12 months. She first exposed herself
to sexual contact when she was 19. The client refutes an
unusual vaginal discharge. The patient is uncertain concerning
the period she has been experiencing the bumps. However, she
expresses that she became aware of them almost a week ago.
She lastly was subjected to a Pap smear test three years ago, and
the outcome indicated no dysplasia. The client reported
chlamydia as the only STI she has ever suffered, almost 3 years
go. She complied with and accomplished chlamydia treatment as
required
.
• PMH: Asthma
• Medications: 160/4.5mcg Symbicort
• Allergies: NKDA
• FH: the absence of hx of cancer of the cervix or breast cancer.
Dad History HTN, history of the mom GERD, HTN.
• Social: refutes smoking tobacco. In marriage, a mother of
three, occasional EtOH
The indicated subjective information is critical in giving an
impression of the patient's history. The subjective information
concerning the patient's parents are important for making a
relevant decision (DeLellis & Yen, 2017). To begin with, it is
significant to make an inquiry from the client whether she
adheres to the immunization; whether she is up to date on her
vaccination. Besides, it is critical to understand whether the Pap
smear test was positive. As indicated by Workowski and Bolan
(2015), re-exposure inoculation is the right criterion for curbing
the spread of HAV, HPV, and HBV.
Besides, it is necessary to know the care provider who tended
to the patient's gynecological needs. Based on the subjective
data above, it is indisputable that the client has an extensive
sexual background, and she has revealed having been engaged
in numerous sexual relationships with different partners in the

past 12 months. At the moment, the care provider should
establish whether the patient's sexual partners had suffered any
STI and whether the patient has ever been screened for STIs.
The client expressed that she previously was diagnosed with
chlamydia, though information concerning how the STD was
treated is important. The care provider should be aware of the
last period when the client had sexual intercourse because it
would be important in the determination of whether the client's
partner ought to be subjected to testing. According to
Workowski and Bolan (2015), the precise pre-exposure and
assessment of risks is critical for the establishment of correct
diagnosis.
The documentation of the patient's information ought to
integrate the Review of Systems after assessing the patient's
subjective data. Likewise, it is significant to take into
consideration the history that should be obtained from the
patient on the off chance that they present with symptoms
different from those associated with syphilis particularly in case
there is no other etiology established. Some of the symptoms
incorporate manifestations of meningovascular disorders such as
cerebrovascular accidents, chronic headache, meningitis,
impairment of the cranial neuron and aortic insufficiency.
Analysis of Objective Data
This part of the assignment will assess the objective data
for the case provided. Objective information denotes measurable
variables or data that can be obtained based on key
manifestations, or physical assessment, laboratory and
diagnostic evaluation. Objective information cannot be disputed
(Colby et al., 2017). The client's objective information is
illustrated below;
• VS: Temperature 98.6; Blood Pressure 120/86; Respiratory
rate16; P 92; Height 5’10”; Weight 169lbs
• Heart: RRR, absence of murmurs
• Lungs: Chest wall symmetrical, CTA.
• Genital: The pattern of the distribution normal, absence of
swelling and masses. No flaw detected in her urethral flaw,

absence of discharge. Perineum flawless, presence of rugae in
her pink and moist mucosa, except for small, stiff, painless, and
painless present on the external labia.
• Abd: Tender, normal bowel sounds, no rebound, McBurney,
and murphy’s
• Diagnostics: HSV culture acquired.
The care provider who conducted the objective assessment
performed extensive assessment but gave much emphasis on the
genitalia. However, there are some key missing data, for
example, neurological and psychological data. The client is
aged 21, and her assessment tests indicated anxiety which is a
hindrance to mental stability.
Besides, the care provider should perform head to toe
evaluation of the skin and concentrate on the genitalia based on
complex history (Workowski & Bolan, 2015). Since ulcers can
be identified, the care provider ought to carry out body
assessment. To effectively avert STIs, the care provider is
expected to assess both social and bioethics risks. Besides, it is
important to subject the client to a pregnancy test to guarantee
treatment (Ball et al., 2015).
The subjective and objective data concerning the actual
assessment (Chancre)
The objective and subjective information fully support the
examination, especially concerning the sample of HSV that was
obtained to eliminate genital HSV. The patient, in this case, is
manifesting typical symptoms that are in line with those
associated with primary syphilis. Such symptoms incorporate
painless ulcers of the genitalia. In this case, pain is an
important element that usually varies especially at the point
when Chancroid is a differential diagnostic and there is a
necessity to eliminate it. When the therapist considers syphilis
assessment of the next sexually active patient, s/he should
establish is among the demographic population characteristic of
a high prevalence of syphilis.
Are diagnostics appropriate for this case and how the results are
used in making a diagnosis?

The reliance of only physical assessment and history of the
patient in the diagnosis of Chancre (primary syphilis) may not
be effective since some variables such as pain, numerous
ulcerations, and inguinal lymphadenitis are not certain
symptoms for diagnosing any disorder. Nevertheless, other
results are characteristic of certain disorders. The care provider
should make use of diagnostic tests to support extensive
discussion regarding how to assess patients having genitalia
ulcers. Irrespective of the absence of symptoms, it is critical for
therapists to perform Chancroid diagnostic tests. Serologic
testing is the most commonly used diagnostic testing concerning
primary syphilis.
The basis for the rejection or acceptance of the current
diagnosis (chancroid)
Because genital HSV was eliminated and the HSV sample was
obtained, Chancre (primary syphilis) can be considered. A
chancre is a chronic abrasion for primary syphilis. Normally,
the disorder manifests itself about 4 weeks after an individual
has been infected but disappears roughly 2 months later for
untreated individuals. The abrasion begins as an erythematous
papule at the inoculation point which develops to become
painless ulcerations (Hamill, Seppings, Kit & Antao, 2018).
Many chancres can develop at the same time, especially in
individuals living with HIV/AIDS. A serous discharge is
secreted from the abrasions characterized by spirochetes. Males
normally experience the abrasions around the anus and the
rectum. In ladies, they experience the abrasions around the
perineum, vulva, and cervix. Small lesions are also likely to be
manifested on the skin, eyelids, lips, conjunctiva and the lining
of the mouth (Hamill, Seppings, Kit & Antao, 2018). Chancre
(primary syphilis) is observed as solitary painless ulceration
that is not associated with pus or crust. On palpation, their
bases feel stiff. The ulceration may or may not be associated
with regional lymphadenopathy. The clinical setting may be
suggestive of Chancroid. Nevertheless, the ultimate diagnosis is
dependent on syphilis’ laboratory tests.

For the patient, in this case, the correct diagnosis id Chancroid
based on the fact that the patient’s external labia are infested
with bumps. Also, chancres are usually chronic in females who
engage in sexual intercourse with more than one partner. The
initial phases of the development of syphilis incorporate the
presence of chancre. Nonetheless, there is a possibility of this
patient having numerous labia wounds (Yu & Zheng, 2016).
Normally, chancre is presented with a round, painless and stiff
lesion that is the client reports subjectively. The chancre can be
experienced for 3 to 6 weeks and heals in medically addressed
(Mochtar, Murasmita, Irawanto & Elistasari, 2017).
Nonetheless, on the off chance that the treatment is ineffective,
it can advance to be an STD (Yu & Zheng, 2016). Syphilis can
be assessed using analytic testing which incorporates positive
treponemal and nontreponemal serology testing. Treponema
pallidum serology can be helpful in the affirmation of the RPR
test in case it indicates any positives (Mochtar, Murasmita,
Irawanto & Elistasari, 2017).
Diagnostic Tests
This section will recommend suitable demonstrative tests, and
the practicability of the test in examining the client in this case
study, which ought to match the present-day literature.
Regarding the client’s objective data, an HSV test is
necessary, which is helpful in case there is the presence of
sores. HSV testing has a higher sensitivity in comparison to
viral culture. Research has indicated that the key yields include
vesicles that can be unroofed with ease, enhancing ulcer
scratching through the Dacron swab (Hamill, Seppings, Kit &
Antao, 2017). This provides the most accurate data that can help
make a diagnosis. Besides, the use of a type-specific serologic
IgG can help to demonstrate the current disorder though HSV
and STD screening. The results of the test might be negative
sometimes, an indication that the disorder can be assumed. The
test can be repeated at some point between the 6th and the 12th
treatment weeks. Regarding the key symptoms of the client,
fever ought to be discounted, but it is significant to conduct

CBC, which is significant in preventing contamination (Hamill,
Seppings, Kit & Antao, 2017).
Differential diagnosis
Most genital ulcerations are caused by STIs. Nevertheless, other
noninfectious etiologies ought to be considered on the off
chance that STIs have been eliminated. In most parts of the
world, the US included, genital ulcer disease is caused by
syphilis and also herpes simplex virus. In some men who engage
in homosexuality, there has been an observation of
lymphogranuloma venereum outbreak. Additional pathogens
sexually transmitted due to genital ulcers are less common in
the US. Nevertheless, micro-organisms can be common in other
global regions. Genital ulcers increase the vulnerability of the
contraction of HIV. The care provider should establish why the
genital ulcers developed in young individuals in a mission to
identify the most appropriate methodology of treatment and
lessen the probability of other individuals contracting the
disorder. However, it is not easy to establish the etiology due to
limitations that the present-day diagnostic modalities
experience and the probability of people having more than one
disorder. The following are the potential diagnoses:
(1). Epidermal cysts –They include keratin cysts and cysts of
the epithelia. They appear small, and they are stiff and normally
develop under the skin. They are less common and their
development is gradual. In most cases, they are not associated
with further symptoms and nearly they are not associated with
cancer. Epidermoid cysts develop on the face, neck, genitals,
and back (Devos et al., 2017). They vary in size ranging from a
quarter an inch to two inches. They are small bumps and they
vary in color and they are characterized by a smelly fluid. They
are painless and the probability of being assumed is higher. The
development of keratin is perceived as the trigger of the
development of epidermoid cysts. Keratin denotes a natural
protein in the skin cells. On the off chance that protein is stuck
beneath the skin due to interruption of the skin hair follicles,

cysts grow. They cyst development is a reaction to disturbance
the skin is exposed to, HPV infection, exposure to the sun for a
long period, and acne. People having acne or suffering from
disorders of the skin are more vulnerable to epidermoid cysts
(Devos et al., 2017). There is a necessity of the care provider to
assess the bump at the skin nearby and also to gather an
adequate medical history of the client for an effective diagnosis
of epidermoid cysts. The therapist ought to be provided with
data incorporating the span of the existence of the bump and
whether the bump has evolved over the span. Some care
providers diagnose epidermoid cysts through assessment.
Nevertheless, they are expected to perform an ultrasound test or
refer the client to a skin expert for further assessment (Devos et
al., 2017). The diagnosis of epidermoid cysts can be clinically
done. Inflamed lesions can be differentiated from furuncles and
carbuncles by making use of nodule history which was initially
not inflamed, color, the smelly fluid, surface opening and the
sequence of their arrangement.
(2). Bartholin cyst- The similarity between Bartholin cyst and
primary syphilis is that normally Bartholin cysts are painless
and their diameter range between 1 to 3cm, just like Chancroid.
Also, Bartholin cysts are unilateral and do not show
manifestations (Silman et al., 2018). The identification of
Bartholin cysts can occur during the assessment of the pelvis.
The establishment of the cysts can also occur by the affected
woman, just like in the case of the patient in this case. Big cysts
are associated with uneasiness especially when the affected
individual is seated, having sexual intercourse or ambulating
(Silman et al., 2018). The cyst can disfigure the victims thought
the cysts are asymptomatic. Normally, the cysts are painful and
they cause swelling that can impair the ability of the patient to
copulate and walk (Silman et al., 2018).
The evaluation of potential Bartholin cysts incorporates
performing an assessment of the pelvis and acquiring of the
client’s medical history. The fluid produced in the cysts can be

tested in the lab in a mission to acquire methicillin-resistant
Staphylococcus aureus. The assessment of this kind of cysts
requires no imaging test. Besides, there is no need for blood
screening on the off chance that the systemic disorder is not
anticipated (Silman et al., 2018). Vulvar assessment is
conducted and it involves physical examination in addition to
palpation of the cyst. The procedure of the palpation of the
Bartholin gland calls for holding of the upper section of the
labium between a finger at the back of the introitus of the
vagina and the placement of the thumb horizontal to the labium.
The palpation of typical Bartholin is challenging especially for
fat women. Bartholin lesions are unilateral. During assessment,
the cysts are moist, tender, and fluctuating structure around the
labia and vestibular areas. For large lesions, they are likely to
extend to the upper parts of the labia. Also, on the off chance
that the lesions occur adjacent to the surface, pus may ooze out
via the epithelium of the skin.
(3). Lymphogranuloma venereum (LGV) – The disorder is rare
in developed countries. It is the cause of proctitis in
homosexual men more so the inhabitants of North America,
Europe, and the UK. Lymphogranuloma venereum is genital
ulceration that incorporates STDs such as Chancroid, HSV-2,
and syphilis (Saxon, Hughes & Ison, 2016). The ailment is
characterized by limited papules or ulcerations associated with
extreme pain in the linual and femoral lymphadenopathy. The
above can be the only presenting manifestations of a client.
Individuals suffering from Lymphogranuloma venereum
sometimes experience ulcers on the rectum apart from
symptoms of proctocolitis especially in people who take part in
anal sex. For such situations, the pain of the rectum, discharge,
and bleeding are mistaken with numerous GI infections, for
example, colitis. On the off chance that the disorder is not
medically attended the external genitalia might grow
excessively, be manifested by disfiguring lesions coupled with
obstruction of the lymphatic system (Saxon, Hughes & Ison,
2016). The presence of LVG renders the chlamydia nucleic acid

amplification test positive, even though the test is illegal for
this reason in the US (Saxon, Hughes & Ison, 2016). LVG
diagnosis can be facilitated through serologic tests. It is not
easy to determine LVG because there are no specific symptoms
associated with the disorder, the pathogen's lab procedures need
updating, and its serologic assessment is unclear (Saxon,
Hughes & Ison, 2016). However, nucleic acid amplification
testing is an alternative that can be conducted in labs.
Individuals suffering from genital disorders can be tested
through the identification of nucleic acid, abrasion swab, direct
immunofluorescence, and abrasion swab (Saxon, Hughes &
Ison, 2016). A correct diagnosis depends on the effective
collection of the client’s sexual history.
(4). Chancroid- This is a rare disorder in the US and other
well-developed countries. Nonetheless, its prevalence is not
well documented since its precise diagnosis needs the
identification of the causative micro-organism, yet a large
percentage of research centers are not well equipped with the
required gear to conduct an effective diagnosis. Besides, many
care providers put little effort in diagnosing disorders of the
genital ulcers that are caused by micro-organism apart from
herpes simplex infection of Treponema pallidum. Chancroid
diagnosis can be done using a particular culture. A couple of
research centers have come up with certified PCR chancroid
tests. According to (Fouere et al., 2018), chancroid’s incubation
span is usually 4 to 10 days. H.ducleyi infection causes the
development of erythematous papule which turns to be a pustule
and later an ulcer. Victims of this disorder normally suffer a
single ulcer, and the abrasions normally develop in the genital
region and the degenerating lymph nodes
When evaluated, the diameter of a normal ulcer ranges between
1 and 2 cm, though it can vary. A large number of ulcers might
be present especially in individuals diagnosed with HIV. Unlike
chancroid ulcers, unlike ulcers causes a lot of pain and has an
erythematous base characterized by delineated margins. When
scratched, the ulcers normally produce a yellow fluid and blood.

H. ducreyi pathogenesis indicates that the most vulnerable
regions for chancroid are those that are exposed to friction
during copulation. Among the females, vaginal introitus,
perianal area, and the labia are exposed to the greatest risk.
Some cases of chancroid go uncovered, especially in
asymptomatic females having vaginal lesions (Fouere et al.,
2018).
This outcome is refuted since chancroid is manifested as a
single ulceration. Besides, patients experience pain, all of which
are absent in this case (Fouere et al., 2018). The client
complains of bumps that are stiff and does not cause pain. This
data is a platform for the elimination of chancroid. Finally, on
the off chance that the patient is exposed, the culture will
indicate H. ducreyi.
(5). Genital Herpes Simplex Virus (HSV) –It develops as a
result of having sex between a vulnerable person (without
antibodies for this virus) and an individual having body fluid
with a virus. Virus shedding takes place during primary
infection, amid recurrences next to each other, and
asymptomatic viral shedding stages. In between these stages,
contact must include mucosa membranes and scratched skin
(Looker et al., 2015). Next is the identification of HSV primary
infection at the exposure stage. By now, viral casing, and the
cell membrane of the skin except for mucosa membranes are
attached. The HSV's DNA is introduced into the nucleus. After
toll-like receptors recognize the DNA of the HSV, activation of
adaptive and innate body defense mechanism follows and there
is a formation of interferon genes products (Looker et al.,
2015). Viral management of host cell reactions and the
consequent prevention of the defense framework are obtained by
different exchanges between the body framework of defense and
HSV virion protein contents (Looker et al, 2015). The average
period of incubation following infection is 4 days (with chances
of varying between 2-12 days). Other signs and side effects
during these initial phases of infection include Systemic
manifestations which entail high temperatures in the body,

malaise, myalgias-67%, migraine, Local agony, and irritation-
98%; Dysuria-63%; Tender lymphadenopathy-80%. Therefore,
clinicians must find out differences between intense urinary
retention and dysuria, which may develop during acute basic
HSV infection. Dysuria may cause resistance to void because
acidic urine passes on painful and open vesicles, although
making use of Sitz baths may help control this complication
(Looker et al., 2015).
This outcome is ruled out since this client is not experiencing
manifestations of burning and tingling without the lesions.
Herpes labialis manifestations include tingling and burning and
effective growth of ulcerative injuries contained in the
oropharynx and perioral mucosa (Looker et al., 2015). Given
the above subjective data of this client, there are no signs of her
having vesicular sores in either her oropharynx or mucosa.
Also, this patient has not indicated subjective signs of angling
and burning.
References
Colby, M. J., Dawson, B., Peeling, P., Heasman, J., Rogalski,
B., Drew, M. K., ... & Lester, L. (2017). Multivariate modeling
of subjective and objective monitoring data improves the
detection of non-contact injury risk in elite Australian
footballers. Journal of science and medicine in sport, 20(12),
1068-1074. doi: 10.1016/j.jsams.2017.05.010.
DeLellis, D., & Yen, G. (2017). A Case of Non-infectious
Genital Ulceration. Proceedings of UCLA Healthcare, 21.
Devos, M., Gilbert, B., Denecker, G., Leurs, K., Guire, C. M.,
Lemeire, K., ... Declercq, W. (2017). Elevated ΔNp63α Levels
Facilitate Epidermal and Biliary Oncogenic
Transformation. Journal of Investigative Dermatology, 137(2),
494-505. doi.org/10.1016/j.jid.2016.09.026.
Fouere, S., Lassau, F., Rousseau, C., Bagot, M., & Janier, M.
(2016). The first case of chancroid in 14 years at the largest STI

clinic in Paris, France. International Journal of STD &
AIDS, 27(9), 805-807. doi: 10.1177/0956462415598252
Hamill, M. M., Seppings, L., Kit, V., & Antao, S. (2018).
Concurrent Primary Chancre and Ocular Syphilis in a Human
Immunodeficiency Virus-Negative Man. Sexually transmitted
diseases, 45(12), e109-e112. Doi:
10.1097/OLQ.0000000000000900.
Looker, K. J., Magaret, A. S., May, M. T., Turner, K. M.,
Vickerman, P., Gottlieb, S. L., & Newman, L. M. (2015).
Global and regional estimates of prevalent and incident herpes
simplex virus type 1 infections in 2012. PloS one, 10(10),
e0140765. doi: 10.1371/journal.pone.0140765.
McBain, L., Pullon, S., Garrett, S., & Hoare, K. (2016). Genital
examination training: assessing the effectiveness of an
integrated female and male teaching program. BMC medical
education, 16(1), 299. doi: 10.1186/s12909-016-0822-y.
Saxon, C., Hughes, G., & Ison, C. (2016). Asymptomatic
lymphogranuloma venereum in men who have sex with men,
United Kingdom. Emerging infectious diseases, 22(1), 112.
doi: 10.3201/eid2201.141867.
Silman, C., Matsumoto, S., Takaji, R., Matsumoto, A., Otsuka,
A., Mori, H., ... & Miyake, H. (2018). Asymptomatic Bartholin
Cyst: Evaluation with Multidetector Row Computed
Tomography. Journal of computer-assisted tomography, 42(1),
162-166.doi: 10.1097/RCT.0000000000000645.
Workowski, K. A., & Bolan, G. A. (2015). Sexually transmitted
diseases treatment guidelines, 2015. MMWR. Recommendations
and reports: Morbidity and mortality weekly report.
Recommendations and reports, 64(RR-03), 1.

Running Head: SERVANT LEADERSHIP 1
SERVANT LEADERSHIP 2
Servant Leadership
Annotated Bibliography
Eva, N., Robin, M., Sendjaya, S., van Dierendonck, D., &
Liden, R. C. (2019). Servant leadership: A systematic review
and call for future research. The Leadership Quarterly, 30(1),
111-132.
The paper developed through a systematic review of 285 articles
on the topic of servant leadership aimed at comparing servant
leadership with other approaches to leadership, the nature of
servant leadership and the theoretical basis through which
servant leadership developed. As a result, the paper provides a
comprehensive overview of servant leadership, its advantages
and challenges while also comparing servant leadership to other
forms of leadership that individuals use. Subsequently, the
paper provides important insights regarding servant leadership,
its application compared to other forms of leadership as well as
recommendations for future research. This information is
crucial in the development of my research paper given that not

only does the paper cover and provide important information
regarding servant leadership but also because through the
systematic review that was used to develop the paper, the
authors were able to collect information from many sources
increasing not only the validity but also the reliability of the
information.
Williams, W. A., Brandon, R. S., Hayek, M., Haden, S. P., &
Atinc, G. (2017). Servant leadership and followership
creativity. Leadership & Organization Development Journal.
The paper examines how political skills and servant leadership
interact to influence employee creativity and workplace culture.
In developing the paper, the authors selected a sample of 280
participants comprising both undergraduate and graduate
students for the study and collected data across three periods of
time. Finding from the study indicate that servant leadership
increases the creativity of employees by fostering a proper
working environment Moreover, servant leadership according to
the study is strengthened based on the political skills of those in
leadership. The paper is useful in my research project in that it
provides crucial information regarding servant leadership, its
association with workplace politics and how leaders practising
servant leadership can navigate such workplace challenges.
DeConinck, J., & DeConinck, M. B. (2017). The relationship
between servant leadership perceived organizational support,
performance, and turnover among business to business
salespeople. Archives of Business Research, 5(10).
The paper, developed through responses from a sample of
383 salespersons who trade between businesses in the US
explores the influence of servant leadership on the salespersons
in terms of outcome performance, organizational support,
turnover and turnover intentions. Findings from the study
indicate that servant leadership directly influences performance
but had an indirect relationship with turnover intentions as well
as turnover. Given the papers exploration of servant leadership
and its influence on performance, the paper provides important
information and recommendation which are useful nor only for

my study but also other research studies.
Chiniara, M., & Bentein, K. (2016). Linking servant leadership
to individual performance: Differentiating the mediating role of
autonomy, competence and relatedness need satisfaction. The
Leadership Quarterly, 27(1), 124-141.
The paper recognizing the role of servant leadership and the
fact that there has been limited research and subsequently
information regarding the underlying psychological processes
from servant leadership that enhance the performance of
individuals explores the role of servant leadership in employee
development. Subsequently not only does the paper explain the
importance of employee development through servant leadership
but also explains crucial concepts regarding servant leadership
and workplace performance which are important in my research.
This is because not only does the paper provide data regarding
the association between servant leadership and improved
employee performance but also provides actionable
recommendation on how servant leadership can be used to
develop the professional capabilities of employees within an
organization.
Jaiswal, N. K., & Dhar, R. L. (2017). The influence of servant
leadership, trust in leader and thriving on employee
The paper investigates how servant leadership influences the
trust of employees in their leaders as well as their creativity and
performance. Besides, using a sample of 48 dynamic teams, the
authors of the paper sought to explore the role played by servant
leadership in interactions with subordinates, their creativity and
trust towards leadership. To achieve this, the researchers
compared servant leadership to other forms of leadership.
Findings from the study indicated that servant leaders received
more trust from their subordinates and were more likely to
increase or develop the creativity of their employees. The paper
is important in my research as it not only provides the basics
regarding servant leadership but also how it can be used to
increase both the trust of employees on their leaders but also

their creativity.
Lacroix, M., & Pircher Verdorfer, A. (2017). Can servant
leaders fuel the leadership fire? The relationship between
servant leadership and followers’ leadership
avoidance. Administrative Sciences, 7(1), 6.
The paper explores the effect that servant leadership has on the
inclination of followers to take responsibility compared to other
forms of leadership. Collecting data from 222 employees in the
healthcare sector, researchers in the study found that servant
leaders influenced their followers positively to take
responsibility compared to other forms of leadership analyzed.
Given this, not only does the paper provide important insights
regarding what servant leadership is but also compares the
influence of servant leadership and other forms of leadership to
the employees which is important in this research.
Gandolfi, F., & Stone, S. (2018). Leadership, leadership styles,
and servant leadership. Journal of Management Research, 18(4),
261-269.
The article aimed at demystifying leadership by exploring the
different leadership styles that are required to ensure effective
leadership. Moreover, by comparing the different leadership
styles, the paper shows that servant leadership can be used to
ensure effectiveness in leadership. For this research, the paper
provides important information due to the extent that it goes in
comparing the use and effectiveness of the different leadership
approaches.
References
Chiniara, M., & Bentein, K. (2016). Linking servant leadership
to individual performance: Differentiating the mediating role of
autonomy, competence and relatedness need satisfaction. The
Leadership Quarterly, 27(1), 124-141.
DeConinck, J., & DeConinck, M. B. (2017). The relationship

between servant leadership perceived organizational support,
performance, and turnover among business to business
salespeople. Archives of Business Research, 5(10).
Eva, N., Robin, M., Sendjaya, S., van Dierendonck, D., &
Liden, R. C. (2019). Servant leadership: A systematic review
and call for future research. The Leadership Quarterly, 30(1),
111-132.
Gandolfi, F., & Stone, S. (2018). Leadership, leadership styles,
and servant leadership. Journal of Management Research, 18(4),
261-269.
Jaiswal, N. K., & Dhar, R. L. (2017). The influence of servant
leadership, trust in leader and thriving on employee
Lacroix, M., & Pircher Verdorfer, A. (2017). Can servant
leaders fuel the leadership fire? The relationship between
servant leadership and followers’ leadership
avoidance. Administrative Sciences, 7(1), 6.
Williams, W. A., Brandon, R. S., Hayek, M., Haden, S. P., &
Atinc, G. (2017). Servant leadership and followership
Running head: ANALYIS OF SERVANT LEADERSHIP
1
ANALYIS OF SERVANT LEADERSHIP
5

Analysis of Servant Leadership
Analysis of Servant Leadership
The concept of servant leadership was first introduced and
published by Robert Greenleaf and has become a timeless idea
in leadership. Robert defined “servant leadership” as a situation
where a servant leader becomes the servant first. For instance,
an individual aspiring to be a servant leader feels naturally that
he or she wants to serve, serving his or her followers first.
Importantly, Robert Greenleaf explained that servant leadership
involved leaders whose focus is primarily on ensuring the
growth and well-being of individuals they lead. Unlike
traditional leadership, servant leadership involves the sharing of
power, putting others’ needs first and supporting people to
develop and perform highly in organizations.
Research Overview
Now in the following presentation, I want to share with you
Giambatista, McKeage, and Brees’ findings in their study about
“The Culture of Servant Leadership and their Impact”; it is a
peer-reviewed journal about value-based leadership. First,
Giambatista, McKeage, & Brees’s, (2020) examined the
distinctive influence of organizational culture as it is linked
with cultures which support servant leadership. One of the
questions explored was; do firms vary in their levels of servant
leadership and results obtained? Also, the research was based
on the following hypotheses; firms’ managers show different
levels of servant leadership, firms with higher levels of servant
leadership record increased job satisfaction among employees,
individual servant leadership is linked with job satisfaction, and

people with high in core self-evaluation show high levels of
servant leadership.
Research Methods
The research was conducted by sampling randomly five hundred
and eleven individuals from three companies in the United
States. One of the firms was a big financial organization while
the remaining two were small technical consulting companies.
The total sample consisted of executives (14), managers (69),
and employees (428). Importantly, the survey was carried out
using two instruments which included the Core Self-evaluation
Scale, and the Organizational Leadership Assessment. I fully
believe that the choice of these two instruments was prudential
especially the Organizational Leadership Assessment that has
been validated in most studies.
Research Outcomes
Results of the study were as follows; first, Giambatista,
McKeage, & Brees, (2020) established that significant
differences in levels of servant leadership existed across the
three companies. For example, the first two participants
affirmed that a significant higher level of immediate manager-
servant leadership existed in the firm. Secondly, a higher
correlation between immediate manager servant leadership and
job satisfaction than the case with organizational servant
leadership was established. Thirdly, core self-evaluation is
associated with immediate manager servant, organizational
servant, and overall servant leadership. Indeed, comparing these
findings with hypotheses earlier written, they are consistent. It
shows that cultures that promote servant leadership have both
transformative and lasting influence on the followers.
Limitations
There are two limitations based on the study. First, it formed
part of a larger program of study about servant leadership. As a
result, research questions and the results offer an indirect
explanation concerning servant leadership. In addition, it failed
to establish causality and therefore, offers opportunity for
future researchers to implement different study designs.

Application of the Study
In brief, based on the limitations highlighted above,
Giambatista, McKeage, & Brees’s, (2020) research has provided
insights I would like to use in completing my final research
paper. For instance, I look forward to conducting a broader
study which examines antecedents of servant leadership
introduction and dissemination. In particular, studying the
impacts of servant leadership on organizational effectiveness
and the development of employees would have a potential
increase in its application by many organizations. It would be
viewed as value-adding and the most indispensable type of
leadership today. Therefore, companies will be encouraged to
build and maintain a value-adding culture while servant leaders
strive to impart desirable organizational outcomes.
References
Giambatista, R., McKeage, R., & Brees, J. (2020). Cultures of
Servant Leadership and Their Impact. The Journal of Values-
Based Leadership, 13(1), 12. Retrieved from:
https://scholar.valpo.edu/jvbl/vol13/iss1/12/

Pages: 4 pages ( 1100 words, Double spaced)
Academic level: Undergrad. (yrs 3-4)
Subject or discipline: Nursing
Title: Writer's choice
Number of sources: 4
Paper instructions:
Using evidence-based resources from your search, answer the
following questions and support your answers using current
evidence from the literature.
Analyze the subjective portion of the note. List additional
information that should be included in the documentation.
Analyze the objective portion of the note. List additional

information that should be included in the documentation.
Is the assessment supported by the subjective and objective
information? Why or why not?
Would diagnostics be appropriate for this case, and how would
the results be used to make a diagnosis?
Would you reject/accept the current diagnosis? Why or why
not? Identify three possible conditions that may be considered
as a differential diagnosis for this patient. Explain your
reasoning using at least three different references from current
evidence-based literature.
GENITALIA ASSESSMENT

Subjective:
• CC: “I have bumps on my bottom that I want to have checked
out.”
• HPI: AB, a 21-year-old WF college student reports to your
clinic with external bumps on her genital area. She states the
bumps are painless and feel rough. She states she is sexually
active and has had more than one partner during the past year.
Her initial sexual contact occurred at age 18. She reports no
abnormal vaginal discharge. She is unsure how long the bumps
have been there but noticed them about a week ago. Her last Pap
smear exam was 3 years ago, and no dysplasia was found; the
exam results were normal. She reports one sexually transmitted
infection (chlamydia) about 2 years ago. She completed the
treatment for chlamydia as prescribed.
• PMH: Asthma
• Medications: Symbicort 160/4.5mcg
• Allergies: NKDA

• FH: No hx of breast or cervical cancer, Father hx HTN,
Mother hx HTN, GERD
• Social: Denies tobacco use; occasional etoh, married, 3
children (1 girl, 2 boys)
Objective:
• VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT
169lbs
• Heart: RRR, no murmurs
• Lungs: CTA, chest wall symmetrical
• Genital: Normal female hair pattern distribution; no masses or
swelling. Urethral meatus intact without erythema or discharge.
Perineum intact. Vaginal mucosa pink and moist with rugae
present, pos for firm, round, small, painless ulcer noted on
external labia

• Abd: soft, normoactive bowel sounds, neg rebound, neg
murphy’s, negMcBurney
• Diagnostics: HSV specimen obtained
Assessment:
• Chancre
Example of the paper is very long, I only need about 4 pages

Assessment of Genitalia and Rectum

Recommended

Recommended

More Related Content

Similar to Assessment of Genitalia and Rectum

Similar to Assessment of Genitalia and Rectum (15)

More from festockton

More from festockton (20)

Recently uploaded

Recently uploaded (20)

Assessment of Genitalia and Rectum