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Quality Improvement (QI): Nipple-sparing mastectomy (NSM) (Coursework Sample)


Please tell me the QI project before you start.
It should be relevant to client's practice area (outpatient reconstructive breast surgery office)
Clinical Assignment: Quality Improvement Project Part 1
To assess a clinical issue that is the focus of your Quality Improvement Project.
Create a description of the clinical issue to be addressed in the project.
Content Requirements:
Identify the clinical issue that will be the focus of your Quality Improvement project.
Provide rationale for the need to change the status quo.
Identify best practices from the literature related to the issues.
Submission Instructions:
The paper is to be clear and concise, and students will lose points for improper grammar, punctuation and misspelling.
The paper is to be 2 - 3 pages in length, excluding the title, abstract and references page.
Incorporate a minimum of 3 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
Journal articles and books should be referenced according to current APA style (the library has a copy of the APA Manual).
Your paper should be formatted per current APA and references should be current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions)


Quality Improvement (QI) Project Part 1: Nipple-sparing mastectomy (NSM) 
Clinical issue 
This paper proposes Nipple-sparing mastectomy (NSM) as a quality improvement intervention in outpatient reconstructive breast surgery offices. NSM is an oncological surgical procedure for women undergoing mastectomy following breast cancer or as a way of a preventive strategy called risk reduction surgery. NSM is progressively being performed for invasive breast cancer, with growing evidence showing satisfactory oncologic safety of NSM, thus, leading to widespread use and broadened indications (Valero et al.,2020). It involves removing all of the breast glandular tissue beneath the overlying skin and nipple thought, making small incisions.
The rationale for NSM involves the desire for aesthetically pleasant outcomes following mastectomy procedures, especially among those undergoing risk-reducing bilateral mastectomy. Breast reconstruction procedures feature key issues such as efficacy, safety, patient satisfaction, and aesthetic aspects. NSM is one of the primary implant reconstruction procedures that is an oncologically and surgically suitable therapy for women who need a mastectomy. NSM is an intervention that deserves attention. It has been associated with better cosmetic outcomes and improved quality of life. However, Nipple–areola complex (NAC) involvement 

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