Womens and Mens Health, Infectious Disease, and Hematologic Disorders Essay
Womens and Mens Health, Infectious Disease, and Hematologic Disorders Essay
The case study is about a 46-year-old woman with hot flushing, night sweats, and genitourinary symptoms. She has a family history of breast cancer, a medical history of HTN, and a history of ASCUS on her pap. Her BP is 150/90, and she reports having regular monthly menstrual cycles. The patient’s healthcare needs include weight reduction owing to her overweight status, which puts her at risk of chronic illnesses like diabetes and heart disease. She also has hypertension management needs secondary to her history of hypertension and current elevated BP at 150/90. Besides, she has vasomotor and genitourinary symptoms that can be attributed to perimenopause (Delamater & Santoro, 2018). The patient is at risk of cervical and breast cancer due to the history of ASCUS on Pap smear and a positive family history of breast cancer.
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The patient’s genitourinary symptoms, common in perimenopause, can be managed with vaginal lubricants and moisturizers. I would also recommend Hormonal replacement therapy (HRT) to treat vasomotor symptoms like night sweats and hot flushes (Delamater & Santoro, 2018). HRT will include a combination of estrogen and progesterone replacement therapies. Estrogen is the gold standard for treating vasomotor symptoms such as hot flashes. Nonetheless, prolonged unopposed estrogen is associated with endometrial hyperplasia and cancer (Palacios et al., 2019). Therefore, I will recommend the addition of progesterone to prevent these adverse effects, which is crucial for this patient considering her risk of cervical and breast cancer.
The EDUCATE model is my recommended patient education strategy to teach the patient about lifestyle modification interventions to manage her condition. It will be used to teach the patient lifestyle modification practices like healthy dietary practices, regular physical exercises, limiting alcohol intake, and smoking cessation.
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References
Delamater, L., & Santoro, N. (2018). Management of the Perimenopause. Clinical obstetrics and gynecology, 61(3), 419–432. https://doi.org/10.1097/GRF.0000000000000389
Palacios, S., Stevenson, J. C., Schaudig, K., Lukasiewicz, M., & Graziottin, A. (2019). Hormone therapy for first-line management of menopausal symptoms: Practical recommendations. Women’s health (London, England), 15, 1745506519864009. https://doi.org/10.1177/1745506519864009
As an advanced practice nurse, you will likely encounter many disorders associated with women’s and men’s health, such as hormone deficiencies, cancers, and other functional and structural abnormalities. Disorders such as these not only result in physiological consequences but also psychological consequences, such as embarrassment, guilt, or profound disappointment for patients. For these reasons, the provider-patient relationship must be carefully managed. During evaluations, patients must feel comfortable answering questions so that you, as a key healthcare provider, will be able to diagnose and recommend appropriate treatment options. Advanced practice nurses must be able to educate patients on these disorders and help relieve associated stigmas and concerns.
This week, you examine women’s and men’s health concerns as well as the types of drugs used to treat disorders that affect women’s and men’s health. You also explore how to treat aspects of these disorders on other health systems.
Evaluate patients for treatment of complex health issues
Evaluate patients for treatment of infections
Evaluate patients for treatment of hematologic disorders
Analyze patient education strategies for the management and treatment of complex comorbidities
Roberts, H., & Hickey, M. (2016). Managing the menopause: An update Links to an external site.. Maturitas, 86(2016), 53-58. https://doi.org/10.1016/j.maturitas.2016.01.007
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