SU NSG6430 All Weeks Discussions Latest 2019 February

NSG6430 Family Health-Women's Health

Week 1 Discussion

Preventative Screening

Janice, a 21 year-old healthy female, presents to her nurse practitioner for her yearly check-up. She is sexually active with her boyfriend and uses condoms most of the time. She has never had a pelvic exam before.

Discuss the recommended screening tests, using the latest evidence based guidelines that the nurse practitioner should perform on Janice.

Discuss the recommended education and counseling that should be included in Janice’s care?

NSG6430 Family Health-Women's Health

Week 2 Discussion

iHuman Case Study – Angela Cortez

This week, complete the iHuman case titled "Angela Cortez".

After completing your iHuman Case Study, answer the following questions using the latest evidenced based guidelines:

Discuss the questions that would be important to include when interviewing a patient with this issue.

Describe the clinical findings that may be present in a patient with this issue.

Are there any diagnostic studies that should be ordered on this patient? Why?

List the primary diagnosis and three differential diagnoses for this patient. Explain your reasoning for each.

Discuss your management plan for this patient, including pharmacologic therapies, tests, patient education, referrals, and follow-ups.

NSG6430 Family Health-Women's Health

Week 3 Discussion

Contraceptive Management

Karen, is a 33 year-old G2P2, with a medical history of migraines, for which she takes Imitrex when needed. She has a history of heavy and painful menses each month, lasting approximately 7-8 days. Karen smokes ½ pack of cigarettes per day. Her father has a history of DVT and cardiac disease. Her mother has a history of cervical cancer. Her blood pressure today is 138/76 and her pelvic exam is normal. She is divorced and is sexually active with her new boyfriend. She is currently using condoms for birth control and wants something more reliable. Karen does not desire pregnancy in the near future.

Discuss the contraceptive methods using the latest evidence-based guidelines that Karen would be medically eligible for.

Identify one method that you feel would be most beneficial to Karen and discuss why you selected it.

Are there any methods that you would not recommend for Karen? Why?

NSG6430 Family Health-Women's Health

Week 4 Discussion

iHuman Case Study – Rachael Hardy

This week, complete the iHuman case titled "Rachael Hardy".

After completing your iHuman Case Study, answer the following questions using the latest evidenced based guidelines:

Discuss the questions that would be important to include when interviewing a patient with this issue.

Describe the clinical findings that may be present in a patient with this issue.

Are there any diagnostic studies that should be ordered on this patient? Why?

List the primary diagnosis and three differential diagnoses for this patient. Explain your reasoning for each.

Discuss your management plan for this patient, including pharmacologic therapies, tests, patient education, referrals, and follow-ups.

NSG6430 Family Health-Women's Health

Week 5 Discussion

iHuman Case Study – Pamela Flowers

This week, complete the iHuman case titled “Pamela Flowers”.

After completing your iHuman Case Study, answer the following questions using the latest evidenced based guidelines:

Discuss the questions that would be important to include when interviewing a patient with this issue.

Describe the clinical findings that may be present in a patient with this issue.

Are there any diagnostic studies that should be ordered on this patient? Why?

List the primary diagnosis and three differential diagnoses for this patient. Explain your reasoning for each.

Discuss your management plan for this patient, including pharmacologic therapies, tests, patient education, referrals, and follow-ups.

NSG6430 Family Health-Women's Health

Week 6 Discussion

iHuman Case Study – Sonya Phillips

This week, complete the iHuman case titled “Sonya Phillips”.

After completing your iHuman Case Study, answer the following questions using the latest evidenced based guidelines:

Discuss the questions that would be important to include when interviewing a patient with this issue.

Describe the clinical findings that may be present in a patient with this issue.

Are there any diagnostic studies that should be ordered on this patient? Why?

List the primary diagnosis and three differential diagnoses for this patient. Explain your reasoning for each.

Discuss your management plan for this patient, including pharmacologic therapies, tests, patient education, referrals, and follow-ups.

NSG6430 Family Health-Women's Health

Week 7 Discussion

iHuman Case Study - Erin Davis

This week, complete the iHuman case titled “Erin Davis”.

After completing your iHuman Case Study, answer the following questions using the latest evidenced based guidelines:

Discuss the questions that would be important to include when interviewing a patient with this issue.

Describe the clinical findings that may be present in a patient with this issue.

Are there any diagnostic studies that should be ordered on this patient? Why?

List the primary diagnosis and three differential diagnoses for this patient. Explain your reasoning for each.

Discuss your management plan for this patient, including pharmacologic therapies, tests, patient education, referrals, and follow-ups.

NSG6430 Family Health-Women's Health

Week 8 Discussion

LGBT Health Care

Discuss any “take-away” thoughts from the article.

How do you plan to make a positive impact on the care of LGBT patients when you become a NP? What attitudes/behaviors/communication/understanding is important for the NP to have?

What specific screenings / interventions will you incorporate into practice when providing care to a LGBT patient?

NSG6430 Family Health-Women's Health

Week 9 Discussion

Hormone Replacement Therapy

Ms. Martin is a 55-year-old woman who has been on HRT for 4 years. HRT was prescribed because Ms. Martin was experiencing vasomotor symptoms associated with menopause. Her last mammogram was 2 years ago and last pap was 5 years ago. Ms. Martin made an appointment with her nurse practitioner to discuss discontinuing HRT after hearing and reading news reports about the dangers associated with the medication. Except for the HRT, Ms. Martin is taking no medication other than a daily vitamin. She had a tubal ligation after the birth of her third child but has had no other surgeries or history of any medical conditions. Her father had cardiovascular disease and died of a myocardial infarction at 77 years of age. Her mother was diagnosed with breast cancer at 81 years of age. Ms. Martin does not smoke and rarely drinks alcohol. She likes to work in her garden but is not involved in a formal exercise program. She has gained about 10 pounds since menopause.

What evidence-based information will you provide to Ms. Martin regarding her concerns of HRT? Discuss the advantages and risks associated with HRT.

What are your recommendations for Ms. Martin? Will you recommend continuing or discontinuing HRT and why?

What alternative treatments for menopausal symptoms will you discuss with Ms. Martin?

Discuss the recommended screening tests, using the latest evidence based guidelines that Ms. Martin should have.

What health promotion, maintenance, and prevention education would be important to provide to Ms. Martin?

NSG6430 Family Health-Women's Health

Week 10 Discussion

Prophylactic Hysterectomy

Discuss any “take-away” thoughts from the article.

What are the ethical dilemmas to consider with prophylactic surgeries?

Discuss the screenings/interventions/options/education that you would provide to a patient that has a strong family history of ovarian cancer. What if the patient has no health insurance? What resources could you offer to assist the patient?