NRP563 Management of Women's Health Issues
Week 1 Assignment
Intimate Partner Violence Case Study
Assignment Content
This week you learned about several concepts with a focus on intimate partner violence and sexual assault. To apply your knowledge, you will complete a case study and answer related questions.
Complete the case study by answering the prompts associated with the scenario in a minimum of 350 words. Cite references appropriately using APA style.
Scenario
You are seeing a 35-year-old woman who is establishing care in your practice. This patient is accompanied by her partner, who insists on being present during the interview. The woman does not state any objections to her partner being present, although her partner does most of the talking. Your patient appears slightly withdrawn and is hesitant to answer any questions regarding her home environment. When you perform your exam on the patient, you notice multiple areas of bruising on her arms and legs. The patient states that she is clumsy and had a recent fall.
Case Prompts
Explain how you should proceed with this patient based on the USPSTF recommendations on screening for IPV.
Describe which type of screening tool you would use to screen for IPV based on the observations provided in the scenario. Provide evidence-based support for your selection.
Determine which services you should provide or refer her to for support. Explain your recommendations, including resources that are available specific to your local area.
Evaluate whether the situation described in the scenario warrants a formal report within your state and explain your findings.
NRP563 Management of Women's Health Issues
Week 2 Assignment
Overcoming Health Care Barriers Case Study
Assignment Content
This week you learned about how sexuality impacts all aspects of life throughout the life span with a focus on health care for the lesbian, bisexual, transgender, and queer (LBTQ) population. Now it’s time to practice your skills by completing a case study.
Complete the case study by answering the prompts associated with the scenario as if you are presenting to your preceptor in a minimum of 350 words. Cite?peer-reviewed journal references within the last 5 years, supporting your responses according to APA guidelines.
Scenario
A patient presents to your office who self identifies as lesbian. She requests treatment for a possible vaginal infection.
You know that this population experiences major barriers to health care that include having a history of negative health experience as well as a lack of clinician knowledge and financial barriers.
Case Prompts
Give examples of sexual and reproductive health disparities related to caring for the LBTQ patient population.
Describe the barriers this population may face in accessing health care.
Explain the strategies you can use to decrease these barriers.
Give examples of how you will use appropriate wording that is inclusive and considers patient preference and pronouns.
Discuss resources available in your community to providers and patients regarding health care for the LBTQ population.
NRP563 Management of Women's Health Issues
Week 3 Assignment
i-Human Patient Betty Burns Reflection
Assignment Content
i-Human simulates a patient situation you may encounter in a clinical setting. This is an opportunity to practice your skills in taking a history, performing a physical exam, and developing a diagnosis and treatment plan.
Access i-Human?Patients using the link in the Course Content section.
Part?I
Complete the health history assessment available at the beginning of the Betty Burns case.
Part?II
Complete the patient encounter for Betty Burns by completing the following steps:
Interview Betty Burns to obtain her complete patient history.
Document your findings in i-Human.
Complete a health assessment and focused physical exam based on current evidence.
Document your health assessment and focused physical exam findings and develop a problem list for Betty Burns.
Review the i-Human Patients Case Player Instructions, which includes helpful tips for completing the patient simulation.
Note: Scores will be recorded in i-Human Patients; there is nothing to submit in the classroom for this portion of the assignment. Your i-Human Patients Lab score will be determined strictly based on completion. Use the lab to complete the patient stimulation to the best of your ability since you will use this experience to complete the associated Reflection assignment. The detailed summary of your lab is an excellent opportunity to review techniques that will help advance best practices associated with health assessments.
Write a 500-word summary regarding your patient encounter with Betty Burns.
Include the following in your summary:
Explain how you arrived at your differential diagnoses.
Explain the steps you used to determine the final diagnosis.
Give examples of how you can integrate cultural preferences, values, health beliefs, and behaviors into the treatment plan using Watson’s theory.
Describe the proper management and referral for this patient (including mental health support).
How will you maintain a collaborative relationship with the referral providers?
Format your assignment according to APA guidelines.
NRP563 Management of Women's Health Issues
Week 4 Assignment
Osteoporosis Prevention Plan
Assignment Content
Read the following scenario:
A 64 -year-old white female patient has come to the clinic for a well-woman exam.
DOB: 09/18/1957
WT: 120 lbs.
HT: 62 in.
Review of Systems (ROS)/Past Medical History (PMH): Negative for previous fracture, negative for smoking, negative for rheumatoid arthritis, and negative for secondary osteoporosis. Reports less than 3 drinks per day. Medication history negative for glucocorticoids. Femoral neck BMD (g/cm2): T-Score is -1.0
Visit the FRAX® website to locate the correct calculation tool for the patient identified within the scenario.
Calculate the 10-year probability of fracture (%) using the FRAX® tool and the patient data provided.
Develop a 10- to 12-slide PowerPoint® case study presentation on osteoporosis prevention. In your presentation, be sure to address the following:
Define osteoporosis.
Describe the risk factors associated with osteoporosis.
Identify strategies that can be implemented to prevent osteoporosis.
Describe the latest recommendations for screening for osteoporosis to prevent fractures.
Explain the diagnosis and recommended treatment plan using current evidence-based guidelines and the results of the FRAX® tool assessment.
List the drugs commonly prescribed to treat osteoporosis and explain the specific indications, contraindications, prescribing considerations, and patient instructions.
Summarize the priorities for patient education/prevention.
Cite a minimum of 3 peer-reviewed journal references within the last 5 years, supporting your responses according to APA guidelines
NRP563 Management of Women's Health Issues
Week 5 Assignment
Sexually Transmitted Infections and Lawful Practice
Assignment Content
Complete the case study by answering the prompts associated with the scenario in a minimum of 450 words. Cite references appropriately using APA guidelines.
Scenario
You are seeing a 19-year-old female patient at a women’s health clinic. Her chief complaint is mild lower abdominal pain and a copious amount of vaginal discharge. She is sexually active and reports having three partners in the last six months.
After a brief discussion with the patient about symptoms, you recognize the need to screen for sexually transmitted infections (STIs). Based on her history and symptoms, which STIs would you test for, and why?
Explain what physical examinations are indicated for this patient.
After your comprehensive assessment, all subjective and objective findings should be considered when developing differential diagnoses for patients presenting with a suspected STI. Describe what would be your top 3 differentials for this patient.
You are required by law to report STIs to the state health department. Which STIs are reportable in your state? Along with the diagnosed STI, explain what other information you must provide in the report.
Explain the legislation that allows for expedited partner therapy. Is it legal in your state? Is it within your scope of practice to provide expedited partner therapy? If so, please describe how you will integrate this into your practice?
NRP563 Management of Women's Health Issues
Week 6 Assignment
Providing Services to a Minor
Assignment Content
Complete the case study by answering the prompts associated with the scenario in a minimum of 525 words. Cite references appropriately using APA.
Scenario
You are seeing a 15-year-old female patient for a gynecological exam and to explore birth control options. The patient states her mother is not aware she is sexually active or that she is starting birth control. The patient has admitted to multiple acts of unprotected intercourse. The patient is current with all immunizations, including Gardasil, and has no significant health history that would contraindicate the use of birth control.
This is the patient’s first gynecological exam, and she expresses feeling nervous and embarrassed about having an exam. What exam components are necessary for a patient this age?
As you begin asking questions to determine the patient’s gynecological history, the patient asks you if you must notify her parents that she is getting birth control and STI testing? She is adamant that they must not know that she is having sex. What are the guidelines related to minors receiving birth control and STI testing without their parent’s consent? Does this pose any ethical concerns for you as a provider?
Choose 3 birth control methods that may be appropriate for this patient. Please provide the mechanism of action, side effects, and patient education for the 3 methods you have chosen.
NRP563 Management of Women's Health Issues
Week 7 Assignment
i-Human Infertility Reflection
Assignment Content
i-Human simulates a patient situation you may encounter in a clinical setting. This is an opportunity to practice your skills in taking a history, performing a physical exam, and developing a diagnosis and treatment plan.
Access i-Human?Patients using the link in the Course Content section.
Part?I
Complete the?health history assessment available at the beginning of the Elizabeth Walker case.
Part?II
Complete the patient encounter for Elizabeth Walker by following these steps:
Interview Elizabeth Walker to obtain her complete patient history.
Document your findings in i-Human Patients.
Complete a health assessment and focused physical exam based on current evidence.
Document your health assessment and focused physical exam findings and develop a problem list for Elizabeth Walker.
Review the i-Human Patients Case Player Instructions, which includes helpful tips for completing the patient simulation.
Note: Scores will be recorded in i-Human Patients; there is nothing to submit in the classroom for this portion of the assignment. Your I-Human Patients Lab score will be determined strictly based on completion. Use the lab to complete the patient simulation to the best of your ability since you will use this experience to complete the associated Reflection assignment. The detailed summary of your lab is an excellent opportunity to review techniques that will help advance best practices associated with health assessments.
Elizabeth Walker is a 34-year-old female who presents 1 hour after the acute onset of right-lower-quadrant abdominal pain. Past medical history is notable for infertility, for which she is currently undergoing hormonal-stimulation therapy. Examination reveals tachycardia and a tender right-adnexal mass per pelvic exam. Diagnosis: Ovarian torsion.
Write a 500-word summary regarding your patient encounter with Elizabeth Walker.
Include the following in your summary:
Explain how you arrived at your differential diagnoses.
Explain the steps you used to determine the final diagnosis.
Describe the appropriate management (e.g., health maintenance, diagnostics, medications/treatment) and support it with evidence.
NRP563 Management of Women's Health Issues
Week 8 Assignment
High-Risk Obstetrics
High-risk pregnancies and other high-risk obstetrics have certain diagnostic concerns. It is important for you to understand these and have a tool by which to assess them.
Complete the High-Risk Obstetric Worksheet.
Include signs and symptoms of each.