Walden NRNP6552 Week 3 Discussion Latest 2021 June

NRNP-6552F/NRNP-6552/NRNP6552F/NRNP6552

NRNP6552 Advanced Nurse Practice in Reproductive Health Care

Week 3 Discussion

Gynecologic Health

Case studies provide the opportunity to simulate realistic scenarios involving patients presenting with various health problems or symptoms. Such case studies enable nurse learners to apply concepts, lessons, and critical thinking to interviewing, screening, diagnostic approaches, as well as the development of treatment plans.

For this Case Study Discussion, you will review a case study scenario to obtain information related to a comprehensive well-woman exam and determine differential diagnoses, diagnostics, and develop treatment and management plans.

To prepare:

By Day 1 of this week, you will be assigned to a specific case study scenario for this Discussion. Please see the “Course Announcements” section of the classroom for your case study assignment from your Instructor.

Review the Learning Resources for this week and pay close attention to the media program related to the basic microscope skills. Also, consider re-reviewing the media programs found in Week 1 Learning Resources.

Carefully review the clinical guideline resources specific to your assigned case study.

Use the Focused SOAP Note Template found in the Learning Resources to support Discussion.

By Day 3

Based on the case study scenario provided, complete a comprehensive well-woman exam and critically analyze to focus attention on the diagnostic tests then,

Post your differential diagnosis. Include the additional questions you would ask the patient. Be sure to include an explanation of the tests you might recommend, ruling out any other issues or concerns and include your rationale. Be specific and provide examples. Use your Learning Resources and/or evidence from the literature to support your explanations.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues’ posts on two different days and explain how you might think differently about the types of tests you might recommend and explain why. Use your Learning Resources and/or evidence from the literature to support your position.

Case Study 1

Case Study: Contraception

Scenario 1
 

Elaine Goodwin is a 38-year-old G5 P5 LC 6?presenting to your clinic today to discuss contraceptive options.??She states that she is not interested in having more children?but her new partner has never fathered a child.?Her medical history is?remarkable for exercise-induced asthma, migraines, and IBS.?Her surgical history?is remarkable only for tonsils as a child. Her social history is negative for?alcohol, tobacco, and recreational drugs.? She has no known drug allergies and takes only vitamin C.?Hospitalizations were only for childbirth.?Family history?reveals that her maternal grandmother is alive with dementia, while her maternal grandfather is alive with COPD. Her paternal grandparents are both deceased?due to an automobile accident. Her mother is alive with osteopenia and fibromyalgia, and her dad is alive with a history of skin cancer (basal cell).?Elaine has one older sister with no medical problems and one younger brother with no reported medical problems.? 

• Height 5’ 7”?Weight?148?(BMI 23.1),?BP 118/72 P?68? 
• HEENT:? wnl? 
• Neck: supple without adenopathy? 
• Lungs/CV: wnl? 
• Breast: soft, fibrocystic changes bilaterally,?without masses, dimpling or discharge? 
• Abd: soft, +BS, no tenderness? 
• VVBSU: wnl, except?1st?degree cystocele? 
• Cervix: firm, smooth, parous, without CMT? 
• Uterus: RV, mobile,?non-tender,?approximately 10 cm,? 
• Adnexa: without masses or tenderness? 

QUESTION:

What other information do you need?? 

MORE QUESTIONS:

? 

1. What has she used in the?past?? Why did she stop a?method?? How many partners in past 12?months?? 
2. What are her current cycles like?? 
3. When was her last gyn exam?and what were the results of?the?tests??? 
4. Are her migraines with or without auras?? 
5. What method has she considered.?
6. What are your next steps/considerations??
7. What teaching should you do??                                           
8. What methods would be appropriate for Elaine??