WestCoast NURS664B Week 6 Discussion Latest 2022 October

NURS664B Primary Care Women's Health Theory

Week 6 Discussion

Select one of the following case studies to address. In the subject line of your post, please identify which prompt you are responding to, for example, #2 a post-menopausal 57-year old woman.

Discuss what questions you would ask the patient, what physical exam elements you would include, what further testing you would want to have performed, differential and working diagnosis, treatment plan, including inclusion of complementary and OTC therapy, referrals, and other team members needed to complete patient care.

Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas.  Please refer to evidence-based guidelines to support your decision-making.

In your peer replies, please reply to at least one peer who chose a different case study.

1.  A 63-year-old woman complains of frequency and burning with urination for the last two days that is worsening. No CVAT, no flank pain, afebrile, and no remarkable findings upon PE.

What is your presumptive diagnosis?

What is your rationale for choosing the presumptive diagnosis?

What is your plan of care?

2.  A 59-year-old woman G7P7 all uncomplicated NSVDs, complains of inadvertently urinating on herself whenever she coughs, sneezes, or heartily laughs. It has been happening intermittently since the birth of her last 3 children, but it now happens so often that she must wear a sanitary pad, and she is afraid there can be an odor at times. She asks you what, if anything, can be done to alleviate this that does not have to entail having surgery.

What type of urinary continence is this woman experiencing?

What is the pathophysiology?

What will you recommend for this patient?

3.  A 65-year-old woman complains of a heavy sensation in her vagina for the last 3 years that started mildly and has progressively worsened so that she now feels “something at the entrance.” Upon physical exam, you note that her cervix is just above (inside) the vagina about 1 to 2 centimeters.

What is your presumptive diagnosis?

What is your rationale for choosing the presumptive diagnosis?

What type (s) of treatments will you educate your patient on?