OBGYN wk 11 Discussion
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OBGYN wk 11 Discussion
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Common Health Conditions with Implications for Women, Part 2
Some common health conditions, such as type 2 diabetes, are often associated with a certain age, body type, or ethnicity. However, this can be misleading. Consider 55-year-old Melissa Cross. While attending a women’s health and wellness conference, Cross decided to participate in the free health screenings. At her age, she was most concerned with her bone health. However, to her surprise, her bone health was fine, and she was diagnosed with diabetes. She stayed active, ate well, and maintained a healthy weight, so she never thought she would be a candidate for this condition (Vanderbilt University Medical Center, 2012). Like Cross, many women associate diabetes with unhealthy, obese women. As an advanced practice nurse, you must educate patients on their individual risks of common conditions such as diabetes. It is important for women to understand that there is no “typical” patient, and many common health conditions impact women from various backgrounds.
OBGYN wk 11 Discussion
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This week you examine common endocrine and musculoskeletal conditions that impact women. You also explore differential diagnoses, treatment and management plans, and patient education strategies for women with these conditions.
Learning Objectives
By the end of this week, students will:
Assess patients with common endocrine and musculoskeletal conditions
Evaluate differential diagnoses for common endocrine and musculoskeletal conditions
Analyze treatment and management plans for patients with common endocrine and musculoskeletal conditions
Analyze strategies for educating patients on the treatment and management of common endocrine and musculoskeletal conditions
Compare the diagnosis and management of female and male patients with the same endocrine and musculoskeletal conditions
Understand and apply key terms, principles, and concepts related to common health conditions with implications for women
Evaluate diagnoses for patients
Evaluate treatment and management plans
Evaluate health problems common during pregnancy*
Evaluate postpartum depression in patients*
Evaluate body system conditions*
Evaluate best practices for assessing and managing conditions related to women’s health*
Evaluate the impact of differences in best practices on women’s health*
*These Learning Objectives support Assignments that are due this week, but were assigned in Weeks 8–10.
Photo Credit: nicole waring/E+/Getty Images
Learning Resources
Required Readings
Schuiling, K. D., & Likis, F. E. (2013). Women’s gynecologic health (2nd ed.). Burlington, MA: Jones and Bartlett Publishers.
OBGYN wk 11 Discussion
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Chapter 22, “Urinary Tract Infection in Women” (pp. 535–546)
This chapter describes the etiology of urinary tract infections (UTIs) in women. It also examines strategies for assessing, diagnosing, and managing UTIs in women, including special considerations for adolescents, postmenopausal women, and pregnant women.
Chapter 23, “Urinary Incontinence” (pp. 547–571)
This chapter examines the anatomy of the pelvic structures and its relationship to urinary incontinence. It also provides strategies for assessing, diagnosing, treating, and managing urinary incontinence in women.
Tharpe, N. L., Farley, C., & Jordan, R. G. (2013). Clinical practice guidelines for midwifery & Women’s health (4th ed.). Burlington, MA: Jones & Bartlett Publishers.
Review: Chapter 8, “Primary Care in Women’s Health” (pp. 431–560)
This chapter explores health promotion and disease prevention in women’s health. It also examines the presentation and treatment of various systemic conditions, including those of the endocrine and musculoskeletal systems.
Optional Resources
Centers for Disease Control and Prevention. (2012b). Women’s health. Retrieved from http://www.cdc.gov/women/
National Institutes of Health. (2012). Office of Research on Women’s Health (ORWH). Retrieved from http://orwh.od.nih.gov/
U.S. Department of Health and Human Services. (2012a). Womenshealth.gov. Retrieved from http://www.womenshealth.gov/
OBGYN wk 11 Discussion
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Discussion: Diagnosing and Managing Common Endocrine and Musculoskeletal Conditions
Endocrine and musculoskeletal conditions, especially when left untreated, can have a significant impact on women’s health. Many of these conditions present unique challenges for women, making risk assessments and routine screenings an important part of primary care. As an advanced practice nurse, you must identify signs and symptoms of these conditions and educate at-risk patients so they can also monitor themselves. For this Discussion, consider how you would diagnose, treat, and educate the patients in the following three case studies:
Case Study 1
A 33-year-old Caucasian female presents with concerns about a four-month history of diffuse musculoskeletal pain and stiffness associated with fatigue and dry eyes. The pain varies with the weather and is worse in the morning. Her menstrual periods are irregular and she has frequent dyspareunia. Physical exam is remarkable for pain at different points all over the body, including neck, back, chest, elbows, hips, buttocks, and knees
Case Study 2
A 28-year-old Latina obese female presents to the clinic with increasing body hair and irregular menses. She now has coarse body hair on her chest and upper back. Her menstrual periods used to be fairly regular, but now she can skip three or four months before her next menstrual cycle. She has never been pregnant. She has one male sex partner.
Case Study 3
A 28-year-old Caucasian female comes to clinic concerned about three episodes of urinary incontinence associated with difficulty walking. The first two episodes resolved spontaneously after a couple of days without residuals, but this current episode has lasted a week. Today she began to have some blurred vision. Physical exam is remarkable for mild edema of the optic disc and difficulty with heel-to-toe walking. Deep tendon reflexes are 2+ and there is no extremity weakness.
OBGYN wk 11 Discussion
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To prepare:
Review Chapter 8 of the Tharpe et al. text and the McSweeney et al. article in this week’s Learning Resources.
Review and select one of the three provided case studies. Analyze the patient information.
Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.
Reflect on the appropriate clinical guidelines. Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or nonpharmacologic treatments.
Consider strategies for educating patients on the treatment and management of the disorder you identified as your primary diagnosis.
INSTRUCTIONS FOR PAPER:
Write an explanation of the differential diagnosis for the patient in the case study you selected(CASE STUDY #3). Explain which is the most likely diagnosis for the patient and why. Then, based on the appropriate clinical guidelines, explain a treatment and management plan for the patient, including proper dosages for any recommended treatments. Finally, explain strategies for educating patients on the disorder.
OBGYN wk 11 Discussion
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