Assignment: Women’s and Men’s Health/Infections and Hematologic Systems

Assignment: Women’s and Men’s Health/Infections and Hematologic Systems

Assignment: Women’s and Men’s Health/Infections and Hematologic Systems

Women’s and Men’s Health/Infections and Hematologic Systems

Patient’s Health Needs

The case study indicates that the client has various health needs. First, she must be educated on the recommended lifestyle changes, including dietary control and physical activities to manage her weight and blood pressure level. Additionally, the client was diagnosed with ASCUS 5 years back. Thus, she requires additional testing to confirm if she has cervical cancer or not.

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Summary of the Case

            The case is about A 46-year-old, 230lb woman whose family has a history of cancer. The client has a history of HTN and ASCUS, which was diagnosed about five years ago on her pap. She comes to the clinic complaining of hot flushing, genitourinary symptoms, and night sweats. The patient’s gender and age make this case complex. Women experience hot flashes and night sweats before and during menopause due to changes in the level of hormones. Thus, the client might be experiencing the presented symptoms due to menopause. On the contrary, the client has a regular menstrual cycle ruling out the possibility of menopause. Current conditions and family health history are the essential points to consider for this patient.

Recommended Treatment

Pharmacology treatments are effective and safe in managing various health conditions (Rosenthal & Burchum, 2021). First, Norvasc (amlodipine)10mg once daily is recommended for this client to manage her HTN. NORVASC 10 mg once daily is the maximum dosage that should be prescribed to a patient with hypertension (Fares et al., 2016). This medication is safe and effective in controlling hypertension, thus preventing morbidity and mortality associated with this condition (Johnson et al., 2019).  Additionally, HCTZ 25mg qd is recommendable for this client. This medication is effective in lowering high blood pressure to prevent further complications, including heart attacks, strokes, and, kidney problems (Burnier et al., 2019).

A Patient Education Strategy

A patient education strategy recommended for this client is patient teach-back. This approach will enable the clinicians to explain effective self-management techniques to the patient. The patient will, in turn, use these strategies to manage her condition, thus improving clinical outcomes and the quality of life.

 References

Burnier, M., Bakris, G., & Williams, B. (2019). Redefining diuretics use in hypertension: why select a thiazide-like diuretic? Journal of hypertension, 37(8), 1574.

Fares, H., DiNicolantonio, J. J., O’Keefe, J. H., & Lavie, C. J. (2016). Amlodipine in hypertension: a first-line agent with efficacy for improving blood pressure and patient outcomes. Open Heart, 3(2).

Johnson, R., Dludla, P., Mabhida, S., Benjeddou, M., Louw, J., & February, F. (2019). Pharmacogenomics of amlodipine and hydrochlorothiazide therapy and the quest for improved control of hypertension: a mini review. Heart failure reviews, 24(3), 343-357.

Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants (2nd ed.) St. Louis, MO: Elsevier.

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A 46-year-old, 230lb woman with a family history of breast cancer. She is up to date on yearly mammograms. She has a history of HTN. She complains of hot flushing, night sweats, and genitourinary symptoms. She had felt well until 1 month ago and she presented to her gynecologist for her annual gynecological examination and to discuss her symptoms. She has a history of ASCUS about 5 years ago on her pap, other than that, Pap smears have been normal. Home medications are Norvasc 10mg qd and HCTZ 25mg qd. Her BP today is 150/90. She has regular monthly menstrual cycles. Her LMP was 1 month ago.

Post a brief description of your patient’s health needs from the patient case study you assigned. Be specific. Write 2-3 sentences to summarize the case. Then elaborate on what makes this case special/complex? What are important points to consider specifically for this patient?
Then, explain the type of treatment regimen you would recommend for treating your patient, including the choice or pharmacotherapeutics you would recommend. Reference the treatment guidelines for menopause. See links below. Focus on the drugs.
and explain why. Be sure to justify your response. Why would you select this drug for this patient? Or why would certain options be inappropriate/more appropriate?
Explain a patient education strategy you might recommend for assisting your patient with the management of their health needs. Be specific and provide examples. Include counseling pearls.
Required Reading:

Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants (2nd ed.) St. Louis, MO: Elsevier.

Chapter 46, “Anticoagulant and Antiplatelet Drugs” (pp. 364–371)
Chapter 47, “Drugs for Deficiency Anemias” (pp. 389–396)
Chapter 50, “Estrogens and Progestins: Basic Pharmacology and Noncontraceptive Applications” (pp. 425–436)
Chapter 51, “Birth Control” (pp. 437–446)
Chapter 52, “Androgens” (pp. 447–453)
Chapter 53, “Male Sexual Dysfunction and Benign Prostatic Hyperplasia” (pp. 454–466)
Chapter 70, “Basic Principles of Antimicrobial Therapy” (pp. 651–661)
Chapter 71, “Drugs That Weaken the Bacterial Cell Wall I: Penicillins” (pp. 662–668)
Chapter 75, “Sulfonamides Antibiotics and Trimethoprim” (pp. 688–694)
Chapter 76, “Drug Therapy of Urinary Tract Infections” (pp. 695–699)
Chapter 78, “Miscellaneous Antibacterial Drugs” (pp. 711–714)
Chapter 79, “Antifungal Agents” (pp. 715–722)
Chapter 80, “Antiviral Agents I: Drugs for Non-HIV Viral Infections” (pp. 723–743)
Chapter 82, “Drug Therapy of Sexually Transmitted Diseases” (pp. 763–770)
Roberts, H., & Hickey, M. (2016). Managing the menopause: An update. Maturitas, 86(2016), 53–58. .https://doi.org/10.1016/j.maturitas.2016.01.007

This article provides an update on treatments on Vasomotor symptoms (VMS), genito-urinary syndrome of menopause (GSM), sleep disturbance, sexual dysfunction, and mood disturbance that are common during the menopause transition.

Agency for Healthcare Research and Quality. (2014). Guide to clinical preventive services, 2014: Section 2. Recommendations for adults. Retrieved from http://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/guide/section2.html

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This website lists various preventive services available for men and women and provides information about available screenings, tests, preventive medication, and counseling.

Writing Tips:
Keep in mind this patient still has regular cycles. In addition, she is obese and did not have breast cancer herself, just a family history of breast cancer. Would any of these factors change your suggested treatment for this patient?

Hormone therapy is contra-indicated for patients with family history of breast cancer.

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