Advanced Practice Nurses And Physician Assistants Assignment
Post a brief description of your patient’s health needs from the patient case study you’re assigned. Be specific. Then, explain the type of treatment regimen you would recommend for treating your patient, including the choice or pharmacotherapeutics you would recommend and explain why. Be sure to justify your response. Explain a patient education strategy you might recommend for assisting your patient with the management of their health needs. Be specific and provide examples. NEED 3 Resources Advanced Practice Nurses And Physician Assistants Assignment
ASSIGNED CASE STUDY:
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 gyn 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.
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Resources:
- 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 updateLinks to an external site.. Maturitas, 86(2016), 53–58. https://doi.org/10.1016/j.maturitas.2016.01.007 Advanced Practice Nurses And Physician Assistants Assignment
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.
Discussion post: A case study
Patient’s health needs
In this case, the patient is a 46-year-old woman having a family history of breast cancer who appears with night sweats, hot flushing, and genitourinary symptoms. She also had a history of hypertension and an abnormal pap smear just over five years ago. Her blood pressure is 150/90 mmHg, and she is now taking Norvasc 10mg twice a day and HCTZ 25mg twice daily to treat her hypertension.
Treatment regimen
The patient is probably experiencing menopausal symptoms following the symptoms and medical history. A treatment plan involving hormone replacement therapy (HRT) might be effective (Gersh & Lavie, 2020). According to Fox et al. (2021), administering a low-dose estrogen patch has been scientifically proven successful in lowering hot flashes, nocturnal sweats, and vaginal dryness. Therefore, I would recommend it to the patient. To keep decreasing the patient’s blood pressure, I recommend including an ACE inhibitor in her regimen, like lisinopril, for managing the patient’s hypertension.
Patient education strategy
Regarding patient education, I would suggest the patient maintain a healthy lifestyle by consuming a nutritious diet, exercising regularly, and refraining from smoking and drinking excessive alcohol. The patient needs to be informed to monitor her blood pressure periodically and inform her physician of any worrisome symptoms. She should also be made aware of the possible adverse effects of HRT, like an elevated risk of blood clots and breast cancer, and the value of routine gynecologic and mammographic examinations (Armour et al. 2021). Advanced Practice Nurses And Physician Assistants Assignment
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I also propose that the patient be supplied with educational resources, like pamphlets and websites that offer further details about menopause and HRT. Additionally, the patient needs to be urged to bring up any issues with her physician and to ask questions. Giving the patient the proper education and encouragement may assist her in managing her medical needs and getting the most effective outcomes.
References
Armour, M., Hyman, M. S., Al-Dabbas, M., Parry, K., Ferfolja, T., Curry, C., … & Holmes, K. (2021). Menstrual health literacy and management strategies in young women in Australia: a National Online Survey of young women aged 13-25. Journal of Pediatric and Adolescent Gynecology, 34(2), 135-143.
Gersh, F. L., & Lavie, C. J. (2020). Menopause and hormone replacement therapy in the 21st century. Heart, 106(7), 479-481.
Fox, K. A., Lokken, E. M., Reed, S. D., & Rahn, D. D. (2021). Evaluation of systemic estrogen for preventing urinary tract infections in postmenopausal women. Menopause, 28(7), 836-844. Advanced Practice Nurses And Physician Assistants Assignment