NURS664B Week 8 | Nursing in Health Care - Westcoast university

NURS664B Primary Care Women's Health Theory Week 8 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 23-year-old female comes to your office with vague vaginal complaints. She reports that sometimes intercourse is uncomfortable, and sometimes she notices a little whitish-clear non-odorous vaginal discharge midway through her cycle. But none of her complaints supports a vaginal infection/STI or other organic pelvic condition diagnosis. You notice this patient has bruising on her back and both arms.

Please write the specific questions you will ask this patient in layperson’s terms. What is your plan of care?

1. A 46-year-old female G5 P3 comes to your office for her annual physical exam. On her intake paperwork, you note she selected the “have sex with females” box and did not select the “have sex with males” box in her sexual history.

What additional questions should you ask your patient so that you can provide her with comprehensive, patient-centered care? How will you sensitively handle the topic of birth control? What is your plan of care for this patient?

1. A 49-year-old woman is concerned that her partner of the same sex and age no longer initiates sexual activity. Her partner has been experiencing irregular menses and low energy for the past year. Nothing seems to stimulate her partner as it used to. When the woman extends foreplay to give her partner more time to respond, she does not respond as before, and it is beginning to affect their relationship because they do not communicate like they used to.

What are your presumptive and differential diagnoses? What patient education will you provide for this patient?