Week 5 case study ins | Nursing homework help
3. Next, click on
Upload File and select Submit Assignment for review.
Rubric
NRNP_6552_Week5_Case_Study_Assignment_Rubric Barbara. History of Present Illness (HPI): Barbara is a 73-year-old Caucasian G2P2002. She is a retired schoolteacher, lives alone. She complains of 2-year history of ten episodes of daytime frequency with small frequent voids, a constant desire to urinate, and nocturia x 3 every night, resulting in poor sleep. More recently, symptoms have worsened and now include a sudden urge to void and occasional urinary incontinence with structured physical activity. She changes pads three times a day and complains of superficial dyspareunia. She denies OAB meds or hormone replacement therapy in the past. She complains of mild constipation and has had three lower urinary tract infections (UTIs) in the last 12 months. Prior medical history: HTN, UTI. Prior surgical history: Appendectomy (1998) Current medications: Cardura 2mg daily, furosemide 20mg daily. Allergies: Penicillin OB- GYN History: Forceps-assisted VD x 2. Menarche age 14, normal throughout life. No history of sexually transmitted infections (STDs). Last pap smear age 67 years, normal. LMP: Approximately 25 years ago. Contraception history: None. Social history: Lives alone. Retired schoolteacher. ETOH: 1-2 glasses red wine nightly. No recreational drug use. Never smoked. Plays bingo 3 times weekly and participates in structured physical activity (pickle ball and Pilates) 3-4 times weekly. Family history: Mother (deceased age 79)- CVA. Father (deceased age 72) – MI/ASHD Review of Systems (ROS): As noted in HPI. Physical Exam (PE) VS: BP: 133/68, P: 68, RR: 16, T: 97.3, Weight 134lbs, Height 64 inches, BMI 23 kg/m2 On physical exam, marked urogenital atrophy is noted, no ulcerations noted. Positive urine leakage when asked to cough. There is uterine descent into vagina up to the introitus, bladder is noted just at the opening of the vagina, and rectum noted halfway to hymen. image1.jpeg