Female Patient Cases 3

Sample Answer

Discuss and describe the pathophysiology and symptomology/clinical manifestations of Hyperandrogenism.

Hyperandrogenism occurs when an individual has an excessive level of androgens in their body. The hyperandrogenic phenotype, specifically, demonstrates the most significant susceptibility to metabolic syndrome. Hoeger et al. (2020) postulate that an excess of androgens causes insulin resistance by increasing lipid buildup in adipose tissue. Hyperinsulinemia worsens androgen production. Hyperandrogenism may present with virilization, acne, hirsutism, and androgenic alopecia. The patient in the supplied case study had symptoms such as hirsutism, clitoral enlargement, and menstrual abnormalities.

Discuss three differential diagnoses for AUB with ICD 10 numbers for each.

The three potential causes for abnormal uterine bleeding (AUB) are adenomyosis (N80.03), endometrial polyps (N84.0), and submucous leiomyomata (D25.0). Adenomyosis is characterized by transforming the uterine lining tissue into the uterine muscular wall (Hoeger et al., 2020). An endometrial polyp, or a uterine polyp, is an anomalous growth composed of glands, stroma, and blood vessels that protrude from the uterine lining and fill areas of varying sizes inside the uterine cavity. Finally, Submucosal leiomyomas of the uterus are a specific form of uterine leiomyoma that mostly protrude into the endometrial cavity. When the fibroid is mainly located inside the cavity, it is often called an intracavitary fibroid.

Discuss patient education.

It is essential to provide the patient with information on the need for regular physical activity, a nutritious diet, and maintaining a healthy weight as the primary interventions for PCOS (Hoeger et al., 2020). The patient will get instruction on the fact that therapy may mitigate unpleasant symptoms and mitigate the risk of long-term health complications. The patient should also be advised that weight reduction may suffice as the only therapy if they are overweight.

Develop the management plan (pharmacological and nonpharmacological).

• Lifestyle Modification For overweight and obese women and adolescents with PCOS, the most effective first approaches for weight reduction and IGT are exercise and restricted-calorie diets (Hoeger et al., 2020).
• Hormonal Contraceptive Hormonal contraception, whether oral, patch, or vaginal rings, is the first-line therapy for monthly irregularities and hirsutism (Hoeger et al., 2020).

A practical health assessment incorporates not only physiological parameters; please suggest other parameters that should be considered and included in health assessments to reach maximal health potential in individuals.

The nursing assessment involves collecting data on the patient’s distinct mental, physical, social, and spiritual needs (Potter, 2023). It is the initial phase of the practical assessment of a patient. The methodology entails gathering data that is both objective and subjective. The examination includes taking the patient’s vital signs, including their temperature, blood pressure, heart rate, breathing rate, and pain level, measured using a pain scale appropriate for their age and condition. A mental or emotional health exam is also required for a person to reach their full potential in terms of health. This includes assessing cognitive function, looking for signs of hallucinations and delusions, measuring concentration levels, and finding out about hobbies and activity levels.

Name the different family developmental stages and give examples of each one.

1. Coupling

The formation of a family occurs when two individuals establish a shared residence, which may or may not entail matrimony.

2. Becoming Three and Beyond

The advent and subsequent integration of the initial child or dependent individual marks the commencement of the second stage in the trajectory of family existence.

3. Entrance

The first dependent kid or member leaves the intrafamily environment and enters the outside world to mark the start of the third phase.

4. Exits

The last kid or dependant in the family’s group enters the community at this phase. The first complete departure of a dependent family member marks the beginning of this era.

5. Becoming smaller/extended

When the last kid or dependent member leaves the family, the family becomes more minor or extended.

6. Final Years

Starting with the passing of one partner or spouse, the final years go until the other partner passes away (Ho et al., 2022).

Describe family structure and function and the relationship with health care.

The family structure encompasses current members and significant characters from the past and the nature of their interactions (Ho et al., 2022). The family serves as the social framework within which disease takes place. The well-being and physical condition of each individual within the family unit dramatically relies on the quality of their interpersonal relationships with other family members.

A family’s functioning significantly impacts its members’ health and how a person responds to disease. The family serves as the patient’s social network, contributing to their sense of identity and forming psychologically solid connections. Additionally, each member of the family has a distinct function. Each family operates uniquely and does not possess an identical structure or aesthetic.

References

• Ho, Y. L., Mahirah, D., Ho, C. Z., & Thumboo, J. (2022). The role of the family in health promotion a scoping review of models and mechanisms. Health Promotion International, 37(6). https //doi.org/10.1093/heapro/daac119
• Hoeger, K. M., Dokras, A., & Piltonen, T. (2020). Update on PCOS Consequences, Challenges, and Guiding Treatment. The Journal of Clinical Endocrinology & Metabolism, 106(3). https //doi.org/10.1210/clinem/dgaa839
• Potter, P. (2023). Fundamentals of nursing. Elsevier. https //www.clinicalkey.com/student/nursing/content/book/3-s2.0-B9780323810340000374#hl0002516