Female Patient Cases 4 Case 1
University:
St. Thomas University
Female Patient Cases 4 Case 1
Paper Instructions
For this Discussion, your instructor will assign you a case number.
- Case 1
- Case 2
- Case 3
Cases
O.P. is a 43-year-old female patient who is seeing at the office because she is complaining of vaginal bleeding after sexual intercourse for about two months now.
She stated she has been married for 4 years now but has multiple sexual partners in the past. As positive history in her last cervical cancer screen (two years ago) she was positive for HPV type 16.
L.T. is a 62-year-old female patient who consulted to the clinic for abdominal discomfort, vague abdominal pain in lower abdomen, constipation and low to moderated pain with sexual intercourse. She is post-menopausal and her last visit to her OB/GYN doctor was two years ago.
She was at the local Urgent care clinic last month and was discharge with OTC medications for constipation and follow up with PCP. During your physical exam you notice discomfort at deep abdominal palpation in left lower quadrant. On bi-manual pelvic examination you notice a mass of about 4 cm x 3 cm, nodular and with limited mobility on the left lower abdomen.
You work in a women’s health clinic. Many come lower abdominal discomfort. with Chronic Pelvic Pain (CPP).
Questions for the case:
- Discuss the appropriate diagnostic testing for the patient.
- Develop the management plan (pharmacological and nonpharmacological).
- Why is HPV the most important of the cervical cancer screening in patients that have tested HPV positive.
According to the United States Preventive Service Taskforce (USPSTF) guidelines, what would be the cervical cancer screening recommendation for average risk women in the age range for O.P. and until what age women should be screened.
- Develop the management plan (pharmacological and nonpharmacological).
- Discuss the appropriate diagnostic testing for the patient
- Discuss differential diagnoses with ICD 10 numbers for each.
Base on the International Federation of Gynecology and Obstetrics (FIGO) give treatment examples for a patient with a Stage IIB Ovarian Cancer.
- Discuss and described the pathophysiology and symptomology/clinical manifestations.
Give three examples with definition of Chronic Pelvic Pain (CPP) of:
- Gynecologic origin with ICD 10 numbers.
- Non-gynecologic origin with ICD 10 numbers.
- Discuss patient education.
- Develop the management plan (pharmacological and nonpharmacological).
Once you received your case number; answer the specific question on the table above. Then, continue to discuss the 3 topics listed below for your case:
- An effective health assessment incorporates not only physiological parameters; please suggest other parameters that should be considered and included on health assessments to reach maximal health potential on individuals.
- Name the different family developmental stages and give examples of each one.
- Describe family structure and function and the relationship with health care.
Submission Instructions
Your instructor will assign you your case number and you will post on the case number you have been assigned.MUST USE CASE 1
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.
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Sample Answer
Case 1
The appropriate diagnostic test for OP would be a Pap smear and biopsy. OP has a positive history of HPV type 16. This implies that she is at risk of cervical cancer. The presence of post-coital bleeding indicates a possibility of cervical cancer diagnosis. A Pap smear and biopsy would rule out cervical cancer. An examination of tissue samples would help healthcare providers to determine if OP has cervical cancer or not. The appropriate pharmacological plan for OP should she be diagnosed with cervical cancer depends on the cancer stage. The treatment options include chemotherapy, radiotherapy, or surgery.
Non-pharmacological interventions include counseling and psychological support, using vaginal lubricants, and avoiding rough sex. HPV is the most important of cervical cancer in patients who have tested HPV positive because it can cause changes in cervical cells and the development of cervical cancer (Tan et al., 2020). The US Preventive Services Task Force (USPSTF) recommends that patients of OP’s age undergo a Pap smear test for cervical cancer every three years, every 5 years testing for high-risk HPV testing, or every 5 years for both tests.
The additional parameters that should be considered and included in health assessments include subjective and objective assessments, and laboratory, and diagnostic investigations. Healthcare providers should obtain subjective data from patients to understand their experiences with a disease. They should also use objective assessment methods such as inspection, auscultation, percussion, and palpation to validate the concerns that patients raise. Healthcare providers should also perform laboratory tests and diagnostic investigations such as MRI scans to develop accurate diagnoses.
The family stages include family founding, childbearing, child rearing, child launching, and empty nest. Family founding is a stage where parents establish a home. The parents develop a philosophy of childbearing in the childbearing stage. Parents assume the responsibility of bringing up their children and adjusting their plans to meet the needs of their children in the child-rearing stage. Parents help their children enlarge their opportunities in the child launching stage. Parents live alone in the empty nest as their children begin living independently.
A family structure comprises people related by blood that form a family. Each member of a family often performs a unique function. The functions undertaken by each family member affect health care (Mirlashari et al., 2020). For example, fathers must be consulted before making health-related decisions in families where a father is the head of a home.
References
- Mirlashari, J., Brown, H., Fomani, F. K., de Salaberry, J., Zadeh, T. K., & Khoshkhou, F. (2020). The Challenges of Implementing Family-Centered Care in NICU from the Perspectives of Physicians and Nurses. Journal of Pediatric Nursing, 50, e91–e98. https //doi.org/10.1016/j.pedn.2019.06.013
- Tan, J. H. J., Jayasinghe, Y. L., Osinski, M. J., Brotherton, J. M. L., & Wrede, C. D. H. (2020). Recurrent post-coital bleeding Should colposcopy still be mandatory? Australian and New Zealand Journal of Obstetrics and Gynaecology, 60(6), 952–958. https //doi.org/10.1111/ajo.13247
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