nsg6430 week 9 discussion latest 2018 april

Week
9 discussion

Hormone
Replacement Therapy

This discussion assignment provides a forum
for discussing relevant topics for this week based on the course competencies
covered. For this assignment, make sure you post your initial response to the
Discussion Area by the due date assigned.

To support your work, use your course
textbook readings and the South University Online Library. As in all
assignments, cite your sources in your work and provide references for the
citations in APA format.

Start reviewing and responding to the
postings of your classmates as early in the week as possible. Respond to at
least two of your classmates’ initial postings. Participate in the discussion
by asking a question, providing a statement of clarification, providing a point
of view with a rationale, challenging an aspect of the discussion, or
indicating a relationship between two or more lines of reasoning in the
discussion. Cite resources in your responses to other classmates. Complete your
participation for this assignment by the end of the week.

For this assignment, you will review the
latest evidence based guidelines as they pertain to the case below. Discussion
of the case is based on the course objectives and weekly content, which
emphasize the core learning objectives for an evidence-based primary care
curriculum. Throughout your nurse practitioner program, case study discussions
are used to promote the development of clinical reasoning through the use of
ongoing assessments and diagnostic skills, and to develop patient care plans
that are grounded in the latest clinical guidelines and evidence-based
practice.

Ms. Martin is a 55-year-old woman who has
been on HRT for 4 years. HRT was prescribed because Ms. Martin was experiencing
vasomotor symptoms associated with menopause. Her last mammogram was 2 years
ago and last pap was 5 years ago. Ms. Martin made an appointment with her nurse
practitioner to discuss discontinuing HRT after hearing and reading news
reports about the dangers associated with the medication. Except for the HRT,
Ms. Martin is taking no medication other than a daily vitamin. She had a tubal
ligation after the birth of her third child but has had no other surgeries or
history of any medical conditions. Her father had cardiovascular disease and
died of a myocardial infarction at 77 years of age. Her mother was diagnosed
with breast cancer at 81 years of age. Ms. Martin does not smoke and rarely
drinks alcohol. She likes to work in her garden but is not involved in a formal
exercise program. She has gained about 10 pounds since menopause.

What evidence-based information will you
provide to Ms. Martin regarding her concerns of HRT? Discuss the advantages and
risks associated with HRT.

What are your recommendations for Ms.
Martin? Will you recommend continuing or discontinuing HRT and why?

What alternative treatments for menopausal
symptoms will you discuss with Ms. Martin?

Discuss the recommended screening tests,
using the latest evidence based guidelines that Ms. Martin should have.

What health promotion, maintenance, and
prevention education would be important to provide to Ms. Martin?

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