NURS6551 week 3 discussion latest 2018 june
Week 3
discussion
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Discussion: Contraception Treatments
Considering the potentially negative consequences of
unintended pregnancy for a woman’s health and well-being, effective
contraceptive treatments are an important part of gynecologic care. There are a
variety of contraceptive treatment methods available for women, including
hormonal, barrier, and fertility awareness options. Each method has its own
strengths and limitations, and each patient often has individual factors that
might also impact appropriateness of use. In your role as the advanced practice
nurse, it is important to keep in mind that while you may make contraceptive
recommendations to patients, contraceptive selection is a joint decision
between the patient and the provider. For this Discussion, consider which
contraceptive treatments would be most appropriate for the patients in the
following three case studies:
Case Study 1:
A 23-year-old Caucasian female presents with concerns about
mood swings around the time of her menses. She believes she has PMS and wants
to know if there is medication to control it.
Case Study 2:
A 25-year-old Latina female presents with menstrual cramping
that has been getting worse over time. She has never been pregnant and she has
one male sex partner. Her gynecologic exam is normal.
Case Study 3:
A 33-year-old Caucasian female is being seen in clinic for
contraception. She is using birth control pills, but forgets to take them
because her work schedule changes every week. She has been married for 14 years
and has two children. She is looking for an effective method that will be easy
to remember. She has a history of chronic headaches and hypertension during
pregnancy. She has never been treated for a sexually transmitted infection and
is in a mutually monogamous relationship. Family history is significant for an
aunt with breast cancer. She smokes half a pack of cigarettes per day. She is 5
ft. 8 in. and 215 lbs. Her vital signs are: BP 120/78, p 72, reg.
To prepare:
Review Chapter 12 of the Schuiling and Likis text and the
Dragoman et al. article in this week’s Learning Resources
Select one of the three provided case studies. Reflect on
the patient information.
Consider an appropriate contraception treatment for the
patient case study you selected.
Think about how you might facilitate the selection of
contraception treatments with patients who do not agree with your
recommendations.
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