south nsg6330 week 9 discussion latest 2017 december

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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