Managing Complex Comorbidities in Womens Health Discussion
ANSWER
The allocated patient is a 46-year-old lady with a history of breast cancer in her family. She has hypertension (HTN) history and receives yearly mammograms as required. She complains of nocturnal sweats, hot flashes, and genitourinary problems. Her Pap smears have been regular overall, but she has a history of atypical squamous cells of uncertain significance (ASCUS) on a prior exam. Her blood pressure is now assessed at 150/90, and she takes HCTZ 25mg and Norvasc 10mg daily to treat it. Her most recent menstrual period (LMP), which occurs regularly, was a month ago.
Treatment Plans Recommendation: Considering the patient’s genitourinary complaints, nocturnal sweats, and hot flushes, as well as
QUESTION
Description
As an advanced practice nurse, you will likely experience patient encounters with complex comorbidities. For example, consider a female patient who is pregnant who also presents with hypertension, diabetes, and has a recent tuberculosis infection. How might the underlying pathophysiology of these conditions affect the pharmacotherapeutics you might recommend to help address your patient’s health needs? What education strategies might you recommend for ensuring positive patient health outcomes?
FOR THIS DISCUSSION, YOU WILL BE ASSIGNED A PATIENT CASE STUDY AND WILL CONSIDER HOW TO ADDRESS THE PATIENT’S CURRENT DRUG THERAPY PLANS. YOU WILL THEN SUGGEST RECOMMENDATIONS ON HOW TO REVISE THESE DRUG THERAPY PLANS TO ENSURE EFFECTIVE, SAFE, AND QUALITY PATIENT CARE FOR POSITIVE PATIENT HEALTH OUTCOMES. STUDY 2
A 46-year-old, 230lb woman with a family history of breast cancer. She is up to date on yearly mammograms. She has a history of HTN. She complains of hot flushing, night sweats, and genitourinary symptoms. She had felt well until 1 month ago and she presented to her gynecologist for her annual gyn examination and to discuss her symptoms. She has a history of ASCUS about 5 years ago on her pap, other than that, Pap smears have been normal. Home medications are Norvasc 10mg qd and HCTZ 25mg qd. Her BP today is 150/90. She has regular monthly menstrual cycles. Her LMP was 1 month ago.
BY DAY 3 OF WEEK 9
Post a brief description of your patient’s health needs from the patient case study you assigned. Be specific. Then, explain the type of treatment regimen you would recommend for treating your patient, including the choice or pharmacotherapeutics you would recommend and explain why. Be sure to justify your response. Explain a patient education strategy you might recommend for assisting your patient with the management of their health needs. Be specific and provide examples.
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