Assignment: Womens And Mens Health, Infectious Disease, And Hematologic Disorders 

Assignment: Womens And Mens Health, Infectious Disease, And Hematologic Disorders

Assignment: Womens And Mens Health, Infectious Disease, And Hematologic Disorders 

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.

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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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Women’s And Men’s Health, Infectious Disease, And Hematologic Disorders 

The patient’s health needs include vasomotor symptoms like hot flushes and night sweats, which can be associated with perimenopause since the patient is transitioning to menopause. She has genitourinary symptoms that can also be attributed to perimenopause. The patient also has blood pressure management needs owing to her history of HTN and an elevated BP of 150/90.  Besides, she has weight management needs considering her current weight of 230 lb. The patient has previously had abnormal cells on Pap smear, which increases her risk of cervical cancer, while the family history of breast cancer increases her risk of breast cancer.

The recommended treatment therapy will be hormonal replacement therapy (HRT), comprising a combination of estrogen and progesterone.  According to Palacios et al. (2019), estrogen is the primary active component of HRT and is the gold standard for managing perimenopausal symptoms, especially vasomotor symptoms. Bansal and Aggarwal (2019) assert that females with an intact uterus need progestins alongside estrogens to prevent endometrial hyperplasia and carcinoma. Therefore, I will recommend Estradiol 25 mcg transdermal patch as the estrogen replacement and Micronized progestin 100 mg. I recommend estrogen transdermal patches since they have a lower risk of vaginal bleeding, breast tenderness, thromboembolism, and stroke. Furthermore, I would continue Norvasc 10 mg OD and HCTZ 25 mg to maintain an optimal BP.

An example of a health education strategy that can be utilized with this patient is providing health educational materials.  This includes pamphlets, YouTube video links, and podcast links on the management of perimenopausal symptoms. The educational materials should also include education on lifestyle interventions to promote weight loss and maintain optimal BP. Bhattad and Pacifico (2022) explain that patient education materials help to educate patients on their health conditions, improve their health literacy, and foster informed decision-making based on the most current and updated medical and clinical evidence and patient preference.

References

Bansal, R., & Aggarwal, N. (2019). Menopausal Hot Flashes: A Concise Review. Journal of mid-life health, 10(1), 6–13. https://doi.org/10.4103/jmh.JMH_7_19

Bhattad, P. B., & Pacifico, L. (2022). Empowering Patients: Promoting Patient Education and Health Literacy. Cureus, 14(7), e27336. https://doi.org/10.7759/cureus.27336

Palacios, S., Stevenson, J. C., Schaudig, K., Lukasiewicz, M., & Graziottin, A. (2019). Hormone therapy for first-line management of menopausal symptoms: Practical recommendations. Women’s health (London, England), 15, 1745506519864009. https://doi.org/10.1177/1745506519864009