NURS 6521 Week 9 Discussion: Women’s and Men’s Health, Infectious Disease, and Hematologic Disorders

NURS 6521 Week 9 Discussion: Women’s and Men’s Health, Infectious Disease, and Hematologic Disorders

NURS 6521 Week 9 Discussion: Women’s and Men’s Health, Infectious Disease, and Hematologic Disorders

Discussion Post

The case study patient is a woman aged 46 years with a weight of 230lb and who hails from a family with a breast cancer history and HTN history. The patient has been in for a yearly mammogram, and last month, she visited her gynecologist for a GYN examination. Her initial complaints indicate that she experiences genitourinary, night sweats, and hot flushing symptoms. Also, despite having an ASCUS history for the last five years, her Pap smear is always normal. However, her blood pressure stands at 150/90, and she had regular monthly periods last month. On the same, the main medications include HCTZ 25mg QD and Norvasc 10mg QD.

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The patient presents signs of perimenopause symptoms from the indicated patient history and examination. Hence, the main healthcare needs for the patients include hypertension management. As one of the hypertension managements, I would ensure that the patient discontinued using Norvasc but instead prescribe the use of Lisinopril 20 mg daily. The intervention is essential since it will help reduce the flushing symptoms (Sonn et al., 2019). However, there will be a need to evaluate blood pressure levels within two weeks to assess the new medication’s effectiveness. Once there is a realization that the blood pressure control is effective with lisinopril, HCTZ will be discontinued to reduce genitourinary symptoms.

Patient education will be crucial to ensure that patient carries out the recommended practice to improve the overall healthcare outcomes (Milman et al., 2018). Hence, there will be a need to engage a teach-back strategy to ensure that the patient understands well how to log in the blood pressure assessment to monitor and identify hypotension symptoms (Zabolypour et al., 2020). In conclusion, the patient will also need a comprehensive education to understand the effect of lisinopril, such as cloudy urine, blurred vision, and confusion, among other symptoms, and the need to seek medical attention once these symptoms become adverse.

References

Sonn, B. J., Saben, J. L., McWilliams, G., Shelton, S. K., Flaten, H. K., D’Alessandro, A., & Monte, A. A. (2019). Predicting response to lisinopril in treating hypertension: a pilot study. Metabolomics, 15(10), 1-6. https://doi.org/10.1007/s11306-019-1601-7

Milman, T., Joundi, R. A., Alotaibi, N. M., & Saposnik, G. (2018). Clinical inertia in the pharmacological management of hypertension: a systematic review and meta-analysis. Medicine, 97(25). doi: 10.1097/MD.0000000000011121

Zabolypour, S., Alishapour, M., Behnammoghadam, M., Larki, R. A., & Zoladl, M. (2020). A comparison of the effects of teach-back and motivational interviewing on the adherence to medical regimen in patients with hypertension. Patient preference and adherence, 14, 401. doi: 10.2147/PPA.S231716

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Case 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.
.This discussion must address conditions related to the Module: Women’s and Men’s Health/Infections, as well as the types of drugs used to treat aspects of these disorders or health systems and resulting comorbidities.

Discussion: Women’s and Men’s Health, Infectious Disease, and Hematologic Disorders
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.

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To Prepare
• Review the Resources for this module and reflect on the different health needs and body systems presented.
• Your Instructor will assign you a complex case study to focus on for this Discussion.
• Consider how you will practice critical decision making for prescribing appropriate drugs and treatment to address the complex patient health needs in the patient case study you selected.
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.

Rubric Detail

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Name: NURS_6521_Week9_Discussion_Rubric
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Excellent
Main Posting 45 (45%) – 50 (50%)
Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.

Supported by at least three current, credible sources.

Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.