Fluent Essays

These are all separate assignments. Each have to be separate and have at least 3 references to them. APA format WK 9 Part 1: JOURAL Reflect on a patient who presented with postpartum depression during your Practicum Experience. Describe the patient’s personal and medical history, drug therapy and treatments, and follow-up care. Then, explain the implications of the patient’s postpartum depression, including how this might impact the entire family unit. If you did not have an opportunity to evaluate a patient with this background during the last nine weeks, you may select a related case study from a reputable source or reflect on previous clinical experiences.WK 10 Part 1: JOURNALReflect on a patient who presented with a cardiovascular, neurologic, respiratory, or gastrointestinal disorder during your Practicum Experience. Describe the patient’s personal and medical history, drug therapy and treatments, and follow-up care. Then, explain how the patient’s gender might have impacted or influenced her care. If you did not have an opportunity to evaluate a patient with this background during the last 10 weeks, you may select a related case study from a reputable source or reflect on previous clinical experiences.WK 10 Part 2: AssignmentApplication – Best PracticeFor over 20 years, the Women’s Health Initiative (WHI) study has conducted research trials to examine factors that impact risks and development of conditions that impact women such as heart disease, breast and colorectal cancer, and osteoporotic fractures in postmenopausal women. Health care providers use results from these trials to develop guidelines for delivering care to patients. In your role in clinical settings, you must be familiar with these guidelines, and you must be aware that through clinical practice, guidelines frequently evolve and change. Often, what is considered a best practice today might not be a best practice in the future. For this Assignment, you compare guidelines outlined in the WHI study to current best practices for assessing and managing conditions.To Prepare:Review the Women’s Health Initiative website in this week’s Learning Resources. Select one disorder presented in this study. (https://www.nhlbi.nih.gov/science/womens-health-in...)Locate a research article focused on womens health issue that you have learned about on the Womens Health Initiative project. Be sure that the research article you select is from a reputable source.Discuss the best practices presented in the article about the health issue. Explain if there are any differences in the literature about best practices about health issue.Explain whether you think the current best practices in the article you selected should be used in clinical practice. Support your position with evidence-based research.To Complete:Write a 3-page paper that addresses the following:Describe the disorder you selected from the Women’s Health Initiative study.Explain the current best practices for assessing and managing this disorder as suggested in the research article you selected.Compare the best practices presented in the WHI study to the current best practices presented in the article. Explain how the differences in best practices might impact women’s health.Explain whether you think the current best practices in the article you selected should be used in clinical practice. Support your position with evidence-based research.WK 10 part 3 Discussion: Diagnosing and Managing Common Cardiovascular and Neurologic ConditionsCardiovascular and neurologic conditions are among the leading causes of death and hospitalization of women in the United States (Centers for Disease Control and Prevention, 2008a). As an advanced practice nurse, you must routinely monitor patients at risk of these conditions and recommend the appropriate health screenings and preventive services. When assessing patients for these conditions, it is important to keep in mind that while some female patients might present with typical signs and symptoms, others might present with atypical signs and symptoms that are unique to women. For this Discussion, consider signs and symptoms presented by the women in the following case studies and develop differential diagnoses:Case Study 1A 48-year-old overweight African American female is in the clinic for a wellness visit. A routine fasting lipid panel returned with the following results: Total cholesterol: 305 mmol/L Low-density lipoprotein (LDL): 180 mg/dl High-density lipoprotein (HDL): 30 mg/dl Triglycerides: 165 mg/dl Case Study 2You are seeing a 63-year-old African American female for a two-week history of intermittent chest pain. The pain varies in intensity and resolves with rest. She does not believe it has increased over time. She is a nonsmoker with a history of hypertension treated with Lisinopril 10 mg once daily. She had an exercise stress test one year ago that was within normal limits. Her physical exam findings are as follows: HR–90, BP–150/92, R–22, O2Sat 98\% RA; lungs: clear to auscultation bilaterally; cardiovascular: apical pulse of 90 RRR, no rubs, murmurs, or gallops. Chest wall mildly tender to palpation that reproduces her complaint of pain. Extremities include no clubbing, cyanosis, or edema. The remainder of the exam is within normal limits.Case Study 3A 32-year-old Asian American female is in the clinic for a history of recurrent headaches for the past year, occurring monthly, lasting up to 12–18 hours. The headaches are sometimes associated with photophobia, nausea, and vomiting. She takes either acetaminophen or ibuprofen for relief that is not always successful. She uses Ortho Tricyclin for birth control. Her physical exam is within normal limits.To prepare: Review Chapter 8 of the Tharpe et al. text and the McSweeney et al. article in this week’s Learning Resources. Review and select one of the three provided case studies. Analyze the patient information. Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient. Reflect on the appropriate clinical guidelines. Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or nonpharmacologic treatments. Consider strategies for educating patients on the treatment and management of the disorder you identified as your primary diagnosis. By Day 3Post an explanation of the differential diagnosis for the patient in the case study you selected. Explain which is the most likely diagnosis for the patient and why. Then, based on the appropriate clinical guidelines, explain a treatment and management plan for the patient, including proper dosages for any recommended treatments. Finally, explain strategies for educating patients on the disorder.