MN576 discussion a all new

MN576

 

 

Question 1

Pick one women’s health screening guideline, such as mammogram, Pap smear, bone mineral density scan, or colonoscopy, and outline the current screening recommendations for age and frequency. Discuss any reasons for potential deviations from routine screening frequency.

 

Question 2

 

Topic: Explore federal agencies that are concerned with women’s health. Which ones may be of benefit to vulnerable populations? Explore nonprofit agencies that are concerned with women’s health. Share resources aimed at benefitting women in your state or area.

Vulnerability may arise from individual, community, or larger population challenges and requires different types of policy interventions — from social and economic development of neighborhoods and communities, and educational and income policies, to individual medical interventions. Values affect how society views the vulnerable — as victims or sinners — and thus whether or not public assistance is provided. There are programs that help vulnerable populations gain access to opportunities that support their full participation in society. Each provides a dedicated source of financial and technical assistance for projects and activities in their respective programming areas.

 

Question 3

Many elements need to be considered individually by a woman, man, or couple when choosing the most appropriate contraceptive method. Some of these elements include safety, effectiveness, availability (including accessibility and affordability), and acceptability. Although most contraceptive methods are safe for use by most women, U.S. MEC provides recommendations on the safety of specific contraceptive methods for women with certain characteristics and medical conditions.

 

Discuss various forms of contraception including indications, contraindications, side effects, U.S.

Medical Eligibility Criteria (USMRC), U.S. Selected Practice Recommendations for

Contraceptive Use (USSPR), affordability, and mechanisms of action. How will you and your patient decide on the best type? How do you manage the patient who has preconceived notions about certain contraceptives that are not evidence-based?

 

Question 4

 

Both the U.S. Preventive Services Task Force and the Centers for Disease Control and

Prevention (CDC) recommend that all “baby boomers” — people born from 1945 through 1965 — get a hepatitis C test.

Discuss the change in these guidelines, who is at risk, and the ramifications for individuals who contract hepatitis C and are not identified and treated.

 

 

QUESTION 5

 

Chronic pelvic pain can be caused by any number of conditions. In primary care, nurse practitioners should be able to outline the basic approach to initial evaluation of and management of these disorders. As you have learned in this unit, there are many causes of chronic pelvic pain. Select one of the causes of chronic pelvic pain and describe the symptoms. Why would you refer this patient for consultation, and to whom? What are the steps to writing a referral, and what is the NP’s responsibility in follow-up?

 

 

QUESTION 6

 

 

Depression is a common psychiatric disorder in children, adolescents, adults, and the elderly. Primary care providers, not mental health professionals, treat the majority of patients with symptoms of depression. Persons who are depressed have feelings of sadness, loneliness, irritability, worthlessness, hopelessness, agitation, and guilt that may be accompanied by an array of physical symptoms as well as substance abuse. Identifying patients with depression and substance abuse can be difficult in busy primary care settings where time is limited, but certain depression/substance abuse screening tools may help diagnose the disorder.

 

Discuss a screening tool that can be used in the primary care setting that can help with the identification of patients with depression and or substance abuse. What is your responsibility as a primary care provider to this patient once a disorder has been identified?