NURS 6521N Week 9: Women’s and Men’s Health
NURS 6521N Week 9: Women’s and Men’s Health
Week 9: Women’s and Men’s Health/Infections and Hematologic Systems, Part I
As an advanced practice nurse, you will likely encounter many disorders associated with women’s and men’s health, such as hormone deficiencies, cancers, and other functional and structural abnormalities. Disorders such as these not only result in physiological consequences but also psychological consequences, such as embarrassment, guilt, or profound disappointment for patients. For these reasons, the provider-patient relationship must be carefully managed. During evaluations, patients must feel comfortable answering questions so that you, as a key health-care provider, will be able to diagnose and recommend appropriate treatment options. Advanced practice nurses must be able to educate patients on these disorders and help relieve associated stigmas and concerns. NURS 6521N Week 9: Women’s and Men’s Health
This week, you examine women’s and men’s health concerns as well as the types of drugs used to treat disorders that affect women’s and men’s health. You also explore how to treat aspects of these disorders on other health systems.
Learning Objectives
Students will:
- Evaluate patients for treatment of complex health issues
- Evaluate patients for treatment of infections
- Evaluate patients for treatment of hematologic disorders
- Analyze patient education strategies for the management and treatment of complex 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. NURS 6521N Week 9: Women’s and Men’s Health
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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. NURS 6521N Week 9: Women’s and Men’s Health
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.
You will respond to your colleagues’ posts in Week 10.
Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link, and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!
Sample Discussion Approach
Brief Description of Patient Health Needs
Based on the scenario the case study is wants to describe a 46-year-old female that weighs about 230lb. This patient has a history of high blood pressure and has a family history of breast cancer. Further in the scenario it can be noted that this patient is having symptoms of premenopausal symptoms and also, she is obese and is up to date with her gynecological visit.
One drawback is that 5 years ago she had a visit compared to a year when she completed another visit so several years have elapsed since she did her visit.
The specific health need for this patient is pointing to a weight loss regime where she can control her blood pressure and prevent other preexisting conditions, for example, renal failure and diabetes mellitus secondly, she needs regular review with her primary physician so she can be monitored with her blood pressure, and the medication that she currently takes. She has been compliant with her mammogram and that is encouraging the fact that she has a family history of breast cancer. She also needs to be placed on hormone replacement therapy because of the hot flashes she has been experiencing, this therapy could help her existing symptoms. The other important health need for this patient is to introduce her on a strict diet that contains all the food groups, where she can start losing weight. Weight gain can cause diabetes and other illnesses. NURS 6521N Week 9: Women’s and Men’s Health
Treatment Recommendations
The treatment recommendation for this client is based on her presenting symptoms and her potential for developing other disease processes. Bactrim is an antibiotic that is useful for her because of her urinary symptoms which looks like she has a urinary tract infection. The reason for this choice of antibiotic is because it is soluble in water and does not allow crystalline in the urine meaning it does not harm the kidneys and it is also bacteriostatic which allows the suppress the growth of the bacteria.
It is also a derivative from folate which helps to form the cell DNA and RNA. The pharmacokinetic is that Absorption is well absorbed by the body
Distribution: The tissues and blood has a good distribution of this drug and the benefits on the body
Excretion: Metabolizes by the kidneys do not crystalize the urine and have little or no effect on the kidneys
Metabolizes: The liver metabolizes this medication and its excretion does not cause major adverse side effects
Her blood pressure is high so I will recommend metoprolol because this drug is a beta-blocker and in premenopausal women and postmenopausal cardiovascular diseases are at high risks and weight gain. On the other hand she also has other preexisting condition, for example, she is obese which could to diabetes and heart attack (Burnett et al., 1998)
She also needs a repeat to appear because of the finding five years ago with the ASUS. This an abnormal tissue found outside the lining of the cervix. She will also be placed on Hormone Replacement Therapy and vitamins which will help her with the premenopausal symptoms (U.S/ Department of Health & Human Services, 20). I will also do some lab work on her to check her BMP, CBC, and I will also do a 24-hour urine collection on her to determine how her kidneys are working. NURS 6521N Week 9: Women’s and Men’s Health
Patient Education Strategy
A lot of women have reached the age of menopause and are between the age of 45 to 55 some workers and those who have chronic illnesses experience will have symptoms earlier. It is very imperative that education is implemented as early as possible to ensure she takes care of herself in the best way possible. Once young women enter their productive years they eventually experience symptoms of menopause for example, they would have difficulty sleeping, aches, and pains even feeling hot and feel cold. Teaching her in groups with other women will help to encourage her to learn more about the disease process. (Perry, 2019).
The patient education strategy I will recommend for this patient is to ensure that she understands the disease process determine, what she knows then I would teach her about the medications how they work in the body and the importance of taking them. Introduce her to join groups on topics of pre-menopause symptoms and how it affects the body.
I would give her pamphlets on hypertension the risk of hypertension. Other medications for which she’s taking I would also, encourage her to read by giving her pamphlets. She will have telemedicine and the internet where she can develop her own knowledge about the disease she visits at the clinic to ensure that she is really educated about her disease process also I would educate her on weight loss because we lost help to prevent certain disease conditions for example diabetes and hypertension
I would also encourage her to purchase a scale and she can check her weight daily also I would encourage her to eat small portions until get involved in exercise if she does not have the money to go to the gym she can walk or she can do a simple exercise in her home I would also encourage her to make sure she takes her medication until it’s finished do not skip her medication and if she experiences in a side effect she’s to contact the nearest doctor also I would educate her on the different types of food if you don’t have the money to buy expensive food she can buy simple foods when she goes to the supermarket to really food labels and to see the salt content that in the food. I will teach her how to do carb count to encourage her to weight loss.
References
Perry, M. (2019). Menopausal Symptoms and hormone therapy. Journal of Community Nursing, 33(3), 61-66
Burnette, MM, Meilahn., E. Wing., RR, & Kuller., LH. (1998). Smoking Cessation Weight Gain and Changes in Cardiovascular risk factors during Menopause: The Healthy Woman Study. American Journal of Public Health, 88(1),93-96 .https://doi.org.ezp,waldenulibrary.org/10.2105/AJPH.88.1.93
U.S. Department of Health and Human Services, 2020 National Cancer Institute, 2020. NURS 6521N Week 9: Women’s and Men’s Health
Submission and Grading Information
Grading Criteria
To access your rubric:
Week 9 Discussion Rubric
Post by Day 3 of Week 9 and Respond by Day 6 of Week 10
To Participate in this Discussion:
Week 9 Discussion
Rubric Detail – NURS 6521N Week 9: Women’s and Men’s Health
Select Grid View or List View to change the rubric’s layout.
Name: NURS_6521_Week9_Discussion_Rubric
Grid View
List View
Excellent Good Fair Poor
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.
40 (40%) – 44 (44%)
Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module.
At least 75% of post has exceptional depth and breadth.
Supported by at least three credible sources.
Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.
35 (35%) – 39 (39%)
Responds to some of the discussion question(s).
One or two criteria are not addressed or are superficially addressed.
Is somewhat lacking reflection and critical analysis and synthesis.
Somewhat represents knowledge gained from the course readings for the module.
Post is cited with two credible sources.
Written somewhat concisely; may contain more than two spelling or grammatical errors.
Contains some APA formatting errors.
0 (0%) – 34 (34%)
Does not respond to the discussion question(s) adequately. NURS 6521N Week 9: Women’s and Men’s Health
Lacks depth or superficially addresses criteria.
Lacks reflection and critical analysis and synthesis.
Does not represent knowledge gained from the course readings for the module.
Contains only one or no credible sources. NURS 6521N Week 9: Women’s and Men’s Health
Not written clearly or concisely.
Contains more than two spelling or grammatical errors.
Does not adhere to current APA manual writing rules and style.
Main Post: Timeliness
10 (10%) – 10 (10%)
Posts main post by day 3
0 (0%) – 0 (0%)
0 (0%) – 0 (0%)
0 (0%) – 0 (0%)
Does not post by day 3
First Response
17 (17%) – 18 (18%)
Response exhibits synthesis, critical thinking, and application to practice settings.
Responds fully to questions posed by faculty.
Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.
Demonstrates synthesis and understanding of learning objectives.
Communication is professional and respectful to colleagues. .
Responses to faculty questions are fully answered, if posed.
Response is effectively written in standard, edited English.
15 (15%) – 16 (16%)
Response exhibits synthesis, critical thinking, and application to practice settings.
Responds fully to questions posed by faculty.
Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.
Demonstrates synthesis and understanding of learning objectives.
Communication is professional and respectful to colleagues. .
Responses to faculty questions are fully answered, if posed.
Response is effectively written in standard, edited English.
13 (13%) – 14 (14%)
Response is on topic and may have some depth.
Responses posted in the discussion may lack effective professional communication.
Responses to faculty questions are somewhat answered, if posed.
Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.
0 (0%) – 12 (12%)
Response may not be on topic and lacks depth.
Responses posted in the discussion lack effective professional communication.
Responses to faculty questions are missing.
No credible sources are cited.
Second Response
16 (16%) – 17 (17%)
Response exhibits synthesis, critical thinking, and application to practice settings.
Responds fully to questions posed by faculty. NURS 6521N Week 9: Women’s and Men’s Health
Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.
Demonstrates synthesis and understanding of learning objectives.
Communication is professional and respectful to colleagues. .
Responses to faculty questions are fully answered, if posed.
Response is effectively written in standard, edited English.
14 (14%) – 15 (15%)
Response exhibits critical thinking and application to practice settings.
Communication is professional and respectful to colleagues.
Responses to faculty questions are answered, if posed.
Provides clear, concise opinions and ideas that are supported by two or more credible sources.
Response is effectively written in standard, edited English.
12 (12%) – 13 (13%)
Response is on topic and may have some depth.
Responses posted in the discussion may lack effective professional communication.
Responses to faculty questions are somewhat answered, if posed. .
Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.
0 (0%) – 11 (11%)
Response may not be on topic and lacks depth. NURS 6521N Week 9: Women’s and Men’s Health
Responses posted in the discussion lack effective professional communication.
Responses to faculty questions are missing.
No credible sources are cited.
Participation
5 (5%) – 5 (5%)
Meets requirements for participation by posting on three different days.
0 (0%) – 0 (0%)
0 (0%) – 0 (0%)
0 (0%) – 0 (0%)
Does not meet requirements for participation by posting on 3 different days
Total Points: 100
Name: NURS_6521_Week9_Discussion_Rubric
