NURS6551 week 11 discussion latest 2018 june

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Week 11
discussion
Discussion: Diagnosing and Managing Common Endocrine and
Musculoskeletal Conditions
Endocrine and musculoskeletal conditions, especially when
left untreated, can have a significant impact on women’s health. Many of these
conditions present unique challenges for women, making risk assessments and
routine screenings an important part of primary care. As an advanced practice
nurse, you must identify signs and symptoms of these conditions and educate
at-risk patients so they can also monitor themselves. For this Discussion,
consider how you would diagnose, treat, and educate the patients in the
following three case studies:
Case Study 1
A 33-year-old Caucasian female presents with concerns about
a four-month history of diffuse musculoskeletal pain and stiffness associated
with fatigue and dry eyes. The pain varies with the weather and is worse in the
morning. Her menstrual periods are irregular and she has frequent dyspareunia.
Physical exam is remarkable for pain at different points all over the body,
including neck, back, chest, elbows, hips, buttocks, and knees

Case Study 2
A 28-year-old Latina obese female presents to the clinic
with increasing body hair and irregular menses. She now has coarse body hair on
her chest and upper back. Her menstrual periods used to be fairly regular, but
now she can skip three or four months before her next menstrual cycle. She has
never been pregnant. She has one male sex partner.
Case Study 3
A 28-year-old Caucasian female comes to clinic concerned
about three episodes of urinary incontinence associated with difficulty
walking. The first two episodes resolved spontaneously after a couple of days
without residuals, but this current episode has lasted a week. Today she began
to have some blurred vision. Physical exam is remarkable for mild edema of the optic
disc and difficulty with heel-to-toe walking. Deep tendon reflexes are 2+ and
there is no extremity weakness.
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.

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