Case Study Of The Key Hallmarks Of Menopause Assignment

Case Study Of The Key Hallmarks Of Menopause Assignment

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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 agoCase Study Of The Key Hallmarks Of Menopause Assignment.

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. NB: Please response to each request they ask to post .

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Discussion Post

The patient presented in this case study has symptoms that have the key hallmarks of menopause. Key among these are hot flushing, night sweats, and genitourinary symptoms. Her medical records have shown that she has a family history of breast cancer too and this has the potential to increase the risks for developing the disease. In addition to this the patient has a history of HTN and takes Norvasc and HCTZ to manage it (Jeon et al., 2022)Case Study Of The Key Hallmarks Of Menopause Assignment. She is currently experiencing an elevated pressure level of 150/90. The records also show that she is at the moment up to date on yearly mammograms and also has a reported history of ASCUS on her pap smear. Factoring in that her age already qualifies for menopause to set in and the various symptoms she exhibits, the necessary health needs at the moment include the management of menopausal symptoms, screening for breast cancer, and ongoing management of her hypertension.

There are several treatment methods available to manage menopausal symptoms but considering the specific case of this particular patient, I would recommend hormone replacement therapy (HRT) with a combination of estrogen and progestin (Liu et al., 2019)Case Study Of The Key Hallmarks Of Menopause Assignment. The rationale for choosing this treatment is that it would help alleviate the patient’s symptoms. In addition to the medication would also lead to a reduced risk of osteoporosis. While the HRT is mentioned in the recommendation for treatment, I would further suggest that it be given or administered in low doses because the patient’s family has a history of breast cancer. The justification for the low dosage is that it would minimize the risk of developing breast cancer. What’s more, I would also recommend lifestyle modifications like suggesting that the patient engage in regular exercise. The rationale for this is to help manage hypertension. This would also work well if accompanied by a review of her diet to ensure that it aligns with the recommended practices of healthy eating. Hirsch and Manson (2022) proposed that as a patient’s blood pressure is elevated like in the presented case study, it would be necessary to make appropriate adjustments to their medication regimens. In view of this, I would therefore consider adjusting the patient’s current medication regimen or, alternatively, propose an additional medication to manage her hypertension.

Contemporary healthcare provider organizations are taking up to educating and training patients on how to better manage their health conditions (Lindberg, Bonsignore & Polo-Kantola, 2020). Drawing from this, the patient in the provided case study could massively benefit from a patient education strategy. Primarily, the patient education strategy that I would personally suggest is includes sessions to discuss the importance of regular mammograms and breast self-exams given her family history of breast cancer. As well, I would provide information on the potential risks and benefits of HRT and encourage the patient to ask questions and express any concerns she may have regarding her condition. It would also be very necessary and valuable to provide education on lifestyle modifications such as regular exercise and a healthy diet to manage hypertension. Finally, I would encourage the patient to regularly monitor her blood pressure at home and keep a record of her readings to share with her healthcare provider Case Study Of The Key Hallmarks Of Menopause Assignment.

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References

Hirsch, H., & Manson, J. E. (2022). Menopausal symptom management in women with cardiovascular disease or vascular risk factors. Maturitas, 161, 1-6. https://doi.org/10.1016/j.maturitas.2022.01.016

Jeon, S. Y., Jeon, J. H., Park, J. H., Lee, J., Pang, M., Choi, M. K., & Song, I. S. (2022). Simultaneous Analysis of a Combination of Anti-Hypertensive Drugs, Fimasartan, Amlodipine, and Hydrochlorothiazide, in Rats Using LC-MS/MS and Subsequent Application to Pharmacokinetic Drug Interaction with Red Ginseng Extract. Toxics, 10(10), 576. https://doi.org/10.3390/toxics10100576

Lindberg, E., Bonsignore, M. R., & Polo-Kantola, P. (2020). Role of menopause and hormone replacement therapy in sleep-disordered breathing. Sleep Medicine Reviews, 49, 101225. https://doi.org/10.1016/j.smrv.2019.101225

Liu, Y., Ma, L., Yang, X., Bie, J., Li, D., Sun, C., … & Lin, J. (2019). Menopausal hormone replacement therapy and the risk of ovarian cancer: a meta-analysis. Frontiers in endocrinology, 10, 801. https://doi.org/10.3389/fendo.2019.00801 Case Study Of The Key Hallmarks Of Menopause Assignment