NRNP 6552 Week 3 Gynecologic Health
Walden University NRNP 6552 Week 3 Gynecologic Health-Step-By-Step Guide
This guide will demonstrate how to complete the Walden University NRNP 6552 Week 3 Gynecologic Health assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NRNP 6552 Week 3 Gynecologic Health
Whether one passes or fails an academic assignment such as the Walden University NRNP 6552 Week 3 Gynecologic Health depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NRNP 6552 Week 3 Gynecologic Health
The introduction for the Walden University NRNP 6552 Week 3 Gynecologic Health is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
Need a high-quality paper urgently?
We can deliver within hours.
How to Write the Body for NRNP 6552 Week 3 Gynecologic Health
After the introduction, move into the main part of the NRNP 6552 Week 3 Gynecologic Health assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NRNP 6552 Week 3 Gynecologic Health
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NRNP 6552 Week 3 Gynecologic Health
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
Stuck? Let Us Help You
Completing assignments can sometimes be overwhelming, especially with the multitude of academic and personal responsibilities you may have. If you find yourself stuck or unsure at any point in the process, don’t hesitate to reach out for professional assistance. Our assignment writing services are designed to help you achieve your academic goals with ease.
Our team of experienced writers is well-versed in academic writing and familiar with the specific requirements of the NRNP 6552 Week 3 Gynecologic Health assignment. We can provide you with personalized support, ensuring your assignment is well-researched, properly formatted, and thoroughly edited. Get a feel of the quality we guarantee – ORDER NOW.
Sample Answer for NRNP 6552 Week 3 Gynecologic Health
Case 2: Maxine
Maxine is a 31-year-old nulliparous woman who visits the clinic for a routine gynecological exam. She was recently married but denies any major complaint. She reports that in the last three months, her menses have been irregular where there was a month of amenorrhea that was followed by two cycles in a month. The purpose of this paper is to discuss diagnostic tests, differential diagnoses, and treatment plan for this patient.
| Outline Subjective data.
Identify data provided in your chosen case and any additional data needed. | Outline Objective findings.
Identify findings provided in your chosen case and any additional data needed. | Identify diagnostic tests, procedures, laboratory work indicated.
Describe the rationalefor each test or intervention with supporting references. | Distinguish at least three differential diagnoses.
Describethe rationales for your choice of each diagnosis with supporting references. | Identify appropriate medications, treatments or other interventions associated with each differential diagnosis.
Describe rationales and supporting references for each.
| Explain key Social Determinants of Heath (SDoH) for your chosen case. | Describe collaborative care referrals and patient education needs for your chosen case.
Describe rationales and supporting references for each.
|
| · Her last menstrual period was two weeks ago and states that it was heavier than normal as she had to change a tampon every hourly in the first two days. · She states she is not using any contraceptive as she and her husband want to conceive. · She attained menarche at 10 years and has had a normal cycle length of five days until three months ago. · She denies history of sexually transmitted illness and pregnancy. · She is allergic to penicillin and is currently taking prenatal vitamins. · She lives with her husband and is a housewife after being forced to quit her job after marriage. · She drinks one or two glasses of wine a day but does not smoke.
| · Vitals: BP-109/66, Resp. rate 16, temperature 97.3F, weight 101lbs, height 64’’, BMI 17.3 · General examination reveals a withdrawn patient who is orientated, fails to make eye contact. · She also appears disheveled and underweight. · Her skin is warm, dry, and intact, but there is a bruise in the inner thigh. · An abdominal examination reveals a soft and non-tender abdomen with four bowel sounds were heard. · The pelvic examination revealed: a) Normal hair distribution with absent lesions and erythema on the external genitalia. b) Speculum examination findings were non-significant. · The breast examination was normal.
Additional objective data I would have needed is: a) If there is presence of pallor and petechial hemorrhages on mucosal sites. b) A detailed mental status examination. c) A neck examination (Zamwar et al., 2023). | · Complete blood count to evaluate platelet and red blood cell count due the associated period of menorrhagia (Jain et al., 2023). · Thyroid function tests to detect for any thyroid abnormalities contributing to some of the patient’s signs and symptoms. · Coagulation screen as defects in clotting factors are associated with menorrhagia. · Hamilton Depression Rating Scale (HDRS) to screen for depression. · A pelvic ultrasound to detect for any pelvic abnormalities that may cause menorrhagia. | Maxine has been experiencingabnormal uterine bleeding (AUB) for the last three months which may have resulted from:
1. Major Depressive Disorder (MDD) · MDD is a psychiatric condition characterized by mood changes and somatic symptoms including self-neglect, social withdrawal, and loss of concentration and eye contact. · It often results after a significant loss, such as unemployment or when there is change in one’s personal life, including marriage and domestic abuse (Karrouri et al., 2021). · In addition, some patients with MDD may experience appetite loss and unintentional weight loss as seen in Maxine where she has lost more than 21 lbs in the last year while some may experience menstrual irregularities due to increased stress levels (Jain et al., 2023).
2. Hypothyroidism · Hypothyroidism is a condition characterized by production of low levels of thyroid hormones T3 and T4 which results in alteration in metabolism and function of various organ systems (Zamwar et al., 2023). · As a result, female patients with hypothyroidism often experience menstrual irregularities, such as menorrhagia, dry skin, hair loss, cold intolerance, and mood symptoms including depression.
3. Thrombocytopenia · Thrombocytopenia is a condition characterized by low platelet counts and may be caused by heavy alcohol consumption and poor nutrition. · Thrombocytopenia is a common cause menorrhagia and polymenorrhea (Gerema et al., 2023).
| MDD · I would prescribe antidepressants like sertraline 50 mg PO OD or Prozac 20 mg PO OD (Karrouri et al., 2021).
Hypothyroidism · I would prescribe Levothyroxine 75 mcg PO OD ((Zamwar et al., 2023).
Other treatment plans would include: · I would also involve a nutritionist to plan an appropriate diet for Maxine, thus correct her low BMI. · I would refer the patient for psychotherapy for couple or cognitive-behavioral therapy (CBT) (Karrouri et al., 2021). | · Health outcomes in MDD are associated with SDoH in the patient’s life. · In this case, it is crucial to note that Maxine’s unemployment status predisposes her to financial instability, which may limit her heath seeking attitude (Remes et al., 2021). · In addition, she is exposed to domestic violence while at home where she lives with her husband, thus negatively impacting her physical and mental health. · Maxine’s coping skills to the current life stressors may also indicate loneliness which limits her social engagement and awareness of supportive programs crucial in aiding her recovery. | · Gynecologist A gynecologist review is crucial as they would help diagnose the specific cause of the AUB (Gerema et al., 2023).
· Endocrinologist A review from a gynecologist is crucial to exclude any possible hypothyroidism (Zamwar et al., 2023).
· Psychiatrist and Psychologist The two would be crucial to tailor the patient’s treatment, medications, and manage a possible alcoholism diagnosis. They may also offer psychological support for the patient and provide alternative coping skills (Lopes et al., 2021).
Patient Education ·I would educate Maxine about menstrual abnormalities, the importance of monitoring her periods, and encourage iron supplements to prevent anemia due to polymenorrhea and menorrhagia. ·I would also educate Maxine on hypothyroidism and hyperthyroidism and inform her on any other associated symptoms. ·I would also educate her on MDD and anxiety symptoms and provide appropriate information she can use to manage the symptoms (Christensen et al., 2020). ·I would also provide nutritional advise to help improve her BMI to a normal weight and discourage her from heavy alcohol consumption. ·I would also educate her on available social support services who provide services to persons facing domestic abuse.
|
Conclusion
The recommended diagnostic tests include CBC, TFT, Coagulation test, HDRS, and pelvic ultrasound. The differential diagnoses based on subjective and objective findings are Major depressive disorder, Hypothyroidism, and Thrombocytopenia. I would recommend antidepressants like Prozac or Sertraline for the patient’s depressive symptoms and refer her to a psychologist or psychiatrist. A gynecologist review would be crucial to diagnose the specific cause of the AUB
References
Gerema, U., Kene, K., Abera, D., Adugna, T., Nigussie, M., Dereje, D., &Mulugeta, T. (2022). Abnormal uterine bleeding and associated factors among reproductive age women in Jimma town, Oromia Region, Southwest Ethiopia. Women’s Health, 18. https://doi.org/10.1177/17455057221077577
Jain, V., Munro, M. G., & D. Critchley, H. O. (2023). Contemporary evaluation of women and girls with abnormal uterine bleeding: FIGO Systems 1 and 2. International Journal of Gynaecology and Obstetrics, 162(Suppl 2), 29-42. https://doi.org/10.1002/ijgo.14946
Karrouri, R., Hammani, Z., Benjelloun, R., &Otheman, Y. (2021). Major depressive disorder: Validated treatments and future challenges. World Journal of Clinical Cases, 9(31), 9350-9367. https://doi.org/10.12998/wjcc.v9.i31.9350
Lopes, M. J., Correia, T., Sampaio, F., Mendes, A., Marques, C., & Fonseca, C. (2021). Patient-Centered Care for Patients with Depression or Anxiety Disorder: An Integrative Review. Journal of Personalized Medicine, 11(8). https://doi.org/10.3390/jpm11080776
Remes, O., Mendes, J. F., & Templeton, P. (2021). Biological, Psychological, and Social Determinants of Depression: A Review of Recent Literature. Brain Sciences, 11(12). https://doi.org/10.3390/brainsci11121633
Zamwar, U. M., &Muneshwar, K. N. (2023). Epidemiology, Types, Causes, Clinical Presentation, Diagnosis, and Treatment of Hypothyroidism. Cureus, 15(9). https://doi.org/10.7759/cureus.46241