Assignment: Discuss Gynecologic Health
Select a patient that you examined as a nurse practitioner student during the last three weeks of clinical on OB/GYN Issue. With this patient in mind, address the following in a SOAP Note 1 OR 2 PAGES :
Subjective: What details did the patient provide regarding her personal and medical history?
Objective: What observations did you make during the physical assessment?
Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?
Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters for this patient , as well as a rationale for this treatment and management plan.
Very Important: Reflection notes: What would you do differently in a similar patient evaluation?
Gagan, M. J. (2009). The SOAP format enhances communication. Kai Tiaki Nursing New Zealand, 15(5), 15.
Tharpe, N. L., Farley, C., & Jordan, R. G. (2013). Clinical practice guidelines for midwifery & Women’s health (4th ed.). Burlington, MA: Jones & Bartlett Publishers.
Chapter 6, “Care of the Well Woman Across the Life Span” ,“Care of the Woman Interested in Barrier Methods of Birth Control” (pp. 275–278)
Chapter 7, “Care of the Woman with Reproductive Health Problems”
“Care of the Woman with Dysmenorrhea” (pp. 366–368)
“Care of the Woman with Premenstrual Symptoms, Syndrome (PMS), or Dysphoric Disorder (PMDD)” (pp. 414–418)
emier Health providers answer frequently asked questions about prevention and wellness for women.
Are some women at higher risk for yeast infections?
Are there any lifestyle practices that can complicate menopause?
Are there conditions that can cause early menopause?
Are there factors that increase a woman’s risk for incontinence?
Are there non-surgical treatment options for urinary incontinence?
Are there specific risk factors that predispose women to fibroids?
Are there tests to diagnose menopause?
At what age do girls typically get their first period?
At what age should a girl start to see an OB-Gyn provider?
Can I get pregnant if I have endometriosis?
Can lifestyle changes help resolve amenorrhea?
Can minimally invasive surgery treat gynecologic cancers?
Can pelvic pain have a negative impact on pregnancy? If so, how?
Can yeast infection symptoms be a sign of something else?
Can you get pregnant if you have polycystic ovary syndrome?
Does either HPV or cervical dysplasia have symptoms?
How are fibroids usually diagnosed?
How can I prevent pelvic organ prolapse?
How can perimenopause or menopause cause mood disorders, such as depression or anxiety?
How can the use of InterStim® affect a woman’s quality of life?
How do I know if I have urinary incontinence issues, and when should I seek help?
How do pre-existing, chronic conditions affect those experiencing menopause?
How do you decide if a patient is treated laparoscopically or robotically?
How does menopause affect a woman’s ability to be intimate with her partner?
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