Women’s Health Case Study

General Guidelines for Comprehensive Case Study

You will complete the Aquifer case, Internal Medicine 14: 18-year-old female for pre-college physical, focusing on the “Revisit three months later” for this assignment.

After completing the Aquifer case, you will present the case and supporting evidence in a PowerPoint presentation with the following components:

• Slide 1: Title, Student Name, Course, Date
• Slide 2: Summary or synopsis of Judy Pham’s case
• Slide 3: HPI
• Slide 4: Medical History
• Slide 5: Family History
• Slide 6: Social History
• Slide 7: ROS
• Slide 8: Examination
• Slide 9: Labs (In-house)
• Slide 10: Primary Diagnosis and 3 Differential Diagnoses – ranked in priority

Primary Diagnosis should be supported by data in the patient’s history, exam, and lab results.

• Slide 11: Management Plan: medication (dose, route, frequency), non-medication treatment, tests ordered, education, follow-up/referral.
• Slide 12-16: An evaluation of 5 evidence-based articles applicable to Ms. Pham’s case: evaluate 1 article per slide.

1. Include title, author, and year of article
2. Brief summary/purpose of the study
3. How did the study support Ms. Pham’s case?

Course texts will not count as a scholarly source. If using data from websites you must go back to the literature source for the information; no secondary sources are allowed, e.g. Medscape, UptoDate, etc. 

• Slide 17: Reference List                                                                                                                                        

 

 

• Ask Questions for your peer regarding their post.
• Insight on a solution to an identified peer challenge.
• Resources that may be helpful related to your peers’ post.

Work 1

Cardiovascular exams can be very involved, as there are many parts to the exam. Being knowledgeable and proficient in assessing the cardiovascular system is imperative to providing quality care for your patient. As a bedside nurse, basic cardiovascular and peripheral vascular assessments have become a routine part of my shift. However, I did not realize how much more in depth these assessments could become. For instance, murmurs can be indicative of many pathologies that can be concerning for your patient. It is important to be able to differentiate between different murmurs, which is not something that I have done in the past. I can indicate if a patient has a murmur but not the type or what specific significance it has. This type of assessment will be challenging to me. Getting a good understanding of the anatomy and physiology of the heart as well as practice will help to assist in being proficient in assessing murmurs (Bickley, 2016).
       There are many age related changes related to the cardiovascular system. Over time, the structure and function of the heart changes. Typical changes in the heart include a loss of muscle cells, decreased the strength of contractions (Hubert, 2016). There is also a decline in the function of the heart valves due to thickening of the valve, which can cause them to be less effective. It is important to understand different age-related changes, as these can impact the function of the heart and the overall health of the patient. With an aging population, it is very important to be able to perform assessments on people across the lifespan, including older adults. Thankfully, there are plenty of resources available, including the Cleveland Clinic (2021) and information provided on how to identify heart murmurs and different treatment options. With more knowledge and practice, I hope to have the ability identify heart murmurs more efficiently. 

Work 2

 This week one of the assessment focus areas is the cardiovascular system. The majority of patients I have encountered had unremarkable history in this area systems, so coming across abnormalities was not common. Because of this I anticipate difficulties in recognizing heart murmurs. In addition to my inexperience, some suspicious sounds come with their barriers to being recognized correctly. Some murmurs may be difficult to identify because their pitch is on the lower end of threshold of human hearing, they can only be heard only in a small area, or they may be obscured extra, irrelevant sounds such as abdominal noise (Silverman, 1990).

In order to help me perform and interpret a correct cardiovascular assessment, I will also need to know what is normal for each age group. For example, S3, or a gallop, can be benign in children and may be found in pregnant women without cause for alarm, but the same is not always true for older adults (Bickley et al., 2017; Strait & Lakatta, 2012). A resource I found to help me with this assessment is a library of heart sounds. The Department of Medicine at the University of Washington has published a site that contains example of heart sounds and murmurs. Users are able to click on the description of the sound and hear a sample of it. This resource can be found here:  

  

When you decide to purchase a new car, you first decide what is important to you. If mileage and dependability are the important factors, you will search for data focused more on these factors and less on color options and sound systems.

The same holds true when searching for research evidence to guide your clinical inquiry and professional decisions. Developing a formula for an answerable, researchable question that addresses your need will make the search process much more effective. One such formula is the PICO(T) format.

In this Discussion, you will transform a clinical inquiry into a searchable question in PICO(T) format, so you can search the electronic databases more effectively and efficiently. You will share this PICO(T) question and examine strategies you might use to increase the rigor and effectiveness of a database search on your PICO(T) question.

To Prepare:

Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.

Review the materials offering guidance on using databases, performing keyword searches, and developing PICO(T) questions provided in the Resources.

Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least two different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.

Review the Resources for guidance and develop a PICO(T) question of interest to you for further study. It is suggested that an Intervention-type PICOT question be developed as these seem to work best for this course. 

Post a brief description of your clinical issue of interest. This clinical issue will remain the same for the entire course and will be the basis for the development of your PICOT question. Describe your search results in terms of the number of articles returned on original research and how this changed as you added search terms using your Boolean operators. Finally, explain strategies you might make to increase the rigor and effectiveness of a database search on your PICO(T) question. Be specific and provide examples.

Note:

APA format

3 References within last 5 years

1 page

 
 

Understanding family structure and style is essential to patient and family care. Conducting a family interview and needs assessment gathers information to identify strengths, as well as potential barriers to health. This information ultimately helps develop family-centered strategies for support and guidance.

This family health assessment is a two-part assignment. The information you gather in this initial assignment will be utilized for the second assignment in Topic 3.

Develop an interview questionnaire to be used in a family-focused functional assessment. The questionnaire must include three open-ended, family-focused questions to assess functional health patterns for each of the following:

1. Values/Health Perception
2. Nutrition
3. Sleep/Rest
4. Elimination
5. Activity/Exercise
6. Cognitive
7. Sensory-Perception
8. Self-Perception
9. Role Relationship
10. Sexuality
11. Coping

Select a family, other than your own, and seek permission from the family to conduct an interview. Utilize the interview questions complied in your interview questionnaire to conduct a family-focused functional assessment. Document the responses as you conduct the interview.

Upon completion of the interview, write a 750-1,000-word paper. Analyze your assessment findings. Submit your questionnaire as an appendix with your assignment.

Include the following in your paper:

1. Describe the family structure. Include individuals and any relevant attributes defining the family composition, race/ethnicity, social class, spirituality, and environment.
2. Summarize the overall health behaviors of the family. Describe the current health of the family.
3. Based on your findings, describe at least two of the functional health pattern strengths noted in the findings. Discuss three areas in which health problems or barriers to health were identified.
4. Describe how family systems theory can be applied to solicit changes in family members that, in turn, initiate positive changes to the overall family functions over time.

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance