Common Health Conditions with Implications for Women
Provide a differential diagnosis for at least three conditions or diseases.
Thelma Smith is experiencing brown discharge because the blood may take longer to exit the uterus, causing it to oxidize; this oxidation causes the blood to become light and then dark brown in color. The brown discharge could be caused by a hormonal imbalance. A lack of estrogen may cause uterine lining breakdown, resulting in abnormal bleeding and brown spotting. Low estrogen levels may result in urinary tract infections (French L, et al. 2004). Obesity in the abdomen predisposes people to insulin resistance. The fat in the stomach is hormonally active, secreting hormones known as adipokines, which typically impair glucose tolerance. The most prominent feature of type 2 diabetes is insulin resistance. Mammograms are the most effective screening tests and diagnoses for detecting breast cancer in women, and the diagnosis is likely to save many lives. All women over the age of 40 should have a mammogram every year to determine if they have breast cancer. Do you need urgent assignment help ? Get in touch with us at eminencepapers.com.
Define the most important diagnosis in your opinion.
The most critical diagnosis would be type 2 diabetes. Diabetes is diagnosed using a glycated hemoglobin test. Blood tests reveal the level of sugar in the blood for the previous few months. Normal blood levels should be between 5.6 percent, and any result indicates figures between 5.7 and 6.5 percent. This is known as prediabetes. Diabetes is diagnosed when your blood sugar level is higher than 6.5. If the A1C tests are not available and the patient has unusual hemoglobin conditions, the doctor may use other diagnostic tests. Other diabetes tests will include a random blood sugar test, which will be represented in milligrams per decilitre. If the sugar level in the blood sample is greater than 200mg/dl, the person is diabetic, especially if they have diabetic symptoms such as extreme thirst and frequent urination. Another method of diagnosis is to perform a fasting blood sugar test, in which a sample of blood is drawn after an overnight fast, and any readings that are less than 100mg/dl indicate that the person does not have diabetes. If the fasting blood sugar level is greater than 126 mg/dl, the person has diabetes (Inzucchi S, 2012).
Describe your recommendations for diagnostic tests and treatment options for your patient.
Thelma Smith’s best treatment option for type 2 diabetes is to change her diet, exercise regularly, and take medications to improve insulin therapy. The best treatment option will be determined by a number of factors, including her blood sugar level and whether she has any other underlying health issues. The doctor can prescribe medications and therapy classes to help Thelma Smith control her blood sugar in a variety of ways. One of the recommended treatment options for type 2 diabetes is;
Inhibitors of SGLT2. These medications will assist Thelma Smith in preventing her kidney from absorbing any additional sugar into her blood. Instead, it directs the sugar to be excreted outside via the urine. This type of medication lowers the risk of stroke and heart attack in people with this condition. However, side effects may include vaginal yeast infections, low blood pressure, and urinary tract infections (Barnett A H, et al. 2010). Insulin. Insulin therapy is required for people with type 2 diabetes. Insulin therapy was previously used as a last resort, but it is now the most recommended and prescribed therapy by doctors due to its numerous benefits.
Vaginal brown discharges indicate that Thelma Smith has an underlying health condition that must be treated as soon as possible. Ovulation, sexual arousal, yeast infection, or pregnancy control pills can all cause brown vaginal discharge. The doctor will first advise Thelma Smith to practice hygiene and wear breathable cotton underwear, as well as always to use protection while having sexual intercourse to prevent the transmission of sexually transmitted infections. Because yeast infections can cause brown discharge, the doctor will prescribe antibiotics or a yeast infection suppository to treat the infections (Schuiling, K, 2017).
References
Piya, M. K., & Barnett, A. H. (2010). Emerging treatment options for type 2 diabetes. British journal of clinical pharmacology, 70(5), 631-644.
Schuiling, K. D. (2017). Women’s gynecologic health (3rd ed.). Jones and Bartlett Publishers. Inzucchi, S. E. (2012). Diagnosis of diabetes. New England Journal of Medicine, 367(6), 542- 550.
French, L., Horton, J., & Matousek, M. (2004). Abnormal vaginal discharge: what does and does not work in treating underlying causes. Journal of Family Practice, 53, 890-903.
ORDER A PLAGIARISM-FREE PAPER HERE
We’ll write everything from scratch
Question 
Common Health Conditions with Implications for Women
Select a patient you examined during the last four weeks as a Nurse Practitioner. Select a female patient with common endocrine or musculoskeletal conditions, Evaluate differential diagnoses for the common endocrine or musculoskeletal conditions you chose. With this patient in mind, address the following in a SOAP Note:
Common Health Conditions with Implications for Women
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 appointments with the provider, as well as a rationale for this treatment and management plan.
Reflection notes: What would you do differently in a similar patient evaluation? And how can you relate this to your class and clinical readings?
References
Schuiling, K. D., & Likis, F. E. (2013). Women’s gynecologic health (2nd ed.). Burlington, MA: Jones and Bartlett Publishers.
Chapter 22, “Urinary Tract Infection in Women” (pp. 535–546)
Tharpe, N. L., Farley, C., & Jordan, R. G. (2013). Clinical Practice Guidelines for Midwifery & Women’s Health (4th ed.). Burlington, MA: Jones & Bartlett Publishers.
Review: Chapter 8, “Primary Care in Women’s Health” (pp. 431–560)
Centers for Disease Control and Prevention. (2012b). Women’s health. Retrieved from http://www.cdc.gov/women/
National Institutes of Health. (2012). Office of Research on Women’s Health (ORWH). Retrieved from http://orwh.od.nih.gov/
U.S. Department of Health and Human Services. (2012a). Womenshealth.gov. Retrieved from http://www.womenshealth.gov/