NURS 6551 Week 10 Assignment 1: Application – Best Practices

For over 20 years, the Women’s Health Initiative (WHI) study has conducted research trials to examine factors that impact risks and development of conditions that impact women such as heart disease, breast and colorectal cancer, and osteoporotic fractures in postmenopausal women. Health care providers use results from these trials to develop guidelines for delivering care to patients. In your role in clinical settings, you must be familiar with these guidelines, and you must be aware that through clinical practice, guidelines frequently evolve and change. Often, what is considered a best practice today might not be a best practice in the future. For this Assignment, you compare guidelines outlined in the WHI study to current best practices for assessing and managing conditions.

To Prepare:

• Review the Women’s Health Initiative article in this week’s Learning Resources. Select one disorder presented in this study. https://www.nhlbi.nih.gov/whi/background.htm
• Locate and select a research article that addresses current best practices for assessing and managing the disorder you selected. Be sure that the research article you select is from a reputable source.
• Consider the similarities and differences between the best practices presented in the WHI study and the article you selected. Think about the potential impact of differences in best practices on women’s health.
• Consider whether the best practices in the article you selected should be used in clinical practice.

To Complete:

Write a 2- to 3-page paper that addresses the following:

1. Describe the disorder you selected from the Women’s Health Initiative study.
2. Explain the current best practices for assessing and managing this disorder as suggested in the research article you selected. (support with current references)
3. Compare the best practices presented in the WHI study to the current best practices presented in the article.
4. Explain how the differences in best practices might impact women’s health.
5. Explain whether you think the current best practices in the article you selected should be used in clinical practice. Support your position with evidence-based research.

Note: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.

ORDER NOW FOR A CUSTOMIZED ACADEMIC PAPER

NURS 6551 Discussion – Week 11

NURS 6551 Discussion Diagnosing and Managing Common Endocrine and Musculoskeletal Conditions

Endocrine and musculoskeletal conditions, especially when left untreated, can have a significant impact on women’s health. Many of these conditions present unique challenges for women, making risk assessments and routine screenings an important part of primary care. As an advanced practice nurse, you must identify signs and symptoms of these conditions and educate at-risk patients so they can also monitor themselves. For this Discussion, consider how you would diagnose, treat, and educate the patients in the following three case studies:

Case Study 2 (diagnosis Polycystic Ovary Syndrome)

A 28-year-old Latina obese female presents to the clinic with increasing body hair and irregular menses. She now has coarse body hair on her chest and upper back. Her menstrual periods used to be fairly regular, but now she can skip three or four months before her next menstrual cycle. She has never been pregnant. She has one male sex partner.

Case Study 3 ( diagnosismultiple sclerosis)

A 28-year-old Caucasian female comes to clinic concerned about three episodes of urinary incontinence associated with difficulty walking. The first two episodes resolved spontaneously after a couple of days without residuals, but this current episode has lasted a week. Today she began to have some blurred vision. Physical exam is remarkable for mild edema of the optic disc and difficulty with heel-to-toe walking. Deep tendon reflexes are 2+ and there is no extremity weakness.

To prepare:

• Review Chapter 8 of the Tharpe et al. text and the McSweeney et al. article in this week’s Learning Resources.
• Review and select one of the three provided case studies. Analyze the patient information.
• Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.
• Reflect on the appropriate clinical guidelines. Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or nonpharmacologic treatments.
• Consider strategies for educating patients on the treatment and management of the disorder you identified as your primary diagnosis.

Post 250 words (no introduction or conclusion)

1. explanation of the differential diagnosis for the patient in the case study you selected.

2. Explain which is the most likely diagnosis for the patient and why.

3. Then, based on the appropriate clinical guidelines, explain a treatment and management plan for the patient, including proper dosages for any recommended treatments.

4.  Finally, explain strategies for educating patients on the disorder.