A 46-year-old, 230lb woman with a family history of breast cancer. She is up to date on yearly mammograms. She has a history of HTN. She complains of hot flushing, night sweats, and genitourinary symptoms. She had felt well until 1 month ago and she presented to her gynecologist for her annual gynecological examination and to discuss her symptoms. She has a history of ASCUS about 5 years ago on her pap, other than that, Pap smears have been normal. Home medications are Norvasc 10mg qd and HCTZ 25mg qd. Her BP today is 150/90. She has regular monthly menstrual cycles. Her LMP was 1 month ago. Post a brief description of your patient's health needs from the patient case study you assigned. Be specific. Write 2-3 sentences to summarize the case. Then elaborate on what makes this case special/complex? What are important points to consider specifically for this patient? Then, explain the type of treatment regimen you would recommend for treating your patient, including the choice or pharmacotherapeutics you would recommend. Reference the treatment guidelines for menopause. See links below. Focus on the drugs. and explain why. Be sure to justify your response. Why would you select this drug for this patient? Or why would certain options be inappropriate/more appropriate? Explain a patient education strategy you might recommend for assisting your patient with the management of their health needs. Be specific and provide examples. Include counseling pearls. Required Reading: Rosenthal, L. D., & Burchum, J. R. (2021). Lehne's pharmacotherapeutics for advanced practice nurses and physician assistants (2nd ed.) St. Louis, MO: Elsevier. Chapter 46, "Anticoagulant and Antiplatelet Drugs" (pp. 364–371) Chapter 47, "Drugs for Deficiency Anemias" (pp. 389–396) Chapter 50, "Estrogens and Progestins: Basic Pharmacology and Noncontraceptive Applications" (pp. 425–436) Chapter 51, "Birth Control" (pp. 437–446) Chapter 52, "Androgens" (pp. 447–453) Chapter 53, "Male Sexual Dysfunction and Benign Prostatic Hyperplasia" (pp. 454–466) Chapter 70, "Basic Principles of Antimicrobial Therapy" (pp. 651–661) Chapter 71, "Drugs That Weaken the Bacterial Cell Wall I: Penicillins" (pp. 662–668) Chapter 75, "Sulfonamides Antibiotics and Trimethoprim" (pp. 688–694) Chapter 76, "Drug Therapy of Urinary Tract Infections" (pp. 695–699) Chapter 78, "Miscellaneous Antibacterial Drugs" (pp. 711–714) Chapter 79, "Antifungal Agents" (pp. 715–722) Chapter 80, "Antiviral Agents I: Drugs for Non-HIV Viral Infections" (pp. 723–743) Chapter 82, "Drug Therapy of Sexually Transmitted Diseases" (pp. 763–770) Roberts, H., & Hickey, M. (2016). Managing the menopause: An update. Maturitas, 86(2016), 53–58. .https://doi.org/10.1016/j.maturitas.2016.01.007 This article provides an update on treatments on Vasomotor symptoms (VMS), genito-urinary syndrome of menopause (GSM), sleep disturbance, sexual dysfunction, and mood disturbance that are common during the menopause transition. Agency for Healthcare Research and Quality. (2014). Guide to clinical preventive services, 2014: Section 2. Recommendations for adults. Retrieved from http://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/guide/section2.html This website lists various preventive services available for men and women and provides information about available screenings, tests, preventive medication, and counseling. Writing Tips: Keep in mind this patient still has regular cycles. In addition, she is obese and did not have breast cancer herself, just a family history of breast cancer. Would any of these factors change your suggested treatment for this patient? Hormone therapy is contra-indicated for patients with family history of breast cancer. Read: A 17-year-old sexually active interested in birth control

ANSWER. PAPER DETAILS
Academic Level	Masters
Subject Area	Nursing
Paper Type	Case Study
Number of Pages	1 Page(s)/275 words
Sources	4
Format	APA
Spacing	Double Spacing

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