Women Health – Week 2 Discussion 1st REPLY

Women Health – Week 2 Discussion 1st REPLY

Women Health – Week 2 Discussion 1st REPLY

1) Please reply to the following discussion with one reference. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite resources in your responses to other classmates.

2) Also, answer the following question in a separate small paragraph with one reference.

Question: She does not have insurance how much is an IUD?

Discussion

Family Medicine 32: 33-year-old with painful cycles

During the interview and health history taking for dysmenorrhea, it is important to inquisitive about the presenting symptoms. This would include the relationship of symptoms to the start and ending of menstrual cycle, characteristics of the pain and relieving factors (if there are any), amount of bleeding that is experienced, report of fevers accompanying the symptoms, STI and sexual history, pain with intercourse, chronic diseases and medications the patient is taking, including over the counter medications (Hawkins, Roberto-Nicholas & Stanley-Haney, 2020).

Patients with dysmenorrhea can have a multitude of symptoms that may be present. Throbbing, aching, persistent pain in the lower abdomen that can radiate to the back are the most common symptom presentation. Patients’ pain usually begins 1-3 days before menses and peaks around 24 hours after the onset. Pain can continue up to 3 days after the beginning of menses (Hawkins, Roberto-Nicholas & Stanley-Haney, 2020).

Diagnostic tests that can be conducted include chlamydia, gonorrhea and/or wet mount screening if appropriate.

The primary diagnosis would be primary dysmenorrhea with differential diagnosis including: endometriosis, ovarian cysts and intrauterine polyps.

The first line treatment for dysmenorrhea would be an NSAID. NSAIDs should be started at the start of menses and can continue taking them up to two days into the menstrual cycle. Cyclic combined hormonal contraceptives can also be used as second line treatment. Heat application and education on premenstrual guidelines for diet and other recommendations can also be used. The patient should have yearly physicals conducted and pap smears per established guidelines (Hawkins, Roberto-Nicholas & Stanley-Haney, 2020).

Hawkins, J., Roberto-Nicholas,D. & Stanley-Haney, J. (2020). Guidelines for nurse practitioners in gynecologic settings (12th ed.). Springer Publishing. ISBN-13: 9780826173263

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ADDITIONAL INSTRUCTIONS FOR THE CLASS

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  • Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

  • Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

  • APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

  • Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

  • LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

  • Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

  • Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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