TJ, a 32 year old, pregnant, lesbian, is being seen for an annual physical exam and has been having vaginal discharge. Her pregnancy has been without complications thus far. She has been receiving prenatal care from an obsetrician. She received sperm from the local sperm bank. She is currently taking prenatal vitamins and takes over the counter Tylenol for aches and pains on occasion. She has a strong family history of diabetes. Gravida 1; Para 0; Abortions 0.
Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Explain the issues that you would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.
Answer: As in the above mentioned case, the patient is having vaginal discharge. It shows that she has good socioeconomic status and healthy lifestyle. As she goes for annual check up and doesn't have any health complications. Although, the lesbians in the society are not equally treated, here the women is self concerned. She has a good health and healthy pregnancy.
The issues which could be sensitive while intervening with the patient as to ask about the cultural environment she is living and does her family knows about the donor sperm and pregnancy. Does she is mentally prepared to face the society?
The questions that need to be asked:
TJ, a 32 year old, pregnant, lesbian, is being seen for an annual physical exam and...
TJ, a 32-year-old pregnant lesbian, is being seen for an annual physical exam and has been having vaginal discharge. Her pregnancy has been without complication thus far. She has been receiving prenatal care from an obstetrician. She received sperm from a local sperm bank. She is currently taking prenatal vitamins and takes over the counter Tylenol for aches and pains on occasion. She has a strong family history of diabetes. Gravida 1; Para 0; Abortions 0. Need socioeconomic, spiritual, lifestyle,...
JC, an at-risk 86-year-old Asian male is physically and financially dependent on his daughter, a single mother who has little time or money for her father's health needs. He has a hx of hypertension (HTN), gastroesophageal reflux disease (GERD), b12 deficiency, and chronic prostatitis. He currently takes Lisinopril 10mg QD, Prilosec 20mg QD, B12 injections monthly, and Cipro 100mg QD. He comes to you for an annual exam and states “I came for my annual physical exam, but do not...
AG is a 54-year-old Caucasian male who was referred to your clinic to establish care after a recent hospitalization after having a seizure related to alcohol withdrawal. He has hypertension and a history of alcohol and cocaine abuse. He is homeless and is currently living at a local homeless shelter. He reports that he is out of his amlodipine 10 mg which he takes for hypertension. He reports he is abstaining from alcohol and cocaine but needs to smoke cigarettes...
Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Explain the issues that you would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks
Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Explain the issues that you would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks. CASE STUDY 3 BK is a 16-year-old Caucasian female who comes in with her grandmother for...
To prepare: Reflect on your experiences as a nurse and on the information provided in this week’s Learning Resources on diversity issues in health assessments. By Day 1 of this week, you will be assigned a case study by your Instructor. Note: Please see the “Course Announcements” section of the classroom for your case study assignment. Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient assigned to you. Consider how you...
Tara is a 37-year-old African American married multigravida. She is 8 weeks pregnant and has come to the women's health clinic for her first prenatal visit. Her first two pregnancies resulted in spontaneous abortions at 13 and 14 weeks. Her third pregnancy resulted in the birth of her 4-year-old daughter at 36 weeks of gestation. Tara smokes one pack of cigarettes every 1 to 2 days. Her health history reveals that she has been hypertensive since age 20 and often...
Crystal Acton, a 27-year-old married woman, pregnant with her first child, presents at the OB/GYN clinic for her first prenatal visit. The nurse-midwife begins her assessment of this patient by documenting a medical and family history. Mrs. Acton states that the only medication she is taking is a multivitamin with folic acid daily. She has no family history of breast, ovarian, or vaginal cancer. While performing the physical assessment, the nurse-midwife notes a thrill over the thyroid gland, which feels...
Crystal Acton, a 27-year-old married woman, pregnant with her first child, presents at the OB/GYN clinic for her first prenatal visit. The nurse-midwife begins her assessment of this patient by documenting a medical and family history. Mrs. Acton states that the only medication she is taking is a multivitamin with folic acid daily. She has no family history of breast, ovarian, or vaginal cancer. While performing the physical assessment, the nurse-midwife notes a thrill over the thyroid gland, which feels...
A 25-year-old female who is 3-months pregnant is being seen for her first prenatal visit. The nurse is completing the assessment of the woman and believes that the patient may have an alcohol issue. A. The nurse completes the T-ACE alcohol screening questionnaire for use in pregnant women. The patient says she has 1 or 2 glasses of wine every day to feel good and her husband has told her to stop drinking. She usually has a glass of wine...