Posted: February 9th, 2023

A 46-year-old, 2301b woman with a family history of breast cancer

Post a brief description of a patient’s health needs from the patient case study you assigned. Be specific. Then, explain the type of treatment regimen you would recommend for treating your patient, including the choice or pharmacotherapeutics you would recommend and explain why. Be sure to justify your response. Explain a patient education strategy you might recommend for assisting your patient with the management of their health needs. Be specific and provide examples.
A 46-year-old, 2301b 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 gyn 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.
Your discussion post this week should include a brief description of this patient’s health needs. Be specific. Then, explain the type of treatment regimen you would recommend for treating your patient, including the choice or pharmacotherapeutics you would recommend and explain why. Be sure to justify your response. Explain a patient education strategy you might recommend for assisting your patient with the management of their health needs. Be specific and provide examples.
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The patient is a 46-year-old woman with a history of hypertension and a family history of breast cancer. She presents with hot flushing, night sweats, and genitourinary symptoms. She has a history of ASCUS on her pap smear 5 years ago and her current pap smear is normal.
Based on the patient’s symptoms and history, I would recommend a work-up for menopause-related symptoms, as well as a breast cancer screening. This may include a pelvic examination, mammogram, and referral to a breast specialist for further evaluation. The patient’s hypertension may also require adjustments to her current medication regimen.
In terms of treatment, I would recommend a combination of hormone therapy and non-hormonal therapy for her menopause-related symptoms. Hormone therapy can help alleviate hot flushes and night sweats, but it comes with an increased risk of breast cancer, so it should be used with caution and close monitoring. Non-hormonal therapy options include selective serotonin reuptake inhibitors (SSRIs) and gabapentinoids.
In terms of hypertension management, I would recommend continuing Norvasc 10mg and HCTZ 25mg. However, it is important to note that her blood pressure is still elevated and may require further adjustments or the addition of another medication.
In terms of patient education, I would recommend discussing the risks and benefits of hormone therapy, as well as the importance of regular breast cancer screenings. I would also provide education on hypertension management, including lifestyle changes such as diet and exercise, and the importance of monitoring blood pressure and adherence to medication regimen. Additionally, I would provide education on menopause symptoms and non-hormonal management options.

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