Reply separately to two of your classmates posts (See attached classmates posts, post#1 and post#2). INSTRUCTIONS: Based on their replies, discuss how health disparities in women could affect their ca

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Reply

separately

to


two


of your classmates posts (See attached classmates posts, post#1 and post#2).

INSTRUCTIONS:

Based on their replies, discuss how health disparities in women could affect their care (for example, geographic location, race, finances, literacy, etc.). Use the UpToDate database as one of your required references, and a second scholarly reference of your choice; remember you should have at least two references for each peer post.

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Note: DO NOT CRITIQUE THEIR POSTS, just add informative content regarding to their topic that is validated via citations. DO NOT BASE ALL YOUR REPLY ON STATISTICS.

– Utilize at least two scholarly references per peer post.

Please, send me the two documents separately, for example one is the reply to my peers Post #1, and the second one is the reply to my other peer Post #2.

– Minimum of 250 words per peer reply.

Background: I live in Florida, I am currently enrolled in the Psych Mental Health Practitioner Program, I am a Registered Nurse, I work in a Psychiatric Hospital.

Reply separately to two of your classmates posts (See attached classmates posts, post#1 and post#2). INSTRUCTIONS: Based on their replies, discuss how health disparities in women could affect their ca
POST # 1 BRITTANY Topic: STI Prevention and Screening A 52-year-old female woman presents to the clinic concerned she may have contracted a sexually transmitted infection. She states that she is recently divorced and has been with several people over the past few months. She explains that she feels that she should be tested for everything, as she has been experimenting with things sexually. Sexually transmitted infection screening is usually quick and non painful. There are different tests used for different infections or diseases.  Most of the time, STIs have no symptoms, so testing is the only way to know for sure if you have an STD (Planned Parenthood, 2020). Even when symptoms are present, they are usually so mild that are ignored for some time. With this patient, I would ask questions that include: 1) Do you have sex with men, women, or both? 2) Have you and your partners used protection each time you’ve had sex? 3) What kind of sex have you had? Vaginal? Anal? Oral? 4) Have you or any of your partners used alcohol or drugs when you had sex? 5) Have you ever had a sexually transmitted infection? 6) Have you ever been tested for HIV (NCSH, 2019). If she responds yes to any of these questions, as her APRN, it would be recommended to follow screening guidelines and test her for what she is at risk for. It would also be important to review her past tests and see their results and how recently they were done.  By following the STI/STD screening guidelines, there are a few tests that should be performed on this patient. If she has not yet been tested for HIV, then this should be performed. Due to her risk factors of multiple and new sex partners, she should also be tested for gonorrhea and chlamydia according to the CDC guidelines (CDC, 2015). Some safe sex practice education to provide this patient with is to discuss with her new partners if they have a history of STIs, discuss if they their new partners would be willing to get tested, always use protection, and go for regular STI/STD screenings if the patient is going to continue to have multiple new sexual partners. It would be important to review how frequently she should get tested based off of her risk factors and following guidelines. It is recommended by the CDC to get a gonorrhea and chlamydia test once a year if a person has multiple sex partners and it is also recommended that anyone who has unsafe sex should get an HIV test done once a year (CDC, 2015). References: CDC. (2015). Which STD Tests Should I Get? Centers for Disease Control and Prevention. Retrieved from https://www.cdc.gov/std/prevention/screeningreccs.htm NCSH. (2019). Sexual Health and Your Patients: A Provider’s Guide. National Coalition for Sexual Health. Retrieved from https://www.kdheks.gov/sti_hiv/download/Provider_Guide.pdf Planned Parenthood. (2020). Get Tested. Retrieved from https://www.plannedparenthood.org/learn/stds-hiv-safer-sex/get-tested
Reply separately to two of your classmates posts (See attached classmates posts, post#1 and post#2). INSTRUCTIONS: Based on their replies, discuss how health disparities in women could affect their ca
POST # 2 LEANNE A 39-year-old female patient presents for her annual wellness exam. She reports she does monthly self-breast exams since a maternal aunt and cousin both have breast cancer. The patient asked about getting mammograms. The purpose of this discussion is to review the mammogram recommendations from the American College of Obstetrics and Gynecology (ACOG), American Cancer Society (ACS), and the United States Preventive Services Task Force (USPSTF) and explain how, as an advance practice registered nurse (APRN), I would counsel this patient. Recommendations for self and clinical breast exams and shared decision-making will be discussed.       The USPSTF (2016) recommends that the decision to screen women age 40-49 years using mammography should be individualized given that the number of averted deaths in this age group is smaller than with older women and the number of false positives is greater. Similarly, the ACS (2020) states that women age 40-44 should have the option to start mammogram screening, age 45-54 should have one yearly, and age 55 and older should either continue with yearly screenings or switch to every other year as long as they are expected to live at least 10 more years. Recently, ACOG (2017) updated their recommendations to reflect that screening be offered for average risk women beginning at age 40 and to utilize shared decision-making. Shared decision making indicated that the patient and their provider should engage in discussion regarding the woman’s health history, benefits, and harms of screening, and what the patient’s thoughts and values are on the benefits and harms (ACOG, 2017). This process is important to empower the patient in making an informed, educated decision based on their preferences and the appropriateness of the situation.       Recommendations for self-breast exams have changed regarding a woman at average risk. Ritual self-breast exams are no longer recommended due to the risk of harm from false positives and lack of evidence for benefit (Pearlman et al., 2017). Instead, Pearlman et al. (2017) explain the recommendation is for women to have self-breast awareness regarding the normal appearance and feel of their breasts and to report any changes to their provider. Clinical breast exams may be conducted for the asymptomatic, average risk woman as part of the shared decision-making process (Pearlman et al., 2017). Women should be in tune with their bodies and be able to recognize any changes, but do not necessarily have to conduct monthly self-exams.       APRNs need to consider their patient’s situation carefully. This patient is at a slight increased risk for developing breast cancer given that her maternal aunt and cousin have both been diagnosed. According to the ACS (2019), approximately 15% of women with breast cancer have a relative who also have the disease. Based on the recommendations from the ACOG, ACS, and USPSTF, I would not recommend mammogram screening at this time as the patient is only 39. I would provide her information on the benefits and risks of beginning screening at age 40 for her to consider. The patient should be advised that if she does recognize any changes in her breasts to call immediately, ReferencesAmerican Cancer Society. (2020, March 5). American Cancer Society recommendations for the early detection of breast cancer. Retrieved July 20, 2020 from https://www.cancer.org/cancer/breast-cancer/screening-tests-and-early-detection/american-cancer-society-recommendations-for-the-early-detection-of-breast-cancer.htmlAmerican Cancer Society. (2019, September 10). Breast cancer risk factors you cannot change. Retrieved July 20, 2020 from https://www.cancer.org/cancer/breast-cancer/risk-and-prevention/breast-cancer-risk-factors-you-cannot-change.htmlAmerican College of Obstetricians and Gynecologists. (2017, June 22). ACOG revises breast cancer screening guidance: Ob-gyns promote shared decision-making. ACOG website: https://www.acog.org/news/news-releases/2017/06/acog-revises-breast-cancer-screening-guidance-ob-gyns-promote-shared-decision-makingPearlman, M., Jeudy, M., & Chelmow, D. (2017). Breast cancer risk assessment and screening in average-risk women. ACOG website: https://www.acog.org/clinical/clinical-guidance/practice-bulletin/articles/2017/07/breast-cancer-risk-assessment-and-screening-in-average-risk-womenUnited States Preventive Services Task Force. (2016, January 11). Breast cancer: Screening. Retrieved July 20, 2020 from https://uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-screening

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