Discussion: Hormone Replacement Therapy NSG 6430
Discussion: Hormone Replacement Therapy NSG 6430
Discussion: Hormone Replacement Therapy NSG 6430
Evidence-Based Information And The Advantages And Disadvantages Associated With Hrt
The mean age that women reach is about 51 years. About 95% of women across the world reach menopause between the ages of 45 years old to 55 years. Most women reach menopause naturally while others go through surgical interventions. Nonetheless, all the women in menopause will experience its side effects due to reduced estrogen levels in their body. Research shows that studies concerning cancer and hormonal balance have reached a different level. For instance, it has been proven that the estrogen that women are taking nowadays is considered to be “bio-identical” to what the ovaries produce naturally, and thus approved by the FDA (Lobo, 2017). However, hormonal replacement therapy is associated with risks of developing breast cancer, which is low (Brinton et al., 2018). Nevertheless, hormone replacement therapy is also associated with several advantages such as the reduced risk of heart disease or stroke, prevention of bone loss, and reduced menopausal symptoms guaranteeing these women better sleep and improved quality of life.
Recommendations on whether to Continue Or Discontinue Ms. Martin on HRT
Ms. Martine should discontinue hormone replacement therapy. However, for her to continue with the therapy, the regiment should be a combination of both estrogen and progestin. Women with an intact uterus, just like Ms. Martin. need progestin as part of the HRT to protect the endometrium of her uterus from malignancy or hyperplasia (Sullivan et al., 2018). Additionally, the patient has been on hormone replacement therapy for about four years, while the recommended duration is a maximum of 5 years. Consequently, the patient has a family history of breast cancer, which puts her at significant risk if she goes on with the therapy. Previous studies show that some women usually experience the vasomotor symptoms of menopause for 7.4 years on average, while it might persist in others for even more than ten years. For such women, it is recommended that they use nonhormonal therapy before restarting on hormonal-based therapy.
Alternative Treatments for Menopausal Symptoms
Several treatment options are available for the menopausal symptoms experienced by Ms. Martin. For instance, cognitive behavioral therapy inclusive of hypnosis has shown beneficial outcomes in the management of disturbed sleep and hot flashes. Consequently, the mind-body approach can be used to reduce stress among other menopausal symptoms. For obese or overweight women, eating a healthy diet full of soy-based products and frequent exercise can help reduce the symptoms (Lobo, 2017). Soy-based foods are beneficial in reducing hot flashes. Soy contains high concentrations of daidzein, which transform to equol in the intestine. Equol is responsible for duplicating the effect of estrogen in the body upon binging to the estrogen receptors. Lastly, pharmacological agents which are non-hormonal such as selective serotonin reuptake inhibitors have been approved by the FDA to be used in the management of hot flashes (Lobo, 2017).
Struggling to Meet Your Deadline?
Get your assignment on Discussion: Hormone Replacement Therapy NSG 6430 done on time by medical experts. Don’t wait – ORDER NOW!
Meet my deadline
Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: Discussion: Hormone Replacement Therapy NSG 6430
Recommended Screening Tests for Ms. Martin
The recommended screening tests for women between the age of 40 to 64 years, in addition to Ms. Martin case study, are as follows (Symer et al., 2018):
Blood pressure screening after every two years if the reading is less than 120/80 or every year when the systolic blood pressure is between 120 to 139 mm Hg and diastolic between 80 to 89mm Hg.
Mammogram yearly, in addition to a clinical breast exam.
A Pap test plus HPV tests (co-testing) after every five years for cervical cancer screening.
Colorectal cancer screening by flexible sigmoidoscopy every five years and colonoscopy after every ten years (Symer et al., 2018). The patients can also undergo a double contrast barium enema after every five years. Other tests for cancer include fecal occult blood test yearly, fecal immunochemical tests yearly, or stool DNA Tests.
Depression
Diabetes Mellitus at least after every three years mainly for adults with a sustainable blood pressure of 135/80 mm Hg and no symptoms of diabetes (Symer et al., 2018).
Lipid disorder teste at least after every five years for all women above 45 years who are a high risk of coronary artery disease.
Overweight and obesity by frequently checking BMI.
Other routine examinations such as osteoporosis, vision, and hearing.
Health Promotion, Maintenance, and Prevention Education Important to Ms. Martin
The body, mind, and soul are supported by an appropriate health promotion, and preventive and maintenance education. I would encourage the client to adopt a healthy diet, exercise frequently and get enough sleep, which reduce the risks of developing cardiovascular diseases, stroke, osteoporosis, and diabetes mellitus (Utian & Schiff, 2018). She should also take adequate amounts of food rich in vitamin D and calcium. Her weight should be monitored closely in addition to her avoiding taking alcohol or any other drug of abuse. Lastly, the client needs to be aware of the fact that menopause causes vaginal irritations and dryness; hence the use of vaginal lubricants are necessary for maintaining comfort.
Discussion: Hormone Replacement Therapy NSG 6430 References
Brinton, L. A., Brogan, D. R., Coates, R. J., Swanson, C. A., Potischman, N., & Stanford, J. L. (January 01, 2018). Breast cancer risk among women under 55 years of age by joint effects of usage of oral contraceptives and hormone replacement therapy. Menopause (New York, N.y.), 25(11), 1195-1200.
Lobo, R. A. (January 01, 2017). Hormone-replacement therapy: current thinking. Nature Reviews Endocrinology, 13( 4), 220-231.
Sullivan, J. M., Shala, B. A., Miller, L. A., Lerner, J. L., & McBrayer, J. D. (January 01, 2018). Progestin enhances vasoconstrictor responses in postmenopausal women receiving estrogen replacement therapy. Menopause (New York, N.y.), 25(11), 1180-1186.
Symer, M. M., Wong, N. Z., Abelson, J. S., Milsom, J. W., & Yeo, H. L. (January 01, 2018). Hormone Replacement Therapy and Colorectal Cancer Incidence and Mortality in the Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial. Clinical Colorectal Cancer, 17, 2.
Utian, W. H., & Schiff, I. (January 01, 2018). NAMS-Gallup survey on women’s knowledge, information sources, and attitudes to menopause and hormone replacement therapy. Menopause (New York, N.y.), 25(11), 1172-1179.
Week
9 discussion
Hormone
Replacement Therapy
This discussion assignment provides a forum
for discussing relevant topics for this week based on the course competencies
covered. For this assignment, make sure you post your initial response to the
Discussion Area by the due date assigned.
To support your work, use your course
textbook readings and the South University Online Library. As in all
assignments, cite your sources in your work and provide references for the
citations in APA format.
Start reviewing and responding to the
postings of your classmates as early in the week as possible. Respond to at
least two of your classmates’ initial postings. 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. Complete your
participation for this assignment by the end of the week.
ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT: Discussion: Hormone Replacement Therapy nsg 6430
For this assignment, you will review the
latest evidence based guidelines as they pertain to the case below. Discussion
of the case is based on the course objectives and weekly content, which
emphasize the core learning objectives for an evidence-based primary care
curriculum. Throughout your nurse practitioner program, case study discussions
are used to promote the development of clinical reasoning through the use of
ongoing assessments and diagnostic skills, and to develop patient care plans
that are grounded in the latest clinical guidelines and evidence-based
practice.
Discussion: Hormone Replacement Therapy nsg 6430Ms. Martin is a 55-year-old woman who has
been on HRT for 4 years. HRT was prescribed because Ms. Martin was experiencing
vasomotor symptoms associated with menopause. Her last mammogram was 2 years
ago and last pap was 5 years ago. Ms. Martin made an appointment with her nurse
practitioner to discuss discontinuing HRT after hearing and reading news
reports about the dangers associated with the medication. Except for the HRT,
Ms. Martin is taking no medication other than a daily vitamin. She had a tubal
ligation after the birth of her third child but has had no other surgeries or
history of any medical conditions. Her father had cardiovascular disease and
died of a myocardial infarction at 77 years of age. Her mother was diagnosed
with breast cancer at 81 years of age. Ms. Martin does not smoke and rarely
drinks alcohol. She likes to work in her garden but is not involved in a formal
exercise program. She has gained about 10 pounds since menopause.
What evidence-based information will you
provide to Ms. Martin regarding her concerns of HRT? Discuss the advantages and
risks associated with HRT.
Discussion: Hormone Replacement Therapy nsg 6430What are your recommendations for Ms.
Martin? Will you recommend continuing or discontinuing HRT and why?
What alternative treatments for menopausal
symptoms will you discuss with Ms. Martin?
Discuss the recommended screening tests,
using the latest evidence based guidelines that Ms. Martin should have.
What health promotion, maintenance, and
prevention education would be important to provide to Ms. Martin?
Don’t wait until the last minute
Fill in your requirements and let our experts deliver your work asap.
Start My Order
