Client Analysis: Gynecological Exams

On enquiry Sue told me that she used Depo- Provera injections for contraception and dysmenorrhoea and consequently did not menstruate. She also denied any spotting of blood. Her last injection was given in practice 40 days previously and by reviewing her notes I could see her history showed timely attendance

Patient lives with her husband of 10 years and 3 children in Denver, Colorado. Patient denies any spousal abuse. She also denies smoking, alcohol, or drug use during her pregnancy. Patient completed middle school, and currently works as a house wife. Patient is of low economic status.

Throughout this course I have learned so much in regards to what type of characteristic and responsibility is required to become a successful heath care professional. For example, being guided by a professional codes of ethics can help patients and health care professional to provide the best and safest care. Some of these principle include, respecting confidential information, be honest, keep promises and do no harm. As a future nurse, I have learned my weaknesses and my strengths in regard to my characteristics. For instance, my strongest characteristics is being a fast learner and having the ability to solve problems under stress. In the other hand, this course has shown me my weaknesses, such as, having no physical endurance and my lack

Client’s last medical appointment was in June 2014 and her latest dental appointment was September 2014.

Y.L. makes an appointment to come to the clinic where you are employed. She has been complaining of chronic fatigue, increased thirst, constant hunger, and frequent urination. She denies any pin, burning, or low-back pain on urination. She tells you she has a vaginal yeast infection that she has treated numerous times with over-the-counter (OTC) medication. She admits to starting smoking since going back to work full time as a clerk in a loan company. She also complains of having difficulty reading numbers and reports making frequent mistakes. She says, “By the time I get home, and make supper for my family, them put my child to bed, I am too tired to exercise.” She reports her feet

issues with behavioral as well as not being punctual for her arrival to work. client was diagnosed with

13. During the history, client admits to being HIV + and says she knows that she is about 16 weeks pregnant. Which statements made by the client indicate an understanding of the plan of care both during the pregnancy and postpartally? Select all that apply:

CM was out on vacation from 5/3/2017 to 6/14/2017. On 6/20/2017, CM met with the client to complete Bi-Weekly ILP Review. Client was dressed in proper attire for the weather. Her affect and mood was appropriate. Client maintains eyes contact appropriately and she was oriented to person, place, time and situation. Client continue to deny suicidal or homicidal ideation

Practicum I paper Interpretation and consideration of available assessment information for the client. This practicum started on Monday, January 11, 2016, although officially it was supposed to have started on January 09. In order of the practicum to go on hitches free we had a brief working session with the practicum coordinator. She explained some of the expectations. All our worries and expectations were discussed.

Erin is a 33yo, G3 P1101, who was seen for an ultrasound evaluation and consultation. The patient has a longstanding past history of substance abuse as well as alcohol abuse and she is HIV positive with a positive viral load. She is followed by infectious disease and is on numerous medications including Genvoya and Prezista. She also is reportedly hepatitis C positive. She has a history of alcohol abuse in the past but states that she has not had any alcohol since early June. Her LMP was 08/06/17. She also has a history of cocaine usage but again denies any usage in the past year. She does have a longstanding history of physical abuse and has had issues with anxiety. She has 2 previous deliveries. The 1st of which was in 2004 that occurred

On 7/23/2015, Client attended to her ILP meeting with her youngest son Marcos. Child was observed well dressed for the weather. Client stated that she didn’t attend to her ILP meeting because her son was sick. Client also stated that she have a boil in her waist.

A 21-year-old Caucasian female presents to the clinic for follow up on her yearly exam. She had initially reported while at college she had several episodes of unprotected sex and was treated at the clinic for chlamydia just before Christmas break. Her vital signs were 120/82 with a pulse rate of 82 and regular. Her respirations were 18 and unlabored with a 99% pulse oximetry reading on room air with an oral temperature of 98.1 degrees. She reports she has been feeling well after finishing her antibiotics from the clinic. Her Papanicolaou screen results were negative for intraepithelial lesions or malignancy, her hepatitis panel, rapid plasmin reagin, gonorrhea and chlamydia screening were nonreactive. Her enzyme-linked immunosorbent assay (ELISA) was positive and confirmed by the Western blot test (Schaffer & Treloar, 2017). She has no conditions where this is potentially a false positive such as liver disease, autoantibodies, recent viral illness or influenza vaccine since late summer (Schaffer & Treloar, 2017).

Social History: The patient widowed and lives in a house with her two daughters. Currently employed as a supervisor at Walmart and has health insurance through her work. Works full time and enjoy her work. She enjoys spending time with her family. She is sexually active. She is currently in an intimate relationship for the past one year after the death of her husband and used condoms occasionally when having sex. Highest level of education is bachelor’s degree

The benefits of providing personal care using a client centered approach would be that if they did certain things at their home, it would make it feel like they are still in their home. For Example: When they were at their house if they would read the news paper and drink a cup of coffee then get dressed they should be able to still do their routine like they did before going into a long term care facility. If it’s the client that decides how their day is going to go, it will make them have a good day and they will be happy. For example: If you have a client that always liked to take a relaxing bath around 9-10 at night before going to bed, you should give them a bath around 9-10 and they will be happy and in a good mood. Another benefit