Nursing Case Study Papers on HRT

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Questions-Nursing Case Study Papers on HRT
What evidence-based information will you provide to Ms. Inna regarding her concerns of HRT? Discuss the advantages and risks associated with HRT.
• What are your recommendations for Ms. Inna? Will you recommend continuing or discontinuing HRT and why? • What alternative treatments for menopausal symptoms will you discuss with Ms. Inna?
• Discuss the recommended screening tests, using the latest evidence based guidelines that Ms. Inna should have.
• What health promotion, maintenance, and prevention education would be important to provide to Ms. Inna?
Case Study
Ms. Inna is a 55-year-old woman who has been on HRT for 4 years. HRT was prescribed because Ms. Inna was experiencing vasomotor symptoms associated with menopause. Her last mammogram was 2 years ago and last pap was 5 years ago. Ms. Inna 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. Inna 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. Inna 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.

Discuss ways of creating an environment that provides psychological comfort for both patient and practitioner.

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Discuss ways of creating an environment that provides psychological comfort for both patient and practitioner.

Discuss any anticipated problems as well as strategy to overcome any data collection and management problems.

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Identify and describe the research design that you plan to use for your research study. Describe any threat to the validity of the design, as used in your study.
Describe the method you plan to use to obtain the sample. Describe your population, sample, and setting. Discuss any limitations associated with your sampling method.
Write the research question here first. Then, write out the answer to this response.
Reflect and begin selecting and or designing tool. Consider how you will establish validity and reliability if the tool is self designed.
1. Measurement tool
2. Description of the tool
3. Established reliability and validity
4. Include scoring information.
5. Demographic tool.
Hint: It is best for you to select a tool that already has validity and reliability already establish
Plan for Data collection. Discuss any anticipated problems as well as strategy to overcome any data collection and management problems.

Discuss 3 factors that influence a pathogens ability to cause infection

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Case analysis report
John is a 64 year old male who has developed a post-operative wound following a total hip replacement. John was well prior to surgery and has a history of high cholesterol, which he manages with a good diet. His wound is red, swollen, warm and painful. He also has a fever and feels generally unwell. John is given a broad spectrum antibiotic while waiting for the results on a wound culture. He subsequently experiences an anaphylactic reaction after the second dose of anti-biotics.
  1. Discuss 3 factors that influence a pathogens ability to cause infection in relation to johns case specifically (ie. Mechanisms of action, virulence, infects its, toxigenicity, immunogenicity. Any 3).
2. Discuss innate immunity and analyse how John was able to develop an infection in the presence of a normal immune system.
3. Create a detailed diagram (can be from our text book if referenced), outlining the patho physiological process of inflammation that led to the manifestations of redness, swelling, pain and warmth at johns wound site.
4. Considering the adaptive immune response, outline why John DID NOT show signs of an allergic reaction when given his FIRST dose of antibiotics.