Writing Homework Help

I’m working on a nursing case study and need support to help me learn.

   I have completed my clinical experience for women and one of the many challenges I have faced is adjusting to the new norm that we have been dealing for the last almost two year. As a family nurse practitioner student, it is difficult to find preceptors and even adjust to limited access of clinical and patients.

     In our lecture class, we learned about a feminist perspective of women’s health which provide an overview of the experience of health using a feminist perspective and gender consideration. We have also learned about health inequities among people of color and the importance of screening and health maintenance among women.  In my clinical experience I have seen how important screening is because, the purpose of screening individuals or populations is to reduce the risk of death or future ill health from a specific condition by offering a test intended to help identify people who could benefit from treatment.

      As these screening programs have been implemented over the years, a substantial body of experience has been gained. In practice, when screening is conducted in contexts of gender inequality, racial discrimination, sexual taboos, and poverty, these conditions shape the attitudes and beliefs of health system and public health decision makers as well as patients, including those who have lost confidence that the health care system will treat them fairly. Thus, if screening programs are poorly conceived, organized, or implemented, they may lead to interventions of questionable merit and enhance the vulnerability of groups and individuals.  (Herman, 2019)

   In women health, the patient history should include screening for tobacco use, alcohol misuse, intimate partner violence, and depression. Premenopausal women should receive preconception counseling and contraception as needed, and all women planning or capable of pregnancy should take 400 to 800 mcg of folic acid per day. High-risk sexually active women should be counseled on reducing the risk of sexually transmitted infections, and screened for chlamydia, gonorrhea, and syphilis. All women should be screened for human immunodeficiency virus. Adults should be screened for obesity and elevated blood pressure. Women 20 years and older should be screened for dyslipidemia if they are at increased risk of coronary heart disease. Those with sustained blood pressure greater than 135/80 mm Hg should be screened for type 2 diabetes mellitus. Women 55 to 79 years of age should take 75 mg of aspirin per day when the benefits of stroke reduction outweigh the increased risk of gastrointestinal hemorrhage. Women should begin cervical cancer screening by Papanicolaou test at 21 years of age, and if results have been normal, screening may be discontinued at 65 years of age or after total hysterectomy. Breast cancer screening with mammography may be considered in women 40 to 49 years of age based on patients’ values, and potential benefits and harms. Mammography is recommended biennially in women 50 to 74 years of age. Women should be screened for colorectal cancer from 50 to 75 years of age. Osteoporosis screening is recommended in women 65 years and older, and in younger women with a similar risk of fracture. Adults should be immunized at recommended intervals according to guidelines from the Centers for Disease Control and Prevention. (Margaret Riley, Margaret Dobson, 2013)

   In conclusion, Screening tests must be widely available to the population for which they are intended. They cannot be available only at academic or other large medical centers. The tests must not have associated morbidity or mortality even minor side effects may offset the benefits of screening. The test must also be reasonably priced, otherwise insurers may not provide coverage, and patients may be unable or unwilling to pay for the tests themselves. (Herman, 2019)