Comprehensive Patient Assessment

Reflect on your Practicum Experience and select a female patient whom you have examined with the support and guidance of your Preceptor.

 

Think about the details of the patient’s background, medical history, physical exam, labs and diagnostics, diagnosis, treatment and management plan, as well as education strategies and follow-up care.

 

To complete

 

Write an 8- to 10-page comprehensive soap Note paper on Abnormal Uterine Bleeding , that addresses the following:

 

Age, race and ethnicity, and partner status of the patient

 

Current health status, including chief concern or complaint of the patient

 

Contraception method (if any)

 

Patient history, including medical history, family medical history, gynecologic history, obstetric history, and personal social history (as appropriate to current problem)

 

Review of systems

 

Physical exam

 

Labs, tests, and other diagnostics

 

Differential diagnoses

 

Management plan, including diagnosis, treatment, patient education, and follow-up care.

 

 

 

PLEASE FOLLOW ASSIGNMENT CRITERIA AND SAMPLE PAPER ATTACHED WITH THIS ASSIGNMENT. 100% ORINALITY AND APA FORMATE IS REQUIRED. DO NOT COPY SAMPLE PAPER , JUST FOLLOW THE PATTERN.

References

Schuiling, K. D., & Likis, F. E. (2013). Women’s gynecologic health (2nd ed.). Burlington, MA: Jones and Bartlett Publishers.

 

• • Chapter 5, “Gynecologic Anatomy and Physiology” (pp. 81–101)

 

• • Chapter 6, “Gynecologic History and Physical Examination” (pp. 103–131)

Tharpe, N. L., Farley, C., & Jordan, R. G. (2013). Clinical practice guidelines for midwifery & Women’s health (4th ed.). Burlington, MA: Jones & Bartlett Publishers.

 

• • Chapter 6, “Care of the Well Woman Across the Life Span
  • “Preventive Health Care for Well Women” (pp. 263–265)
  • . Retrieved from http://www.womenshealth.gov/screening-tests-and-vaccines/screening-tests-for-women/Screening tests and vaccinesU.S. Department of Health and Human Services. (2012b). Care of the Well Woman: Health Assessment and Screening” (pp. 265–270)
  • Society for Reporoductive Endocrinology and Infertility. (2012). Abnormal uterine bleeding. Retrieved from http://www.socrei.org/BOOKLET_abnormal_uteine_bleeding/

    Taran, F. A., Stewart, E. A., & Brucker, S. (2013). Adenomyosis: Epidemiology, risk factors, clinical phenotype and surgical and interventional alternative to hysterectomy. Geburtshilfe Frauenheilkunde, 73(9), 924-931.