Practicum: Journal Entry week 5
Reflect on a patient who presented with endometriosis, ovarian cysts, or amenorrhea during your Practicum Experience. Describe the patient’s personal and medical history, drug therapy and treatments, and follow-up care. Then, explain how treatment modalities differ for endometriosis, ovarian cysts, and amenorrhea, as well as the implications of these differences when diagnosing and treating patients. If you did not have an opportunity to evaluate a patient with this background during the last five weeks, you may select a related case study from a reputable source or reflect on previous clinical experiences.
Resources

• Schuiling, K. D., & Likis, F. E. (2013). Women’s gynecologic health (2nd ed.). Burlington, MA: Jones and Bartlett Publishers.
o Chapter 25, “Normal and Abnormal Uterine Bleeding” (pp. 609–646)

This chapter differentiates normal uterine bleeding from abnormal and dysfunctional uterine bleeding. It also examines causes of abnormal bleeding and identifies assessment strategies for diagnosing and managing these conditions.
o Chapter 26, “Hyperandrogenic Disorders” (pp. 647–667)

This chapter explores the etiology, clinical presentation, and impact of hyperandrogenic disorders. It also provides strategies for assessing, diagnosing, and managing patients with these conditions, including adolescents and pregnant women.
o Chapter 27, “Benign Gynecologic Conditions” (pp. 669–699)

This chapter explains the incidence, presentation, assessment, and management of common benign gynecologic conditions. It also explores differential diagnoses for these conditions and types of treatment options.
• Tharpe, N. L., Farley, C., & Jordan, R. G. (2013). Clinical practice guidelines for midwifery & Women’s health (4th ed.). Burlington, MA: Jones & Bartlett Publishers.
o Chapter 7, “Care of the Woman with Reproductive Health Problems”
 “Care of the Woman with Amenorrhea” (pp. 341–344)

This section differentiates between primary and secondary amenorrhea and describes treatment options for managing patients with this condition.
 “Care of the Woman with Dysfunctional Uterine Bleeding” (pp. 362–366)

This section explains the causes of dysfunctional uterine bleeding and recommends treatment options for managing this condition.
 “Care of the Woman with Endometriosis” (pp. 372–375)

This section identifies the prevalence of endometriosis in women. It also provides strategies for diagnosing, treating, and managing patients with this condition.
 “Care of the Woman with Fibroids” (pp. 375–378)

This section describes the classification of fibroids and their prevalence in women of childbearing age. It also presents methods for identifying, diagnosing, and treating this common benign tumor.
 “Care of the Woman with Polycystic Ovarian Syndrome” (pp. 409–414)

This section identifies the criteria for a polycystic ovarian syndrome diagnosis. It also presents treatment options for this disorder, including therapeutic options and alternative measures.

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