Nr508 week 2 discussion
Nr508 week 2 discussion. Claudia is a 36-year-old mother of two G2P2, she recently delivered her last child 9 months ago, and has been using condoms for birth control for the last 7 months. Today she is requesting a more reliable birth control, she is not sure of her current pregnancy plans, however, she does not wish to discuss sterilization. No religious contraindications for treatment. Previous methods include condoms, and oral contraceptive pills. She thought about an IUD but is concerned her husband may feel it during intimacy.
PMH: positive for mild hypertension with first pregnancy, seasonal allergies.
Surgeries: Left inguinal hernia and tonsillectomy.
Family history: Mother HTN and Father colon CA both deceased
Social History: Denies tobacco use, wine one to two glasses a week, denies recreational drugs, exercises twice a week.
Drug allergies-Sulfa causes a rash. Current medications-MVI with Fe, Calcium chews, prn Allegra for allergies. Height 67 inches, weight 157 pounds, BP 110/75, P 70, R 16. PAP collected today, breast exam WNL, urine pregnancy negative.
Physical exam is normal.
What are your treatment goals for Claudia today?
What are two possible contraceptive methods for Claudia? Please give brief rationale for each.
Pick one method and list five (5) patient-centered teaching points for the method you chose today.
What would your contraceptive choice be if Claudia smoked 10-15 cigarettes per day? Explain your answer.
Nr508 week 2 discussion Answer
Treatment Goals for Claudia:
In light of Claudia’s medical history, the primary treatment goal is to provide her with an effective birth control method. Additionally, a crucial objective is to educate Claudia on alternative birth control methods beyond condoms, fostering a comprehensive understanding of the available options.Nr508 week 2 discussion
Two Possible Contraceptive Methods for Claudia:
- Copper Intrauterine Devices (IUDs): A highly effective non-hormonal birth control method is the use of copper IUDs. These devices consist of flexible plastic wrapped with copper. The mechanism of action involves the release of copper ions in the uterus, acting as a spermicide. This disrupts sperm motility and renders them incapable of fertilizing the egg (Brynhildsen, 2014; Hinderaker et al., 2015). Importantly, as a non-hormonal option, copper IUDs avoid potential hormonal imbalances, addressing concerns such as weight gain associated with hormonal contraceptives.Nr508 week 2 discussion
- Depo-Provera: Depo-Provera stands as another viable birth control method for Claudia. This contraceptive involves the injection of a progestin hormone, medroxyprogesterone acetate, which impedes ovulation and thickens cervical mucus, preventing sperm penetration (Kaneshiro, Aeby, & Forney, 2011). The advantage of Depo-Provera lies in its long-lasting effects, requiring injections only every three months. However, it’s essential to consider potential side effects and adherence to the injection schedule when recommending this method.Nr508 week 2 discussion
References:
- Brynhildsen, J. (2014). Copper-Releasing Intrauterine Contraception: Clinical and Research Update. International Journal of Women’s Health, 6, 663–672.
- Hinderaker, S. G., Iversen, O. E., & Fylkesnes, K. (2015). Copper intrauterine device use is associated with reduced prevalence of cervical squamous intraepithelial neoplasia in women with human immunodeficiency virus. PLoS ONE, 10(9), e0135949.
- Kaneshiro, B., Aeby, T., & Forney, R. (2011). Contraceptive efficacy of intrauterine devices. The American Journal of Obstetrics and Gynecology, 204(6), 499–e1.
