Respondo twelvo | Nursing homework help

 Review the presentations below,  Discuss how health disparities in women could affect their care (for example, geographic location, race, finances, literacy, etc.). Use the UpToDate database as one of your required references and a second scholarly reference of your choice; remember you should have at least two references for each peer post.  

Connect with a professional writer in 5 simple steps

Please provide as many details about your writing struggle as possible

Academic level of your paper

Type of Paper

When is it due?

How many pages is this assigment?

Post one

An 18-year-old is accompanied by her mother for her first visit to the gynecologist. She has never been sexually active. She has no concerns with her menses. Her mom reports that she brought her in “because she is 18 and when I turned 18, I had to get my first Pap smear.” Her mother requests the patient have a Pap smear and be tested for HPV “just in case.” The patient is up to date on all vaccines “mandatory for school” but has never had the HPV vaccine.

  1. What are the recommendations on the HPV vaccine?
    The CDC (2020) recommends that the vaccination series starts at age 11 or 12 years old and also recommends for everyone through the age of 26 years old if they have not been vaccinated before. It is a series of two or three doses depending on age when starting the series. It is not recommended for those over 26 because of effectiveness, but some providers and patients may decide to vaccinate anyway (CDC, 2020).
  2. How would you counsel this patient about the HPV vaccine?
    I would discuss the importance of the HPV vaccination to the patient as well as the mother as she is in the age range where many patients become sexually active after high school. I would inform her of what HPV is and how it could affect her life. I would also explain the benefits and risks of the vaccination. I would highly recommend that this patient start this vaccine series before she becomes sexually active. I would tell mom that since she is not sexually active and has no symptoms, testing for HPV would not be necessary but also listen to her concerns if she still feels its necessary.
  3. What are the current ASCCP guidelines for Pap smears and HPV testing?
    The ASCCP (2012) recommends that pap smears start at the age of 21. This can be younger if they are sexually active. This screening is to be done every 3 years unless there is a abnormal pap smear result. HPV testing is recommended during pap smear exam for those 30-65 years old every 5 years but not recommended for those under 30 years old. After 65 years old and no abnormal pap smears of concern, women can stop pap smear screening if recommended by their provider. These continue to be the current guidelines according to the ASCCP (ASCCP, 2012).
  4. How will you explain the rationale to the patient and the mother?
    I would explain to the patient and mother that according to the CDC and ASCCP guidelines, she is not criteria to start her pap smear exams or have HPV testing since she is under the age of 21 and is not sexually active. I would also explain the research found that “Each year, more than 13,000 women are diagnosed with cervical cancer in the United States. Yet cervical cancer is one of the most preventable cancers today.” (NCCC, 2020). I would state that at this time she doesn’t need the pap smear or HPV testing but would highly recommend the HPV vaccinations series to be started since cervical cancer is so preventable with the vaccination.

Post  2

 

STI Prevention and Screening 

Case Study

The case study that presents itself is a 52 year old female who is recently divorced and has been engaging in unprotected sex. The patient within the case study expressed that she has been with multiple partners and has not practiced “safe sex”. This particular patient also expresses an increase in the amount of alcohol consumption during the duration of this time period. With all the information provided, the advanced practiced registered nurse (APRN), is responsible for properly educating and screening this patient for sexually transmitted infections (STI). In doing so, will ensure this patient receives high-quality care.

Questions and Risk Factors

The types of questions the APRN would want to ask this patient pertain to a health history. The APRN would ask the patient if she has noticed any vaginal discharge, pain during urination, unusual vaginal bleeding, and if the patient is experience any lumps, blisters, or sores around the genital region. These types of questions will allow the APRN to identify if the patient has potentially contracted an STI and exactly what symptoms they might be experiencing. The patients present risk factors are centered around unprotected sex, increased consumption of alcohol, and a recent life-changing experience through a divorce. These risk factors will influence the APRN screening of this patient as it will allow them to ask appropriate questions related to the patients current situation and how to treat the patient accordingly. 

Current Guidelines for STI

The current guild elites for STI screening are different for both men and women. According to the CDC, women, should be screened for chlamydia and gonorrhea  if they are sexually active under the age of 25 or older than 25 as well (STD Screening Recommendations – 2015 STD Treatment Guidelines, 2015). For herpes, trichomonas, and HIV, women who engage in sexual activity with multiple partners without protected sex should be screened immediately upon visit (STD Screening Recommendations – 2015 STD Treatment Guidelines, 2015). With this information, the patient should be screened for chlamydia, gonorrhea, herpes, trichomonas,  and HIV given her current presentation and according to CDC guidelines. In addition, a recent article highlighted that Congress has increased federal funding for STD prevention with $3.51 million in additional base funding to the CDC’s STD prevention programs (AHC MEDIA, 2020). With this increase in funding, STD prevention programs will help raise more awareness to STD’s within the community and prevent them from spreading.

Recommendations for “Safe Sex”

In order to implement “safe sex” practices, it is important to understand what this term means. Safe sex practices refer to sexual activity and especially sexual intercourse in which various measure such as latex condoms or practice of monogamy are taken to avoid STI’s (Addoh, Sng, & Loprinzi, 2017). Along with this information, it is important for the APRN to be aware of the patients current drinking situation and her behavior as well. It is reported that having sex under the influence of drugs or alcohol enhances sexual risk behaviors and is strongly associated with the increase risk of STI’s (Newville, Sorensen, Hatch-Maillette, & Calsyn, 2018). In understanding this information, this allow the APRN to incorporate safe sex practices for this particular patient. In relation to alcohol and sexual behavior, it is important for the APRN to educate the patient about this increased risk of contracting an STI. In addition to alcohol and sexual intercourse education, the APRN should educate the patient about the importance of latex condoms, hand hygiene, receiving immunizations, and becoming familiar with a partners sexual history. 

Other Preventative Guidelines 

For this particular patient, there are no other additional guidelines that should be discussed with this patient. Education surrounding alcohol and sexual intercourse is a primary discussion point with this patient. Also, engaging in sexual intercourse with multiple partners without using proper protection further increases this patients risk for STI’s. These guidelines surrounding education in relation to the topics discussed above will allow the patient to receive the necessary knowledge needed to reduce her chances of contracting an STI. 

Order a unique copy of this paper
(550 words)

Approximate price: $22

Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our Guarantees

At 111papers.com, we value all our customers, and for that, always strive to ensure that we deliver the best top-quality content that we can. All the processes, from writing, formatting, editing, and submission is 100% original and detail-oriented. With us, you are, therefore, always guaranteed quality work by certified and experienced writing professionals. We take pride in the university homework help services that we provide our customers.

Money-Back Guarantee

As the best homework help service in the world, 111 Papers ensures that all customers are completely satisfied with the finished product before disbursing payment. You are not obligated to pay for the final product if you aren’t 100% satisfied with the paper. We also provide a money-back guarantee if you don’t feel that your paper was written to your satisfaction. This guarantee is totally transparent and follows all the terms and conditions set by the company.

Read more

Zero-Plagiarism Guarantee

All products that we deliver are guaranteed to be 100% original. We check for unoriginality on all orders delivered by our writers using the most advanced anti-plagiarism programs in the market. We, therefore, guarantee that all products that we submit to you are 100% original. We have a zero-tolerance policy for copied content. Thanks to our strict no plagiarized work rule, you can submit your homework to your professor without worrying.

Read more

Free-Revision Policy

TThis is one of the most cherished courtesy services that we provide to help ensure that our customers are completely satisfied with our finished products. Delivering the best final product to our customers takes multiple inputs. 111papers.com prides itself on delivering the best university homework help services in the writing industry. And, in part, our free revision policy is how we do it. What’s more, all our revisions are 100% free without any strings attached.

Read more

Privacy Policy

Client privacy is important to use. We know and understand just how important customers value their privacy and always want to safeguard their personal information. Thus, all the information that you share with us will always remain in safe custody. We will never disclose your personal information to any third party or sell your details to anyone. 111 Papers uses the most sophisticated, top-of-the-line security programs to ensure that our customers’ information is safe and secured.

Read more

Fair-Cooperation Guarantee

Placing your order with us means that you agree with the homework help service we provide. We, in turn, will endear to ensure that we do everything we can to deliver the most comprehensive finished product as per your requirements. We will also count on your cooperation to help us deliver on this mandate. Yes, we also need you to ensure that you have the highest-quality paper.

Read more

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
$26
The price is based on these factors:
Academic level
Number of pages
Urgency