Female Reproductive Health - Episodic Case Study: Preeclampsia
Patient Information:
Initials: J.D.
Age: 32 years
Sex: Female
Race: Caucasian
Subjective:
CC: Headache and visual disturbances
HPI: Mrs. J.D., a 32-year-old Caucasian female, presents with a headache that started 3 days ago. She describes the pain as pounding, primarily located around her eyes and temples. In addition, her headaches are frequently accompanied by nausea, vomiting, photophobia, and phonophobia. She also reports that the symptoms intensify after spending long hours on the computer for work. Light bothers her eyes, and although taking Naproxen provides some relief, the pain persists at a 7/10 intensity on a pain scale.
Current Medications:
Naproxen 500mg, taken as needed for headache relief
Allergies:
No known medication, food, or environmental allergies
PMHx:
No significant past major illnesses or surgeries.
Soc & Substance Hx:
Occupation: Office administrator
She practices safe driving habits, and her living environment is in good condition.
Fam Hx:
No family history of genetic or chronic illnesses.
Surgical Hx:
No prior surgical procedures.
Mental Hx:
No diagnosed mental health conditions or current concerns.
Violence Hx:
No safety concerns reported.
Reproductive Hx:
LMP: Date not provided
Gravida: 2
Parity: 1
Contraceptive use: None reported
No sexual concerns reported
ROS:
GENERAL: No weight loss, fever, chills, weakness, or fatigue.
HEENT: No visual loss, blurred vision, double vision, or yellow sclerae. No hearing loss, sneezing, congestion, runny nose, or sore throat.
SKIN: No rash or itching.
CARDIOVASCULAR: No chest pain, chest pressure, palpitations, or edema.
RESPIRATORY: No shortness of breath, cough, or sputum.
GASTROINTESTINAL: No anorexia, nausea, vomiting, or diarrhea. No abdominal pain or blood.
NEUROLOGICAL: Headache reported. No dizziness, syncope, paralysis, ataxia, numbness, or tingling in the extremities. No change in bowel or bladder control.
MUSCULOSKELETAL: No muscle pain, back pain, joint pain, or stiffness.
HEMATOLOGIC: No anemia, bleeding, or bruising.
LYMPHATICS: No enlarged nodes. No history of splenectomy.
PSYCHIATRIC: No history of depression or anxiety.
ENDOCRINOLOGIC: No reports of sweating or cold or heat intolerance. No polyuria or polydipsia.
GENITOURINARY/REPRODUCTIVE: Patient reports burning on urination. Pregnancy status: approximately 22 weeks. No reports of breast lumps, pain, discharge, or vaginal discharge or pain. Irregular sexual activity reported.
ALLERGIES: No history of asthma, hives, eczema,...
…should be educated concerning the signs and symptoms of preeclampsia and the importance of regular prenatal care. In terms of disposition, close monitoring of blood pressure and urine protein levels is crucial. In addition, planned follow-up visits should be scheduled to assess the patient's condition, fetal well-being, and to adjust the treatment plan as needed.Discussion
The student agrees with the preceptor's treatment of the patient. Preeclampsia is a serious condition during pregnancy that requires prompt diagnosis and management to prevent adverse outcomes (Qian, Y. et al., 2023). Further, the student has also learned the importance of recognizing the signs and symptoms of preeclampsia and the significance of conducting appropriate diagnostic tests in a timely fashion. This case underscored the need for multidisciplinary collaboration and timely referral to specialists for optimal care and clinical outcomes. In future cases, the student would focus on early detection and proactive management of preeclampsia, emphasizing patient education and close monitoring to ensure the best possible outcomes for both the mother…
References
American College of Obstetricians and Gynecologists. (2019). ACOG Practice Bulletin No. 202: Gestational Hypertension and Preeclampsia. Obstetrics and Gynecology, 133(1), e1–e25.
Qian, Y. et al. (2023). Literature Overview of Association Between Preeclampsia and Cardiovascular Risk. Anatolian Journal of Cardiology / Anadolu Kardiyoloji Dergisi, 27(4), 179–184.
Smith, C., Fought, A. J., Sung, J. F., McKinney, J. R., Metz, T. D., Fetters, K. B., Lazarus, S., Capraro, S., Barr, E., Glenny, C., Buehler, J., & Weinberg, A. (2023). Congenital malformations and preeclampsia associated with integrase inhibitor use in pregnancy: A single-center analysis. PLoS ONE, 17(6), 1–17.
Clinical Skills Self AssessmentAs an advanced practice nursing student, my journey in the world of healthcare has been rewarding, with each encounter and every experience increasing my skills, knowledge, and clinical acumen. An important part of the path towards becoming a proficient healthcare professional, however, is self-assessment. Women's reproductive health is a focus of my studies and practice, and this paper addresses my self-assessment in this area.Self-Assessment and InsightAfter completing
It is never possible to know everything about the world: We each possess a limited perspective. However, the point of research (as opposed to other ways of investigating the world, such as writing poetry) is to maximize the amount of knowledge that one can acquire. Textual analysis in this case would treat written assessments of the state of reproductive health in Nigeria as a form of narrative about the culture,
public policy for reproductive health in Nigeria should not be without first recognizing the global issues that bear upon the country's public health system and the state of its people. Today the country continues to renew its effort in sustaining public health with vigorous plans and new programs that will be reviewed in this study. But any new proposal must also understand the depth of the country's problems and
Journal Entry # - Women Reproductive HealthReflection on the three most challenging patient encounters and what was most challenging for each:1. Language and cultural differences: The most challenging patient encounter I experienced in my women�s reproductive health assignment involved significant language and cultural barriers. These types of barriers adversely affect effective communication and understanding between the nurse and the patient and interfere with the development of a therapeutic rapport. Moreover,
IntroductionThe Social Determinants of Health (SDOH) encompass a range of factors that impact health outcomes, well-being, and quality of life, including aspects such as housing, education, job opportunities, nutrition, environmental conditions, and others. In relation to female reproductive health, SDOH can significantly shape women's health outcomes. Understanding the role these determinants play can provide critical insights into the challenges faced by women, particularly those who belong to vulnerable and marginalized
Our semester plans gives you unlimited, unrestricted access to our entire library of resources —writing tools, guides, example essays, tutorials, class notes, and more.
Get Started Now