QUESTION

1.Reflect on a patient who presented with endometriosis, ovarian cysts, or amenorrhea during your Practicum Experience.

2.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.

                                                        SAMPLE SOLUTION

Amenorrhea is a medical term that is associated with the absence of menstrual periods. It is often classified as either primary or secondary. Primary amenorrhea refers to a condition where menstruation fails to begin even at the age of 16. Secondary amenorrhea, on the other hand, is the absence of menstrual periods for a time period of about six months in a woman who was previously menstruating (Schuiling & Likis 2013). According to Schuiling & Likis (2013) this condition is often influenced by numerous factors such as transient variation in hormonal levels, illness, and stress in addition to other environmental factors. This journal captures Mrs. Johanna’s (who is suffering from secondary amenorrhea) personal and medical history. It also describes her therapy and treatment as well as follow-up care. What is more, a variety of ways in which treatment and follow procedures for amenorrhea differs from those of patients diagnosed with endometriosis and ovarian cysts. Additionally, the medical implications of these variations are equally explored.

Journal Entry

Johanna is a 31-year-old white female. She is married with two healthy children, a boy and a girl aged 14 and 18 respectively. Johanna was born and raised in Texas and moved to Canada at the age of 20. Presently, she lives in a single bedroom apartment on the first floor of the building. She works as a high school teacher and together with the support of her husband she is able to meet most of her financial commitments. Psychosocially, Johanna is an active woman who is generally alert despite the fact that she has been diagnosed with amenorrhea. In regard to her family history, Johanna was brought up by her uncle since her mother had died at the age of 40 from kidney failure and her father had died at the age of 45 in a car accident. There is no known family history of primary or secondary amenorrhea. Johanna has occasional migraine that she says are mostly common late in the evenings. Presently, she takes Excedrin Migraine for the headaches. She has never been hospitalized and no surgeries have been performed on her. She also has no autoimmune disorders. Besides, no member of her family has ever been diagnosed with fertility problems. However, her late mother was diagnosed with premature menopause at the age of 35. Presently, Johanna reports the absence of her menses for more than six months.