Description
In the subject line of your post, please identify which prompt you are responding to.Complete all the requirements of the case scenario.Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas.
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Case Scenario 2:
Complete the charts and answer the case scenario.
2018 USPSTF Guidelines
Age 21-24
Age 25-29
Age 30-65
Age 65 and older
2021 ACS Guidelines
American Cancer Society Recommendations for the Early Detection of Cancer in Average-Risk, Asymptomatic Adults
CANCER
SITE
Breast
POPULATION TEST OR
PROCEDURE
RECOMMENDATION
SUMMARY
Cervix
Colorectal
Endometrial
Ellen is a 35-year-old female whose latest Pap smear result reports HSIL with
positive HPV. Ellen reports no h/o of STIs or previous abnormal Pap smear results.
She had only two previous Pap tests 7 and 14 years ago. Ellen is G1P0 with a TAB
at age 25. She and her partner are undecided whether they want to have
children. She has been monogamously married to a female partner for the last 5
years, but she considers herself bisexual and has previously engaged in sexual
activities with males and females. Ellen denies any significant medical history or
current health problems. Her LMP was 5 days ago and her VS are WNL. Her BMI is
24.7. Her pregnancy test is negative.
Write a brief SOAP note regarding this patient. Make sure to include your answers
to these questions in your SOAP note.
1. Subjective:
a. What other relevant questions should you ask regarding the HPI?
b. What other medical history questions should you ask?
c. What other social history questions should you ask?
2. Objective:
a. What other point of care testing (POCT) would you perform or order
for this patient? Why?
3. Assessment/ Diagnosis:
a. What would be an appropriate diagnosis for her? Explain Ellen’s Pap
smear results (pathophysiology) and the action(s) that will be taken
next to follow up this abnormality, including patient education
(explain the procedure to the patient).
4. Plan:
a. What will you prescribe for this patient? Why?
b. What patient education is important to include for this patient?
c. Is there any education or advice you would give to Ellen regarding
her current female partner?
d. What pharmacological and non pharmacological education and
advice can you give Ellen to help with her HSIL condition?
Please refer to evidence-based guidelines to support your decision-making.
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