M. B. is a 55-year old woman presenting to the clinic complaining of episodes of feeling Hot
Fantastic news! We've Found the answer you've been seeking!
Question:
M. B. is a 55-year old woman presenting to the clinic complaining of episodes of feeling Hot and sweaty during the day and waking up at night soaked with perspiration. Because her sleep is so disrupted, she is tired all day and is having trouble concentrating at work. She says that the episodes are becoming unbearable and is seeking treatment for them.
- You suspect she is premenopausal. You obtain her prior medical and surgical history and her current medication regimen. List 3 questions that would be important to ask in exploring the possibility of menopause being related to her symptoms.
1.To start out I would need to ask when the first day of her last menstrual cycle was and if shes been experiencing any irregularities. Menopause starts gradually and is usually associated with changes in menstruation, including menstrual flows that are increased, decreased, and/or irregular.
2,
- You are concerned with the possible development of osteoporosis in M. B. List at least 8 questions you would ask to determine her risk for development of osteoporosis.
- She is not currently taking estrogen replacement therapy. What 3 questions would be important to ask M. B. to determine if there are any contraindications or precautions to this therapy for her?
- M. B. says that she does have frequent backaches. Spinal films are ordered. Later you receive a report stating that the films appear normal with no significant findings. What would be an appropriate explanation?
- What would be appropriate supportive measures for M. B. to relieve the noninjury-related low back pain in the absence of fracture?
- M. B. reports that she does not like milk or milk products and rarely includes them in her diet. How can M. B. increase her calcium intake at this time?
- M. B.s physician told her that her blood calcium was normal. If I have enough calcium in my blood, I couldnt have osteoporosis, could I? she asks you. How will you respond and why?
- M. B. says she rarely exercises. What advice should be given concerning exercise?
- M. B. states she still is not certain she has a well-balanced diet with sufficient calcium and vitamin D. What would you suggest to her?
Related Book For
Auditing and Assurance services an integrated approach
ISBN: 978-0132575959
14th Edition
Authors: Alvin a. arens, Randal j. elder, Mark s. Beasley
Posted Date: