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Questions: · Discuss the relevant assessments required for the patient in the selected case study. (500 words) · Discuss the role of the sexual health team members involved in the care of the case...

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Questions:
· Discuss the relevant assessments required for the patient in the selected case study. (500 words)
· Discuss the role of the sexual health team members involved in the care of the case study. (500 words)
· Outline the education needs for the patient within the case study XXXXXXXXXXwords)
· This question is based on the Sharon case study and you will need to engage with the case study information prior to commencing this assignment.
· Sharon Munroe, 26 year old caucasian female, has recently been diagnosed with Polycystic Ovarian Syndrome (PCOS). Medical history includes, i
egular menses for the past 5 years, 12 kg weight gain over the past 2 years, increasing hirsuitism, episodes of severe acne and infertility.
Sharon case study
Sharon is a 26-year-old woman who has presented to the sexual health clinic for evaluation of the i
egular menses she has experienced since menarche. You are working with Natalie, an experienced nurse and midwife, who has worked in the sexual health clinic for 18 years. 
Taking Sharon’s history 
Sharon is noticeably overweight. Upon taking Sharon’s history, you learn that:
· she has a period about every 6 months
· when she does have her period, she bleeds very heavily, passing large clots and has a lot of cramping
· she also complained about excessive facial hair, which requires her to shave at least once every several days, and a lot of hair on her abdomen and arms
· she denies any change in her voice or increase in the size of her muscles
· she has been mo
idly obese since she was a young teenage
· she denies any headaches, blu
ed vision, or discharge from her nipples
· she also denies any hype
hypothyroid symptoms
· she has never had any surgery and has never conceived, despite several years of trying with her partner of six years
· she is not cu
ently taking any medication and has never used any form of contraception
Sharon has problems with menstruation
Assessing Sharon
You begin a full physical assessment of Sharon. Here is some of the information you collect:
Sharon is 172 cm tall and weighs 98 kg, giving her a BMI of 32.
Observations
Her vital signs are:
· Blood pressure (BP) 128/76mmHg
· Heart rate (HR) 72 beats per minute (at rest, sitting on the examination table)
· Respiratory rate (RR) 16
eaths per minute
· Temperature 36.5oC
· Oxygen Saturation (SpO2) 98% on room ai
· Heart sounds are normal: S1 and S2 heard clearly
· Lung fields sound clear to bases
· Abdomen soft, no masses, bladder non-palpable
Natalie conducts a pelvic exam, which is unremarkable, including no evidence for clitoromegaly, but Sharon's uterus and adnexa are very difficult to assess because of her obesity. The rest of her physical exam is unremarkable. 
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The doctor’s opinion
The clinic’s doctor writes Sharon a refe
al for laboratory studies (full blood examination, luteinizing hormone (LH) and follicle-stimulating hormone (FSH), fasting glucose and glucose challenge test) as well as a transvaginal scan (TVS) of her ovaries to further evaluate what problems might exist. 
The follow up appointment
Sharon returns one week later for her follow-up appointment, to learn the results of her laboratory studies. Sharon gives you her consent to sit in on the appointment with the doctor.
Test results
Sharon's follicle-stimulating hormone (FSH) is normal, but her luteinizing hormone (LH) is elevated. Her thyroid-stimulating hormone (TSH), prolactin, chemistry panel, cholesterol, triglycerides, high-density lipoprotein (HDL), and low-density lipoprotein (LDL) are all within normal limits. Her fasting insulin level is elevated; fasting blood sugar was 6.1mmol/L, and the 2-hour value on glucose tolerance test was 10.1mmol/L. Her total testosterone is normal, free testosterone mildly elevated, whilst her progesterone is normal, as is her dehydroepiandrosterone sulfate (DHEAS) levels (a test for elevated adrenal function). The TVS showed both ovaries had an increase in volume, with 12 ovarian follicles seen in the left ovary and 18 ovarian follicles seen in the right ovary.
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Diagnosis and treatment
The clinical and laboratory results were consistent with poly cystic ovarian syndrome (PCOS). Because Sharon desires a pregnancy, she is a candidate for metformin 500mg od for 7 days, then 500mg bd for seven days, and finally increasing to 500mg tds. She is also prescribed Clomid 50mg od on day 5 of her cycle each month to induce ovulation. 
Several months late
Follow up
After being started on a diet, an exercise program for weight loss, and metformin, Sharon’s blood glucose levels respond well. After 6 months of blood glucose control, menstrual regularity, and increasing doses of clomiphene, she becomes pregnant. 
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Answered Same Day Aug 04, 2020 HSNS 367

Solution

Tp Academic answered on Aug 06 2020
137 Votes
NURSING
Table of contents
Introduction    3
Analysis of the assessments that are needed for the people    3
Evaluation of the role of sexual health team members in the healthcare    4
Analysis of the needs of the education for the patients    6
Conclusion    7
Reference    8
Introduction
Health is considered as a major factor that needs to be given particular focus for maintaining a good and healthy life. In recent time, it is noticed that sexual health issues specially on women has seen as crucial part in today’s society. In the case study of Sharon, it is focused that Sharon had faced sexual illness including her menstruation problem due to overweight. Sharon faced clinical and laboratory tests to follow the treatments process to get treatments with induce ovulation. The study will focus on the Sharon’s case study and the essential contexts with the modern treatments of menstruation with overweight to reduce the intensity of the disease nowadays (Baker et al. 2016). This study sheds light on health issues faced by Sharon and her i
egular menstruation creates hinder to get pregnant. The team members of the community may help to resolve the problems and complexities of the future. The role of the team members of the health is varied. Besides this, the process of educating the care users has been explained with the help of the case study. This method of education may aid the care users to solve the issues in the coming time (Ponikowski et al. 2016).
Analysis of the assessments that are needed for the people
As per the case scenario, it has been evidenced that Sharon has suffered from i
egular menstruation and therefore, she is not being able to conceive. Furthermore, every after 6 months, whenever she have her period, she bleeds a lot, with passing large clots, and has a lot of cramping. Therefore, Sharon is required to consult an experienced doctor and made better diagnosis. In order to access this, the health physicians have advised her to check the hormonal levels and thus identify the levels of Luteinizing hormone, Follicle stimulating hormone, progesterone, as well as adrenal hormones (King, Tod & Sanders, 2017). Sharon needs the better treatments with the condition of social and health aspects with the team she was under treatment.
As being part of health wellbeing, assessments of health can be included with the Sharon case study to provide her a better scenario with her treatment.
Physical exercise:
Physical examination can be assessed for Sharon to develop her risk in the time of menstruation. Physical exercise can be assessed with addition of hand and belly movements (Traynor & Buus, 2016). With taking regular medicines, physical exercise can be majorly effective for Sharon, it will her to reduce weight as well as to keep healthy.
Diet:
With the proper medicines, she should practice proper diet as she is overweight. According to the dietary chart, Sharon used to take a minimum of food with excluding the junk and fast foods. Proper dietary assessments can help to engage with the stimulating the hormone and cholesterol. The intake of the proper diet assessments can help her to overcome soon (Oshodi, et al. 2017). Therefore, Sharon should not eat improper food. It may affect her health. If the diet is adequately maintained, then it may reduce the level of blood glucose of Sharon for the future.
Road walk:
A regular habit of walk can enhance the role and effects of medicines in a level. A certain time f walk can help Sharon to improve the health and medicine to enhance the prescriptions with medical improvements. Medical improvements can enhance the effects of medicines with morning or evening walk in daily perspective (Andrew Scanlon et al. 2014).
Taking proper consulted medicines:
The role of non-steroidal inflammatory is to decrease the level of prostaglandin for the reduction of her bleeding in the health care. Moreover, the treatment of diagnosis can reduce the bleeding of the care users. The average date of a woman's period is seven days. This may help her to reduce her pain as well as bleeding (Ha
ison-White & King, 2015). According to the suggestions of the doctor, Sharon should take apple cider vinegar, lentils, cucumber, gelatin as well as watermelon for decreasing her heavy menstruation for the future. It may help to reduce her menstruation in the coming time (Dickson, McVittie & Kapilashrami, 2018). It is suggested that Norethisterone is a good as well as upright medication for the care users.
According to the case study, Sharon is suffering from the problem of i
egular menses. She has consulted with several doctors for her treatment. However, the doctors have prescribed her some medication for the improvement of her health. In this case, the care users need to test her diseases in the laboratory for her treatment (Fernandez-Mendez, Windle & Adams, 2015).
Evaluation of the role of sexual health team members in the healthcare
Health care providers are playing important roles in order to provide appropriate guidance to the service users and intended to improve their health. The sexual health team members are required to maintain appropriate assessments of the service users and thus they can engage effective strategies for enhancing health condition of care users. As per the case scenario, it has been evidenced that the care providers are required to analyze the problems and symptoms of Sharon. In accordance to Logan, Gallimore & Jordan (2016), direct communication with Sharon helps medical practitioners for better understandings of her condition and thus, appropriate care can be engaged. In addition to this, the health professionals also made a pelvic exam, which is unremarkable. This particular test evidenced that no clitoromegaly has been detected. However, Sharon’s annex and uterus cannot be examined properly duet to obesity. Getting assessments as another sexual consultation for blood taking to post natal issues with barest check issue is major part (Kim et al. 2015). In addition to this, they also need to make a track record of Sharon’s health condition and thus, they can successful make further checkups and anlayse improvements of Sharon’s health. Furthermore, the medical experts have also prescribed medicines by recognizing her desire to get pregnant.
The purpose of the team members of the sexual health clinic is varied. The members of the team provide better as well as excellent services to the care users in the healthcare. The service users of the health organisation should treat the patients appropriately. They should recruit good nurses for the development of the activity of the health. In the health organisation, there are various departments for the services of the health. The team members of the health care are assigned specific tasks by the management of...
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