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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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· 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.
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


Soumi answered on Aug 06 2020
138 Votes
(Sharon’s case study)
Table of Contents
Introduction    3
Projecting the Relevant Health Assessments Required for Sharon    3
Assessing the Role of Sexual Health Team Members Involved in Sharon’s Case    5
The Essential Educational Needs of Sharon    6
Conclusion    10
References    11
    In order to understand the status of a health issue, the medical history of the patient has to be taken under observation. As seen in the medical history of Sharon, it came to awareness that she has her menses after every six months. Sharon came to the sexual health clinic in order to get treatment for her issue regarding i
egular menstrual cycle. Natalie, as an experienced nurse, was given the task of making the initial observations and base the assumptions by asking questions. The cu
ent assignment projects Sharon’s case study, through her assessment, role of the sexual health team members, including Natalie and the education that Sharon would need in order to manage her Polycystic Ovarian Syndrome (PCOS).
Projecting the Relevant Health Assessments Required for Sharon
One of the first aspects of the health assessment is the age and gender recording. As mentioned by Ha
is, Titus, Cramer and Te
y (2017), i
egular menstrual cycle could lead to serious health issues and therefore, needs thorough treatment. In order to provide appropriate treatment to Sharon and patients, who face similar health issues, the following health assumptions are required.
According to Noro, Roter, Kurosawa, Miura and Ishizaki (2018), certain health issues arise at certain ages and to people of particular genders, therefore, consideration of the age and the sex is important. Sharon’s is found to be a female, 26 years old. Taking cue from the theoretical data base, her i
egularity of menses appeared to be abnormal, in comparison to normal frequency of menses occu
ing to females of her age. In addition to assessing the age and the gender, visible traits of the patient must also be assessed. As in case of Sharon, Natalie, the nurse and midwife of the sexual health clinic noticed that she was obese.
She had been facing this situation for the last 5 years and has gained 12 kilograms in the last two years. As opined by Bagian and Paull (2018), medical history helps in understanding the development of health issues, which is important for treatment afterwards. Sharon’s medical history also shows that during her menses she bleeds heavily, and has been facing issues of growth of facial hair. It is also noted that Sharon is sexually active, however has not been able to conceive, despite trying for several years. The medical history also shows that Sharon has not faced any issues of headache, blu
ed vision of chance of voice, further; she has not experienced any surgery and had never conceived.
Alongside the medical history and general data about age and gender, as emphasized by Park and Han (2018), the blood pressure, heart rate, respiratory rate, height to weight ratio, oxygen saturation, blood glucose content, hormone secretion level and inter-vaginal state reports are also required for health assessment of a patient suffering from i
egular menstrual cycles. In the given case study, it was found that Sharon’s blood pressure was 128/76 mmHg, which indicates her high blood pressure.
Her body temperature, oxygen saturation, respiratory rate and heart beat were moderately normal in their functioning frequency, however, Sharon had some abnormality in her Luteinizing hormone levels, at the time of Sharon’s pelvic exam, everything was found to be normal. However the trans-vaginal scan showed that she had enlarged ovaries with a total of 30 ovarian follicles, making it evident that she was having PCOS. These tests also reject the other possibilities such as blood sugar and thyroid imbalance, leading to co
ect treatment.
Assessing the Role of Sexual Health Team Members Involved in Sharon’s Case
    The general formation of a sexual health clinic team comprises of General Practitioners (GP), nurses, support staffs (midwives, ward boy, receptionist, and cleaner), radiologist and relationship counsellors. As mentioned by Ha
is, Yu, Wolff, Rogers and Blank. (2018), in order to complement each other and provide patients with proper treatment, each person have to play their specific role.
    The receptionists’ role involves the enrolment of the patient names into the directory and noting down the problems of the patients. As noted by Kooienga (2018), the receptionist of a medical clinic must have the communication skill to communicate with the patients, charting down the issues and refe
ing to the right specialist. The receptionists are also expected to manage the patients in cases of delayed appointments or emotional outburst. In Sharon’s case, it is expected that the receptionist had recorded her issues and provided her an appointment as soon as possible.
    After the enrolment process, the patients are provided general check up by the nurses, who assess the authenticity of the health issues
ought forth by the patients. In order to help the nurses, suggests Rehman, Ahmed, Ali, Raza and Rana (2018), the supporting staffs are expected to retain the hygiene level high, medicines available, medical apparatuses sterilised and patients guided, complimenting the tasks of the nurses. Being a nurse, it was expected that Natalie treats Sharon with care, respect, and dedication, without being rude, dominant or aggressive....

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