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Posted: December 2nd, 2022

Advance nurse practice in reproductive health care

NRNP 6552 Advance nurse practice in reproductive health care
Number of sources: 4
Paper instructions:
Week 2: Common Health Screenings
Archeologists do not begin their work by simply selecting a site and digging for historical finds. Their initial steps involve laying the groundwork through research to apply expertise in their historical areas of focus, combined with best practices for excavation and analysis.

Similarly, nurse practitioners do not simply develop a treatment plan for patients. They methodically construct a patient’s history and apply best practices to conduct health screenings that help inform treatment. For practitioners of women’s healthcare this means applying expertise in specialized areas such as gynecology and gynecologic history taking and screening.

For this week, you examine the elements that comprise a patient’s gynecologic history. As part of your Module 1 assignment, you will describe elements of a complete gynecologic history.

Learning Objectives
Students will:

Analyze the elements of gynecologic history and recommended screenings for individuals (i.e., LGBTQ+)
Analyze health maintenance guidelines when conducting patient assessments
Create scripts for taking a health history to include difficult questions
Develop patient health histories related to difficult questions
Identify key terms, concepts, and principles related to the primary care of individuals, families, and communities
Learning Resources
Required Readings (click to expand/reduce)

Required Media (click to expand/reduce)

Optional Resource (click to expand/reduce)

Module 1 Assignment: Taking a Health History: Building a Health History: Asking Difficult Questions
Much of an archeologist’s work is done under the mantra “proceed with caution.” Archeologists must dutifully secure permissions to access sites. They also must exercise extreme caution when excavating or analyzing in a lab to avoid potential damage to historical artifacts.

Likewise, nurse practitioners must proceed with caution when building a patient’s health history. Important questions can be difficult for both nurse and patient. Care must be taken to approach such questions with dignity, tact, and respect to create an environment conducive to productive conversations.

For this Assignment, you will develop a script to be used to interview a volunteer serving in the role of patient.
To prepare:

Review the Ewing (2004) questionnaire found in this week’s Learning Resources and consider the difficult questions you might have to ask when you take a patient’s health history.
Review the screening tools found in the Learning Resources and consider how you might use an app or tool to Help in screening.
Review the media programs related to a vaginal exam, pap test, and breast exam.
Review the health history guide presented in Chapter 6 of the Schuiling & Likis (2017) text and consider how you would create your own script for building a health history. (Note: You will also find the Health History Form in Chapter 6)
Describe the components of a complete gynecologic health history. Include considerations for special populations such as LGBTQ+ individuals.
What health maintenance guidelines should be included for initial and follow up might be needed for follow-up assessments? (i.e., bone density test, Gardasil vaccine, shingles, etc.)? Examine the health history guide presented in Chapter 6 of the Schuiling & Likis (2017) text and consider how you would write your own health history script. (Note: The Health History Form can also be found in Chapter 6)
Explain the components of a comprehensive gynecologic health history. Considerations for special populations, such as LGBTQ+ people, should be included.
What health maintenance guidelines should be included for initial and follow-up assessments (for example, bone density test, Gardasil vaccine, shingles, etc.)?
What questions would you consider in your patient’s assessment? For example
What is your patient’s living situation?
Do they have stairs?
Do they live by themselves?
Do they have a working refrigerator?
Create your own script for building a health history and use the Health History Template for guidance (consider the type of language you would use to help your patient be more comfortable). As you create your script, consider the difficult questions you want to include in your script.
Assignment: (1- to 2-page reflection)

In addition to your script for building a health history for this assignment, include a separate section called “Reflection” that includes the following:
A brief summary of your experiences in developing and implementing your script during your health history.
Explanations of what you might find difficult when asking these questions. What you found insightful and what would you say or do differently.
Week 2: Common Health Screenings
Archeologists do not begin their work by simply selecting a site and digging for historical finds. Their initial steps involve laying the groundwork through research to apply expertise in their historical areas of focus, combined with best practices for excavation and analysis.
Similarly, nurse practitioners do not simply develop a treatment plan for patients. They methodically construct a patient’s history and apply best practices to conduct health screenings that help inform treatment. For practitioners of women’s healthcare this means applying expertise in specialized areas such as gynecology and gynecologic history taking and screening.
For this week, you examine the elements that comprise a patient’s gynecologic history. As part of your Module 1 assignment, you will describe elements of a complete gynecologic history.
Learning Objectives
Students will:
• Analyze the elements of gynecologic history and recommended screenings for individuals (i.e., LGBTQ+)
• Analyze health maintenance guidelines when conducting patient assessments
• Create scripts for taking a health history to include difficult questions
• Develop patient health histories related to difficult questions
• Identify key terms, concepts, and principles related to the primary care of individuals, families, and communities
________________________________________
Learning Resources

Required Readings (click to expand/reduce)

Required Media (click to expand/reduce)

Optional Resource (click to expand/reduce)

________________________________________
Module 1 Assignment: Taking a Health History: Building a Health History: Asking Difficult Questions
Much of an archeologist’s work is done under the mantra “proceed with caution.” Archeologists must dutifully secure permissions to access sites. They also must exercise extreme caution when excavating or analyzing in a lab to avoid potential damage to historical artifacts.
Likewise, nurse practitioners must proceed with caution when building a patient’s health history. Important questions can be difficult for both nurse and patient. Care must be taken to approach such questions with dignity, tact, and respect to create an environment conducive to productive conversations.

For this Assignment, you will develop a script to be used to interview a volunteer serving in the role of patient.
To prepare:
• Review the Ewing (2004) questionnaire found in this week’s Learning Resources and consider the difficult questions you might have to ask when you take a patient’s health history.
• Review the screening tools found in the Learning Resources and consider how you might use an app or tool to Help in screening.
• Review the media programs related to a vaginal exam, pap test, and breast exam.
• Review the health history guide presented in Chapter 6 of the Schuiling & Likis (2017) text and consider how you would create your own script for building a health history. (Note: You will also find the Health History Form in Chapter 6)
• Describe the components of a complete gynecologic health history. Include considerations for special populations such as LGBTQ+ individuals.
• What health maintenance guidelines should be included for initial and follow up might be needed for follow-up assessments? (i.e., bone density test, Gardasil vaccine, shingles, etc.)?
• What questions would you consider in your patient’s assessment? For example
o What is your patient’s living situation?
o Do they have stairs?
o Do they live by themselves?
o Do they have a working refrigerator?
• Create your own script for building a health history and use the Health History Template for guidance (consider the type of language you would use to help your patient be more comfortable). As you create your script, consider the difficult questions you want to include in your script.
Assignment: (1- to 2-page reflection)
• In addition to your script for building a health history for this assignment, include a separate section called “Reflection” that includes the following:
o A brief summary of your experiences in developing and implementing your script during your health history.
o Explanations of what you might find difficult when asking these questions. What you found insightful and what would you say or do differently.

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