Melissa is a 31-year-old, recently married female who presents to your office for an annual visit. She has three children ages 2, 5, and 8. Her new husband wants to wait at least a year before they try to have a child of their own. She has used combined oral contraceptives (COCs) for more than 10 years. Since the birth of her last child, she has been using COCs intermittently. She finds it too difficult to remember to take the pills regularly and wants an easier method. Menses are regular, although her periods seem heavier than usual, and she gets more irritable when she is not taking the COCs. She rarely exercises and admits to smoking and drinking occasionally. She is overweight. She has no medical history. What additional information do you need to obtain? Discuss her options and provide evidence for your rationale. Include patient education in your discussion.
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Write My Essay For MeAdvanced Pharmacology
The nurse taking care of Melissa should ensure that she undergoes a physical examination and a series of tests to investigate if she has any underlying conditions that could be worsened by the use of | PLACE YOUR ORDER NOW AT writtask.com | that the nurse should look for include hypertension, blood clot formation, and coronary artery disease.
When choosing a contraception method, the nurse has to consider what would best suit the | PLACE YOUR ORDER NOW AT writtask.com | cannot take hormonal contraceptives, because she will be at risk of suffering from heart disease or a stroke (Rott, 2019). As a result, Melissa’s safest option is the non-hormonal contraception method.
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Another factor that will help the nurse decide on the best contraceptive is | PLACE YOUR ORDER NOW AT writtask.com | wife and a mother of three young children, Melissa may have a busy schedule where she spends most of the day taking care of her family, without really getting some time to | PLACE YOUR ORDER NOW AT writtask.com | she may require a low maintenance contraception method. The nurse should prescribe the copper intrauterine device (IUD), which does not require Melissa …
References
Emily. (2018, February 1). What are the best birth control options that aren’t hormonal? Planned Parenthood | Official Site. https://www.plannedparenthood.org/learn/teens/ask-experts/what-are-the-best-birth-control-options-that-arent-hormonal
Rott, H. (2019). Birth control pills and thrombotic risks: Differences of contraception methods with and without estrogen. Hämostaseologie, 39(01), 042-048. 10.1055/s-0039-1677806
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