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BC Nursing Irregular Menstrual Cycle Case Discussion Questions

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BC Nursing Irregular Menstrual Cycle Case Discussion Questions – Description

Pretend you are Betty’s nurse and, in your own words, treat your patient. 
Betty Story is 52 years old. She works full time as a babysitter for her first grandchild. She adores her two girls and is delighted to finally have her first grandson. Betty does not have any significant medical history. She has given birth twice and had her appendix removed. She is going to her medical doctor today for her yearly checkup. She asks her nurse several questions regarding something she is alarmed about. 
What if…You ask Betty about her menstrual cycle. She states it has been very irregular the past year, only occurring once in the past nine months. She does not understand why. 
A: Betty’s irregular cycle could be due to perimenopause, the transition phase leading up to menopause. Explain it is normal that people over 45 to experience changes in their period. The early stages are marked by the changes in menstrual flow and the length of cycles. The late stage is the transition to menopause when women begin to miss their periods until they finally stop. Ensure that you will note it in her chart for the doctor to look at.
What if…You know that Betty is upset with the changes that she is experiencing? What patient teaching can you give Betty in regard to menopause?
What if…Betty is requesting some medication to help cure the problem that she is experiencing? What things can she do to relieve the symptoms of menopause?
What if…Betty is upset she must go through life-altering changes? She wants to know if her husband will deal with any changes in life as he ages.
5.   What if…You are interested in supporting the Story’s sexuality as they age? What issues should you consider discussing with Mrs. Story?

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