FSU Nursing Comprehensive Care for The Patient Discussion Response – Description
Please respond to discussion below:
Discuss the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient given.
The patient in case 2 is a 32 y/o Hispanic female who is a lesbian and pregnant with her first child. The socioeconomic factors that may be related to the health of the patient would be access to healthcare. For example, income, employment status, and health insurance coverage can affect access to quality prenatal care. Limited resources may hinder timely and comprehensive healthcare services. Another factor includes discrimination and healthcare disparities. Women who identify as Latino and lesbian may face discrimination, based on their ethnicity and sexual orientation (Hafeez et al., 2017). This can impact their overall healthcare experiences and access to LGBTQ+-affirming healthcare providers.
Spiritual and Cultural Factors:
Familial and community support: Latino culture often emphasizes the importance of familial and community support. Strong family ties and social networks can contribute positively to the well-being of the pregnant woman.
Religious beliefs: Spirituality and religious practices vary within the Latino community. Some may find solace and support in their faith, while others may experience conflicts if their religious beliefs clash with their sexual orientation.
Lifestyle Factors:
Mental health and stigma: LGBTQ+ individuals, including lesbians, may face additional stressors related to their sexual orientation, such as stigma, discrimination, and social isolation. It is crucial to address mental health concerns during pregnancy and provide support.
Substance use and abuse: Pregnancy is a critical time to address substance use, as it can have severe implications for the health of the pregnant woman and the fetus. Substance abuse may be influenced by various factors, including stress, mental health issues, and societal pressures.
Cultural Factors:
Traditional gender roles: Some aspects of Latino culture may adhere to traditional gender roles, which can impact the expectations placed on pregnant women. The intersection of gender identity and pregnancy may challenge these norms and require additional support.
Language and communication: Language barriers can affect effective communication and access to healthcare. Providing language-appropriate resources and ensuring interpretation services can enhance the quality of care.
Addressing the health needs of a Latino, lesbian, and pregnant woman requires a comprehensive approach that acknowledges and respects her unique experiences and challenges. It is important to provide inclusive healthcare, culturally competent support, and a non-judgmental environment to promote the well-being of both the pregnant woman and her baby. Healthcare providers should undergo training to understand the specific needs of LGBTQ+ individuals and foster an inclusive environment in their practices (Hafeez et al., 2017).
Describe the Subjective, Objective, Assessment, Planning (S.O.A.P.) approach for documenting patient data and explain what they are.
The subjective component includes information provided by the patient or their caregiver about their symptoms, concerns, and medical history. It involves capturing the patient’s perspective, feelings, and experiences.
The patient states “She is here for her annual physical exam and has been having vaginal discharge.”
The objective component focuses on measurable and observable information obtained through clinical examination, diagnostic tests, and observations made by healthcare professionals.
The patient is a 32 y/0 female who is pregnant. Pt has multiple piercings, tattoos, and old scars. VSS. On examination, no fever, or chills. AAOX4. No pain or injury, No HA, dizziness, or syncopal episodes. PERRLA. Lungs clear on auscultation. Cardiac s1s2 without rub or gallop. GI normoactive bowel sounds. GU it was observed patient to have white copious discharge with an amine odor. Skin intact without lesions or rashes.
The assessment component involves analyzing and interpreting subjective and objective data to form a professional judgment about the patient’s health status.
Vaginal candidiasis
The color and smell of pathological/abnormal vaginal discharge (PVD) can range from yellowish green to filthy white. PVD frequently arises from vaginal infections such as trichomonas vaginalis, bacterial vaginosis, and candida vaginitis, also known as vulvovaginal candidiasis (Khaskheli et al., 2021).
The planning component outlines the healthcare professional’s proposed plan of action based on the assessment.
Collect a vaginal swab for laboratory testing to confirm the presence of Candida species.
Topical antifungal creams or suppositories prescription. The first-line treatment for vaginal candidiasis during pregnancy is typically a topical antifungal medication. Examples include clotrimazole, miconazole, and nystatin. These medications are applied directly into the vagina for a prescribed duration, usually 7 to 14 days.
In some cases, oral medications like fluconazole may be prescribed, especially for severe or recurrent cases. However, the use of oral antifungals during pregnancy may be limited.
Inform the patient that pregnant women with vaginal candidiasis may experience itching, irritation, and discomfort. Soothing measures, such as wearing loose-fitting cotton underwear and avoiding irritants like scented soaps or douches, can provide relief.
Educate the patient to prevent recurrent vaginal candidiasis. Inform the patient to include maintaining good hygiene, avoiding excessive moisture in the genital area, wearing breathable clothing, and limiting the use of antibiotics when not necessary.
Follow-up: It is essential for pregnant women with vaginal candidiasis to have follow-up visits with their healthcare provider to ensure that the infection has resolved and to address any concerns or recurrent symptoms.
Discuss the functional anatomy and physiology of a psychiatric mental health patient. Which key concepts must a nurse know in order to assess specific functions?
In order to accurately assess the individual functions of patients with diverse forms of mental diseases, nurses must understand essential principles connected to the anatomy and physiological elements of mental health. To evaluate symptoms including changes in mood, cognition, perception, and social interaction, it is essential to have an understanding of the central nervous system and the effects of mental health disorders on cognitive, emotional, and behavioral functioning. For healthcare professionals who are involved in delivering holistic treatment, it is crucial to becoming knowledgeable about identifying mental health illnesses, offering therapeutic interventions, and informing patients of the potential adverse effects of psychiatric drugs (Arcangelo, 2017).
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