Barbara is 48-year-old female who complains her menstrual cycle has recently become irregular, and she is experiencing hot flashes and vaginal dryness

NURS648 Women Health

Week 7 Discussion

Barbara is 48-year-old female who complains her menstrual cycle has recently become irregular, and she is experiencing hot flashes and vaginal dryness. She has also noticed a decrease in her desire for sex lately. She has been married to a man for 20 years, is in a stable relationship, and has two daughters ages 16 and 18. She is otherwise healthy with an unremarkable medical history. Her pregnancy test is negative. Her Pap smear and STI panel are all negative.

Write a brief SOAP note regarding this patient. Make sure to include your answers to these questions in your SOAP note.

And

Hillary is a 63-year-old woman G7P7 all uncomplicated NSVDs, complains of inadvertently urinating on herself whenever she coughs, sneezes, or heartily laughs. It has been happening intermittently since the birth of her last 3 children, but it now happens so often that she must wear a sanitary pad, and she is afraid there can be an odor at times. She now also feels “something at the entrance.” Upon physical exam, you note that there is an organ about 1cm covering at the 12 o’clock of her vaginal entrance. She asks you what, if anything, can be done to alleviate this that does not have to entail having surgery.