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Week 3 discussion

Contraceptive
Management

This discussion assignment provides a forum for discussing
relevant topics for this week based on the course competencies covered. For
this assignment, make sure you post your initial response to the Discussion
Area by the due date assigned.

To support your work, use your course textbook readings,
supplemental readings, and the South University Online Library. As in all
assignments, cite your sources in your work and provide references for the
citations in APA format.

Start reviewing and responding to the postings of your
classmates as early in the week as possible. Respond to at least two of your
classmates’ initial postings. Participate in the discussion by asking a
question, providing a statement of clarification, providing a point of view
with a rationale, challenging an aspect of the discussion, or indicating a
relationship between two or more lines of reasoning in the discussion. Cite
resources in your responses to other classmates. Complete your participation
for this assignment by the end of the week.

For this assignment, you will review the latest evidence
based guidelines as they pertain to the case below. Discussion of the case is
based on the course objectives and weekly content, which emphasize the core
learning objectives for an evidence-based primary care curriculum. Throughout
your nurse practitioner program, case study discussions are used to promote the
development of clinical reasoning through the use of ongoing assessments and
diagnostic skills, and to develop patient care plans that are grounded in the
latest clinical guidelines and evidence-based practice.

Karen, is a 33 year-old G2P2, with a medical history of
migraines, for which she takes Imitrex when needed. She has a history of heavy
and painful menses each month, lasting approximately 7-8 days. Karen smokes ½
pack of cigarettes per day. Her father has a history of DVT and cardiac
disease. Her mother has a history of cervical cancer. Her blood pressure today
is 138/76 and her pelvic exam is normal. She is divorced and is sexually active
with her new boyfriend. She is currently using condoms for birth control and
wants something more reliable. Karen does not desire pregnancy in the near
future.

Discuss the contraceptive methods using the latest
evidence-based guidelines that Karen would be medically eligible for.

Identify one method that you feel would be most beneficial
to Karen and discuss why you selected it.

Are there any methods that you would not recommend for
Karen? Why?

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