Advanced Nursing Clinical research paper.

Important Instruction about the Assignment

· You will then formulate your differential diagnoses list, develop a plan of care, and submit a written clinic note documenting your care of this patient. Your differential diagnoses list should consist of 4 diagnoses, including 1 of which is your final diagnosis.

· Please briefly describe your rationale and reasoning for why you would include or rule out a diagnosis in your working diagnosis list. Provide 6 research nursing and medical references for your rationale.

· The paper should always have an introduction statement that explains what the paper will entails.

· Remember to include a cover page and use the most recent update APA formatting for references.

· Refer to the SOAP NOTE TEMPLATE for details on how this assignment will be graded.

· For this paper, you must provide 12-15 pages well written evidence-based research paper according to the rubric guidelines, follow the APA format formatting for references and support your paper with at least 5 to 7 nursing or medical evidence-based research articles not older than 7 yrs.

· please take time to read and review it, if the paper is not up a master’s degree level standard, I will not accept the work. I just want to be clear about that before I assigned it to anyone. This is an advanced degree work that requires a very strong writer with the background and experience in Nursing and Medical field and a very well-developed English and written expertise.

Hint 1 (Menopause) is the patient primary diagnosis.

Ms. Edward is 42 years is old female who came to the clinic with complaint of being tired and Amenorrhea for almost a year. According to the patient, the problem started almost 2 years ago. she has had a normal menstrual period prior to that. The patient also complains of sweat and insomnia at night, she has gain 5 pounds as well, she denies any other issues, her vital signs remain stable in addition to being afebrile. Clinical assessment and physical finding showed

Changes in weight, hot flashes, sexually active however uses condom as protection.

Chief Complaint:

Patient reports "I I’m not sleeping well and am tired. I wake up early and sweaty. My period has also stopped. Sexual encounter is now uncomfortable, the menstrual irregularity started after the death of my mother almost two years ago. my mother died suddenly. I barely get a night sleep. Sometimes I have to change the bed sheet because I sweat so much during the night. I also think my mom diabetes took a tow on her body, and my father his 62 years old with high blood pressure.”

Reliability and Source of History:

The patient is alert and oriented and able to answer most of the questions.

Subjective and Objective Data.

Hint 1 (Patient primary diagnoses is Menopause) other potential diagnoses are:

· Hyperthyroidism

· Hyperprolactinemia/prolactinoma

· Primary ovarian insufficiency

· Adrenal insufficiency

Assessment

The primary diagnoses are Menopause. Other potential hypothesis for this patient includes Hyperthyroidism, Primary Ovarian insufficiency, Adrenal insufficiency, secondary, Hyperprolactinemia/Prolactinoma. The patient primary diagnosis will be based on her subjective and objective data, nurse practitioner objective data, laboratory information data and physical assessments.

The Patient main diagnosis is Menopause

Rationale for Choosing Menopause

The patient other potential hypothesis diagnoses include:

· Hyperthyroidism

· Hyperprolactinemia/Prolactinoma

· Primary ovarian insufficiency

· Adrenal insufficiency, Secondary

Hyperthyroidism: is

Rationale for not choosing this diagnosis

Hyperprolactinemia/Prolactinoma: is

Rationale for not choosing this diagnosis

Primary Ovarian insufficiency: is

Adrenal Insufficiency, Secondary

Rationale for not choosing this diagnosis

Hint 2

Patient treatment plan which should include the up-to-date treatment for Menopause (This is very important)

Hint 3

Patient lab should include all below and please explain the rationale for these labs with references to support it.

· Complete Blood work (CBC)….prediabetes, and many more

· Basic Metabolic Panel (BMP)

· Lipid Profile Serum

· Follicle Stimulating Hormone …( Test done for menopause and Primary Ovarian Insufficiency)

· Prolactin (PRL)… (Hyperprolactinemia)

· Cortisol…..( Adrenal Insufficiency, secondary)

· Free Thyroxine FT4…. (Hyperthyroidism)

· Thyroid Stimulating Hormone ….(Hyperthyroidism)

· Urinalysis ( infection)

Care plan

Nursing Intervention

Treatment

· Pharmacological:

· Non-pharmacological:

· Patient Education ( should include menopause teaching, prediabetes teaching, depression coping mechanisms and many more)

· Referrals and the follow-up

Conclusion