A 33-year-old Caucasian female is being seen in clinic for contraception. She is using birth control pills but forgets to take them because her work schedule changes every week. She has been married for 14 years and has two children. She is looking for an effective method that will be easy to remember. She has a history of chronic headaches and hypertension during pregnancy. She has never been treated for a sexually transmitted infection and is in a mutually monogamous relationship. Family history is significant for an aunt with breast cancer. She smokes half a pack of cigarettes per day. She is 5 ft. 8 in. and 215 lbs. Her vital signs are: BP 120/78, p 72, reg. The copper intrauterine device (IUD) ParaGard® would be recommended to the patient. Provide additional insights or contrasting perspectives.

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In the discussed case, the woman’s health concerns influence the clinician’s suggestions greatly. The patient’s smoking habits, weight, family history of breast cancer, and personal account of hypertension lead to the conclusion that any hormonal contraceptives should not be used. According to Westhoff and Pike, the risk of breast cancer does not increase significantly because of hormonal medications. However, some options have been connected to worse outcomes, for example, the levonorgestrel intrauterine system. Thus, this method cannot be suggested to the patient as well, although it has the same benefits as a non-hormonal IUD.

This particular situation poses a minimal set of options that a clinician can offer to the patient. Therefore, any disagreement from the woman can pose a challenge to the nurse in providing high-quality care. If a woman does not want to use a device, only several hormonal options remain available. Barriga, Vanhauwaert, and Porcile argue that the risk of breast cancer is not as high as some studies may suggest and highlight that hormonal contraceptives have many benefits for patients’ health. According to the authors, some hormonal medications prevent other types of cancer.

Nevertheless, the proposed copper IUD seems to be the best option for the patient. It does not require the same level of commitment, and its’ failure rate is much lower than that of other medications. It is also recommended to female cancer survivors, thus showing its lack of adverse effects on one’s health. Patient education has to include all vital information about the use of IUDs to reassure the patient of its effectiveness and address potential concerns.

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Academic.Tips. (2022) 'A 33-year-old Caucasian female is being seen in clinic for contraception. She is using birth control pills but forgets to take them because her work schedule changes every week. She has been married for 14 years and has two children. She is looking for an effective method that will be easy to remember. She has a history of chronic headaches and hypertension during pregnancy. She has never been treated for a sexually transmitted infection and is in a mutually monogamous relationship. Family history is significant for an aunt with breast cancer. She smokes half a pack of cigarettes per day. She is 5 ft. 8 in. and 215 lbs. Her vital signs are: BP 120/78, p 72, reg. The copper intrauterine device (IUD) ParaGard® would be recommended to the patient. Provide additional insights or contrasting perspectives'. 28 January.

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Academic.Tips. (2022, January 28). A 33-year-old Caucasian female is being seen in clinic for contraception. She is using birth control pills but forgets to take them because her work schedule changes every week. She has been married for 14 years and has two children. She is looking for an effective method that will be easy to remember. She has a history of chronic headaches and hypertension during pregnancy. She has never been treated for a sexually transmitted infection and is in a mutually monogamous relationship. Family history is significant for an aunt with breast cancer. She smokes half a pack of cigarettes per day. She is 5 ft. 8 in. and 215 lbs. Her vital signs are: BP 120/78, p 72, reg. The copper intrauterine device (IUD) ParaGard® would be recommended to the patient. Provide additional insights or contrasting perspectives. https://academic.tips/question/a-33-year-old-caucasian-female-is-being-seen-in-clinic-for-contraception-she-is-using-birth-control-pills-but-forgets-to-take-them-because-her-work-schedule-changes-every-week-she-has-been-married-f/

References

Academic.Tips. 2022. "A 33-year-old Caucasian female is being seen in clinic for contraception. She is using birth control pills but forgets to take them because her work schedule changes every week. She has been married for 14 years and has two children. She is looking for an effective method that will be easy to remember. She has a history of chronic headaches and hypertension during pregnancy. She has never been treated for a sexually transmitted infection and is in a mutually monogamous relationship. Family history is significant for an aunt with breast cancer. She smokes half a pack of cigarettes per day. She is 5 ft. 8 in. and 215 lbs. Her vital signs are: BP 120/78, p 72, reg. The copper intrauterine device (IUD) ParaGard® would be recommended to the patient. Provide additional insights or contrasting perspectives." January 28, 2022. https://academic.tips/question/a-33-year-old-caucasian-female-is-being-seen-in-clinic-for-contraception-she-is-using-birth-control-pills-but-forgets-to-take-them-because-her-work-schedule-changes-every-week-she-has-been-married-f/.

1. Academic.Tips. "A 33-year-old Caucasian female is being seen in clinic for contraception. She is using birth control pills but forgets to take them because her work schedule changes every week. She has been married for 14 years and has two children. She is looking for an effective method that will be easy to remember. She has a history of chronic headaches and hypertension during pregnancy. She has never been treated for a sexually transmitted infection and is in a mutually monogamous relationship. Family history is significant for an aunt with breast cancer. She smokes half a pack of cigarettes per day. She is 5 ft. 8 in. and 215 lbs. Her vital signs are: BP 120/78, p 72, reg. The copper intrauterine device (IUD) ParaGard® would be recommended to the patient. Provide additional insights or contrasting perspectives." January 28, 2022. https://academic.tips/question/a-33-year-old-caucasian-female-is-being-seen-in-clinic-for-contraception-she-is-using-birth-control-pills-but-forgets-to-take-them-because-her-work-schedule-changes-every-week-she-has-been-married-f/.

Bibliography

Academic.Tips. "A 33-year-old Caucasian female is being seen in clinic for contraception. She is using birth control pills but forgets to take them because her work schedule changes every week. She has been married for 14 years and has two children. She is looking for an effective method that will be easy to remember. She has a history of chronic headaches and hypertension during pregnancy. She has never been treated for a sexually transmitted infection and is in a mutually monogamous relationship. Family history is significant for an aunt with breast cancer. She smokes half a pack of cigarettes per day. She is 5 ft. 8 in. and 215 lbs. Her vital signs are: BP 120/78, p 72, reg. The copper intrauterine device (IUD) ParaGard® would be recommended to the patient. Provide additional insights or contrasting perspectives." January 28, 2022. https://academic.tips/question/a-33-year-old-caucasian-female-is-being-seen-in-clinic-for-contraception-she-is-using-birth-control-pills-but-forgets-to-take-them-because-her-work-schedule-changes-every-week-she-has-been-married-f/.

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"A 33-year-old Caucasian female is being seen in clinic for contraception. She is using birth control pills but forgets to take them because her work schedule changes every week. She has been married for 14 years and has two children. She is looking for an effective method that will be easy to remember. She has a history of chronic headaches and hypertension during pregnancy. She has never been treated for a sexually transmitted infection and is in a mutually monogamous relationship. Family history is significant for an aunt with breast cancer. She smokes half a pack of cigarettes per day. She is 5 ft. 8 in. and 215 lbs. Her vital signs are: BP 120/78, p 72, reg. The copper intrauterine device (IUD) ParaGard® would be recommended to the patient. Provide additional insights or contrasting perspectives." Academic.Tips, 28 Jan. 2022, academic.tips/question/a-33-year-old-caucasian-female-is-being-seen-in-clinic-for-contraception-she-is-using-birth-control-pills-but-forgets-to-take-them-because-her-work-schedule-changes-every-week-she-has-been-married-f/.

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