1.What options are appropriate for this patient? Options available for this patient would first include progestogen-only contraceptives. For example, the Depo-Provera is not only progestin-only, but it is also a long-acting injection that is typically given every 3 months. It is said to be 99%effective at preventing pregnancy (Bonnema, McNamera & Spencer, 2013). Non-hormonal options are also available for this patient. These forms of non-hormonal options include spermicides, copper IUDs, the Today Sponge, cervical caps and condoms which all provide the adequate protection without the added hormones (Bonnema, et al. 2013). Next is an intrauterine device or “IUD” that is inserted into the uterus. The Mirena IUD is the one mostly used, contains progestin-only, and
can be replaced every 12 years (Bonnema et al. 2013). Lastly, there is the Para-Guard IUD option that contains no hormones and like the Mirena, is inserted into the uterus. This option can be replaced every 5 years (Bonnema et al. 2013).
2.What contraceptive options are contraindicated? For this patient in particular, some reg flags are definitely raised that would prevent all contraceptive methods. For starters, the patient is 40 years old and is smoking. Oral contraceptives that contain both estrogen and progestin are not recommended for women over the age of 35, as well as should be used with caution with individuals who smoke, have DM, HTN, a history of DVTs or PEs, and those who have a history of stroke or CAD (Gerly,
2015).
3.What type of patient education is indicated? Education for this patient would focus on making necessary lifestyle changes. For starters, I would recommend that this patient start on an exercise regimen. The patient stated that she had gained weight related to her poor food choices. Working out would also help this patient This study source was downloaded by 100000826174404 from CourseHero.com on 11-12-2021 01:11:10 GMT -06:00
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can be replaced every 12 years (Bonnema et al. 2013). Lastly, there is the Para-Guard IUD option that contains no hormones and like the Mirena, is inserted into the uterus. This option can be replaced every 5 years (Bonnema et al. 2013).
2.What contraceptive options are contraindicated? For this patient in particular, some reg flags are definitely raised that would prevent all contraceptive methods. For starters, the patient is 40 years old and is smoking. Oral contraceptives that contain both estrogen and progestin are not recommended for women over the age of 35, as well as should be used with caution with individuals who smoke, have DM, HTN, a history of DVTs or PEs, and those who have a history of stroke or CAD (Gerly,
2015).
3.What type of patient education is indicated? Education for this patient would focus on making necessary lifestyle changes. For starters, I would recommend that this patient start on an exercise regimen. The patient stated that she had gained weight related to her poor food choices. Working out would also help this patient This study source was downloaded by 100000826174404 from CourseHero.com on 11-12-2021 01:11:10 GMT -06:00
https://www.coursehero.com/file/63745706/NSG-6005-Week-8-Discussiondocx/This study resource was
shared via CourseHero.com
