Running Header: WEEK NINE ASSIGNMENT 1
Week 9 Assignment
Comprehensive Patient Assessment
Sheryl Sutfin
Walden University
Nurs 6551
20 January, 2018
Abnormal Uterine Bleeding
Abnormal uterine bleeding (AUB) is a common clinical problem among reproductive
This study source was downloaded by 100000849580189 from CourseHero.com on 07-11-2023 09:25:04 GMT -05:00
https://www.coursehero.com/file/38539689/Week-9-Assignment/
, WEEK NINE ASSIGNMENT 2
women that can significantly impact the quality of their life physically, socially, and emotionally.
AUB is an all-encompassing term referring to any uterine bleeding that is irregular in amount,
frequency, duration, or timing (Schuiling and Likis, 2017). The purpose of this paper is to
discuss a female patient seen during this clinical and write a comprehensive assessment that
includes details of the patient’s background, medical history, physical exam, labs and
diagnostics, diagnosis, treatment and management plan, as well as education strategies and
follow-up care.
Introduction
AUB affects 14-25% of women in the reproductive age group and the most common
reason women seek health care (Kadwa, 2018). There are physiological, pathological, and
pharmacological causes of AUB. With AUB there is a disruption in the woman’s normal
menstrual pattern and is unpredictable from heavy to light flow and prolonged or random.
Complication of pregnancy is the most common cause of change in the woman’s established
menstrual bleeding. AUB should be suspected in patients with unpredictable or episodic heavy
or light bleeding despite a normal pelvic examination (Behera, 2018).
General Patient Information
Subjective Data
Age: 37-year-old
Race/Ethnicity: African-American
Partner Status: Single
Current Health Issues
Chief Complaint: “Heavy bleeding with no change since starting birth control pills.”
History of Presenting Illness: VC is a 37-year-old female who presented to the clinic with
complaints of heavy irregular menses which she was taking OCP. Patient reports she has to
change pads every 1-2 hours or she will bleed through. Reports large clots occasionally.
Patient reports heavy bleeding started over 3 years ago which is when she started taking OCP
and iron supplement. At time of initial diagnosis, patient was unsure of any mention of diagnosis
of fibroids. Patient reports sharp pelvic pain during menses but denies pain during sex. The
This study source was downloaded by 100000849580189 from CourseHero.com on 07-11-2023 09:25:04 GMT -05:00
https://www.coursehero.com/file/38539689/Week-9-Assignment/
Week 9 Assignment
Comprehensive Patient Assessment
Sheryl Sutfin
Walden University
Nurs 6551
20 January, 2018
Abnormal Uterine Bleeding
Abnormal uterine bleeding (AUB) is a common clinical problem among reproductive
This study source was downloaded by 100000849580189 from CourseHero.com on 07-11-2023 09:25:04 GMT -05:00
https://www.coursehero.com/file/38539689/Week-9-Assignment/
, WEEK NINE ASSIGNMENT 2
women that can significantly impact the quality of their life physically, socially, and emotionally.
AUB is an all-encompassing term referring to any uterine bleeding that is irregular in amount,
frequency, duration, or timing (Schuiling and Likis, 2017). The purpose of this paper is to
discuss a female patient seen during this clinical and write a comprehensive assessment that
includes details of the patient’s background, medical history, physical exam, labs and
diagnostics, diagnosis, treatment and management plan, as well as education strategies and
follow-up care.
Introduction
AUB affects 14-25% of women in the reproductive age group and the most common
reason women seek health care (Kadwa, 2018). There are physiological, pathological, and
pharmacological causes of AUB. With AUB there is a disruption in the woman’s normal
menstrual pattern and is unpredictable from heavy to light flow and prolonged or random.
Complication of pregnancy is the most common cause of change in the woman’s established
menstrual bleeding. AUB should be suspected in patients with unpredictable or episodic heavy
or light bleeding despite a normal pelvic examination (Behera, 2018).
General Patient Information
Subjective Data
Age: 37-year-old
Race/Ethnicity: African-American
Partner Status: Single
Current Health Issues
Chief Complaint: “Heavy bleeding with no change since starting birth control pills.”
History of Presenting Illness: VC is a 37-year-old female who presented to the clinic with
complaints of heavy irregular menses which she was taking OCP. Patient reports she has to
change pads every 1-2 hours or she will bleed through. Reports large clots occasionally.
Patient reports heavy bleeding started over 3 years ago which is when she started taking OCP
and iron supplement. At time of initial diagnosis, patient was unsure of any mention of diagnosis
of fibroids. Patient reports sharp pelvic pain during menses but denies pain during sex. The
This study source was downloaded by 100000849580189 from CourseHero.com on 07-11-2023 09:25:04 GMT -05:00
https://www.coursehero.com/file/38539689/Week-9-Assignment/
