Write an 8- to 10-page Comprehensive Well-Woman Paper that addresses the following:
• Age, race and ethnicity, and partner status of the patient
• Current health status, including chief concern or complaint of the patient
• Contraception method (if any)
• Patient history, including medical history, family medical history, gynecologic history, obstetric history, and personal social history (as appropriate to current problem)
• Review of systems
• Physical exam
• Labs, tests, and other diagnostics
• Differential diagnoses
• Management plan, including diagnosis, treatment, patient education, and follow-up care
• Provide evidence-based guidelines to support treatment plan. Note: Use your Learning Resources and evidence from scholarly sources from your personal search to support your treatment plan of care.
Reflection
Reflect on some additional factors for your patient:
• What are implications if you have observed or know of some domestic violence? Would this change your plan of care? If so, how?
Use your Learning Resources and evidence from scholarly sources from your personal search to support your reflection.
Sample solution
Dante Alighieri played a critical role in the literature world through his poem Divine Comedy that was written in the 14th century. The poem contains Inferno, Purgatorio, and Paradiso. The Inferno is a description of the nine circles of torment that are found on the earth. It depicts the realms of the people that have gone against the spiritual values and who, instead, have chosen bestial appetite, violence, or fraud and malice. The nine circles of hell are limbo, lust, gluttony, greed and wrath. Others are heresy, violence, fraud, and treachery. The purpose of this paper is to examine the Dante’s Inferno in the perspective of its portrayal of God’s image and the justification of hell.
In this epic poem, God is portrayed as a super being guilty of multiple weaknesses including being egotistic, unjust, and hypocritical. Dante, in this poem, depicts God as being more human than divine by challenging God’s omnipotence. Additionally, the manner in which Dante describes Hell is in full contradiction to the morals of God as written in the Bible. When god arranges Hell to flatter Himself, He commits egotism, a sin that is common among human beings (Cheney, 2016). The weakness is depicted in Limbo and on the Gate of Hell where, for instance, God sends those who do not worship Him to Hell. This implies that failure to worship Him is a sin.
God is also depicted as lacking justice in His actions thus removing the godly image. The injustice is portrayed by the manner in which the sodomites and opportunists are treated. The opportunists are subjected to banner chasing in their lives after death followed by being stung by insects and maggots. They are known to having done neither good nor bad during their lifetimes and, therefore, justice could have demanded that they be granted a neutral punishment having lived a neutral life. The sodomites are also punished unfairly by God when Brunetto Lattini is condemned to hell despite being a good leader (Babor, T. F., McGovern, T., & Robaina, K. (2017). While he commited sodomy, God chooses to ignore all the other good deeds that Brunetto did.
Finally, God is also portrayed as being hypocritical in His actions, a sin that further diminishes His godliness and makes Him more human. A case in point is when God condemns the sin of egotism and goes ahead to commit it repeatedly. Proverbs 29:23 states that “arrogance will bring your downfall, but if you are humble, you will be respected.” When Slattery condemns Dante’s human state as being weak, doubtful, and limited, he is proving God’s hypocrisy because He is also human (Verdicchio, 2015). The actions of God in Hell as portrayed by Dante are inconsistent with the Biblical literature. Both Dante and God are prone to making mistakes, something common among human beings thus making God more human.
To wrap it up, Dante portrays God is more human since He commits the same sins that humans commit: egotism, hypocrisy, and injustice. Hell is justified as being a destination for victims of the mistakes committed by God. The Hell is presented as being a totally different place as compared to what is written about it in the Bible. As a result, reading through the text gives an image of God who is prone to the very mistakes common to humans thus ripping Him off His lofty status of divine and, instead, making Him a mere human. Whether or not Dante did it intentionally is subject to debate but one thing is clear in the poem: the misconstrued notion of God is revealed to future generations.
References
Babor, T. F., McGovern, T., & Robaina, K. (2017). Dante’s inferno: Seven deadly sins in scientific publishing and how to avoid them. Addiction Science: A Guide for the Perplexed, 267.
Cheney, L. D. G. (2016). Illustrations for Dante’s Inferno: A Comparative Study of Sandro Botticelli, Giovanni Stradano, and Federico Zuccaro. Cultural and Religious Studies, 4(8), 487.
Verdicchio, M. (2015). Irony and Desire in Dante’s” Inferno” 27. Italica, 285-297.
Sample Answer
Sample Answer
Comprehensive Well-Woman Paper
Patient Overview
Age, Race and Ethnicity, and Partner Status
The patient is a 28-year-old Hispanic female, currently in a monogamous relationship. She has been with her partner for approximately three years.
Current Health Status
The chief complaint of the patient is irregular menstrual cycles, characterized by periods occurring every 2–3 months. The patient reports accompanying symptoms of mild dysmenorrhea and occasional mood swings. She expresses concern about the implications of these irregularities on her reproductive health and fertility.
Contraception Method
The patient is currently using a combination oral contraceptive pill (OCP) for pregnancy prevention, which she has been taking consistently for the past year.
Patient History
Medical History
The patient has a history of asthma, controlled with an albuterol inhaler as needed. She has no known allergies and is not currently on any other medication.
Family Medical History
The patient’s mother has a history of hypertension and diabetes mellitus type 2, while her father has a history of hyperlipidemia. There is no documented family history of gynecological disorders.
Gynecologic History
Menarche occurred at age 13, with regular cycles until approximately six months ago. She has had one Pap smear in the past year, which was normal. The patient denies experiencing heavy bleeding or intermenstrual spotting.
Obstetric History
The patient has never been pregnant and has never undergone any surgical procedures.
Personal Social History
The patient works as a school teacher and lives with her partner. She reports a supportive social circle and engages in moderate exercise several times a week. The patient denies any substance abuse and reports minimal alcohol consumption.
Review of Systems
– General: No significant weight changes; energy levels are normal.
– Constitutional: Denies fever, chills, or night sweats.
– Cardiovascular: Denies palpitations or chest pain.
– Respiratory: Controlled asthma without recent exacerbations.
– Gastrointestinal: Regular bowel movements; no nausea or diarrhea.
– Genitourinary: Reports irregular menstrual cycles; denies dysuria or hematuria.
– Neurological: Denies headaches, dizziness, or visual changes.
– Psychiatric: Occasional mood swings; denies anxiety or depression.
Physical Exam
– Vital Signs: BP 118/75 mmHg, HR 72 bpm, Temp 98.6°F.
– General Appearance: Alert and oriented; appears well-nourished.
– Abdomen: Soft, non-tender; no masses palpated.
– Pelvic Exam: External genitalia normal; cervix visualized and appears healthy. Bimanual exam reveals a normal-sized uterus without adnexal tenderness.
Labs, Tests, and Other Diagnostics
– Pregnancy Test: Negative.
– Complete Blood Count (CBC): Normal.
– Thyroid Function Tests: Within normal limits.
– Hormonal Panel (FSH, LH, Estradiol, Progesterone): To be ordered based on findings.
Differential Diagnoses
1. Polycystic Ovary Syndrome (PCOS)
2. Hypothyroidism
3. Hyperprolactinemia
4. Uterine Fibroids
Management Plan
Diagnosis
The most likely diagnosis is Polycystic Ovary Syndrome (PCOS), given the patient’s age, irregular menstrual cycles, and symptoms.
Treatment
1. Continue oral contraceptive pills to regulate menstrual cycles.
2. Educate the patient about lifestyle modifications, including a balanced diet and regular exercise to manage weight and improve insulin sensitivity.
3. Consider referral to an endocrinologist if hormonal abnormalities are confirmed.
Patient Education
– Discuss the importance of regular follow-ups to monitor menstrual cycles and any potential complications associated with PCOS, such as infertility or metabolic syndrome.
– Provide information about the condition, including possible long-term effects on reproductive health.
Follow-Up Care
Schedule follow-up appointment in three months to reassess menstrual cycle regulation and discuss lab results.
Evidence-Based Guidelines
According to the American College of Obstetricians and Gynecologists (ACOG) guidelines, OCPs are recommended for women with PCOS to regulate menstrual cycles and reduce androgen levels (ACOG, 2020).
Reflection
Domestic Violence Considerations
If there were indications or concerns regarding domestic violence, this would significantly alter the management plan. Recognizing signs of domestic violence is crucial; it would require immediate attention to ensure the patient’s safety and wellbeing.
In such a scenario, I would prioritize establishing a safe environment for the patient during visits, provide resources for shelters or counseling services, and ensure that the patient understands her options without pressure to disclose more than she feels comfortable sharing. Furthermore, it would be essential to engage social services to provide comprehensive support.
Impact on Care Plan
This heightened awareness would necessitate a more sensitive approach to history-taking and physical examinations while ensuring confidentiality. The management plan would focus not only on her reproductive health needs but also on her safety and emotional support.
References
American College of Obstetricians and Gynecologists (ACOG). (2020). Polycystic Ovary Syndrome. ACOG Practice Bulletin No. 194.
This comprehensive well-woman paper provides an overview of a fictional patient’s health status and management plan while reflecting on critical issues such as domestic violence that may impact care. Each section is designed to align with standard clinical practices while incorporating evidence-based guidelines for treatment.
