Much of an archeologist’s work is done under the mantra “proceed with caution.” Archeologists must dutifully secure permissions to access sites. They also must exercise extreme caution when excavating or analyzing in a lab to avoid potential damage to historical artifacts.
Likewise, nurse practitioners must proceed with caution when building a patient’s health history. Important questions can be difficult for both nurse and patient. Care must be taken to approach such questions with dignity, tact, and respect to create an environment conducive to productive conversations.
For this Assignment, you will develop a script to be used to interview a volunteer serving in the role of patient.
• Review the Ewing (2004) questionnaire found in this week’s Learning Resources and consider the difficult questions you might have to ask when you take a patient’s health history.
• Review the screening tools found in the Learning Resources and consider how you might use an app or tool to assist in screening.
• Review the media programs related to a vaginal exam, pap test, and breast exam.
• Review the health history guide presented in Chapter 7 of the Schuiling & Likis (2022) text and consider how you would create your own script for building a health history. (Note: You will also find the Health History Form in Chapter 7)
• Describe the components of a complete gynecologic health history. Include considerations for special populations such as LGBTQ+ individuals.
• What health maintenance guidelines should be included for initial and follow up might be needed for follow-up assessments? (i.e., bone density test, Gardasil vaccine, shingles, etc.)?
• What questions would you consider in your patient’s assessment? For example
o What is your patient’s living situation?
o Do they have stairs?
o Do they live by themselves?
o Do they have a working refrigerator?
For the first time it has been shown that environmental disturbances and man-made compounds have the potential to alter genetic reprogramming events in early embryonic development. The earliest stage of human pregnancy that seems to be the most sensitive developmental window is even before a women is “clinically recognized” as pregnant therefor, to reduce the health effects exposure should be limited even before a women gets pregnant.13 Unfortunately, BPA is everywhere, to avoid exposure completely would be impossible. However, limiting your exposure can help lessen the chances of BPA induced abnormalities. C. elegans. The effects that BPA exposure has on the formation and development of an embryo was investigated through a specific type of nematode, C. elegans. This subject was used because of its efficient cost and short reproductive cycle as well as offspring size. In order to get the least amount of percent error you need many test subjects and the capacity to hold them and care for them properly. C. elegans can produce up to 300 eggs as well, as their size is relatively small. Constant exposure to a high concentrate of BPA throughout development has been proven to decrease fecundity.6In this experiment C. elegans had four hours of low dose (0.1 µM to 10 µM) exposure to BPA. Immediately the number of viable eggs that were laid as adults decreased, not to mention the worms that took longer to become habituated with the stimuli had exposure to BPA as embryos. This subtle neuronal function leads to the conclusion that BPA can affect behavioral changes.6 The detrimental effects due to BPA exposure in embryos were emphasized not only in reproductive defects but developmental and neuronal defects as well. Bisphenol A exposure is harmful to fertility and development of the embryo. How severe the repercussions of Bisphenol A exposure depend on the amount of exposure. Effects of long term exposure to Bisphenol A are difficult to recognize. Meanwhile, the effects of short term exposure to Bisphenol A are more prevalent. Due to the fact that Bisphenol A is found in many of the products that we as humans use daily, it is important to come to terms of the effects. The experiments above show the effect Bisphenol A has on marine life due to its vulnerability caused by human waste polluting its entirety. Every product that we use ends up in their environment and they are effected. The other experiments with mice and C.elegans are modified because they are not as susceptible. Susceptible or not the effects of bisphenol A were conclusive, long term exposure showed that the results were hard to find, meaning they >GET ANSWER