NRNP 6552 Week 8 Case Study Discussion: Common Health Conditions with Implications for Women

(NRNP 6552 Week 8 Case Study, NRNP 6552 Week 8 Case Study)

The case study presented includes:

A 58-year-old African-American female complaining of brown vaginal discharge for several days last week. She is a G0, having never been able to get pregnant. Her pap history is normal with her last pap 2 years ago reported an NILM HPV negative, atrophic changes, no endocervical cells noted. T.S. was never able to conceive, but never had an infertility work-up. She also has Type II Diabetes with an A1C of 7.5. She takes Glipizide and Metformin for her diabetes.

Brown vaginal discharge in a post-menopausal woman can occur for various reasons. Inquiring further about her health history is important in properly diagnosing her. Some questions I would ask include:

• How long has the discharge been occurring for?

• How heavy is the discharge?

• Any recent intercourse?

• Are you taking any herbal supplements?

• Are you taking any other medications besides the medications for your diabetes?

• Any family history of cancer?

• Age when you became menopausal?

• Any pain with the discharge?