Sally Drake is a 54-year-old client who reports hot flashes and night sweats for the past...

Sally Drake is a 54-year-old client who reports hot flashes and night sweats for the past few months. She has not had a normal menstrual period for about a year. She says she would like to start on hormone replacement therapy. She has several questions regarding the use of hormone replacement therapy.

Ms. Drake informs the nurse that she is worried about the risks of hormone replacement therapy. What can the nurse tell her?

What nursing implications are essential in identifying if the use of hormone replacement therapy is contraindicated for Ms. Drake?

Ms. Drake has been started on hormone replacement by her physician. What client teaching will she need?

Solutions

Expert Solution

Hormone therapy (HT):

- It refers to estrogen with or without progestins.

• Clinical evidence of efficacy of hormone therapy shows

a reduction in fracture, but an increase in breast cancer, CHD (during the first year), stroke, and DVT/PE. The benefit versus risk assessment has been altered in light of this newer evidence.

• Indications for hormone therapy is for women with

vasomotor symptoms (hot flushes and night sweats) and urogenital atrophy and prevention of osteoporosis.

• Contraindication:

> Endometrial cancer, breast cancer, undiagnosed vaginal bleeding, coronary heart disease, thromboembolism, stroke or transient ischemic attack and active liver disease.s

• Risk/ side effects:

bleeding, breast tenderness, bloating, and "premenstrual-like symptoms".

• Health teaching/ Nursing Interventions to decrease risk/side effects of HRT:

> Assessment of the Client undergoing hormone replacement therapy: General condition, Vital signs, patient's understanding & Knowledge level, risk/ side effects,etc.

> Reducing the dose or changing the regimen or the route of administration can minimize these effects.

> Instructions to report for any signs & symptoms of complications.

> Careful monitoring

> Lifestyle modification:

* Smoking cessation
* Layer clothing
* Maintain cool temperature

* Use fans
* Drink cold water
* Relaxation techniques and stress reduction
* Avoid triggers: alcohol, tobacco, hot environmental conditions and emotional stress.

> Teach them that Hormone therapy is the most effective treatment option for alleviating vasomotor and vaginal symptoms.

Nightingale answered 1 year ago

Next > < Previous

Related Solutions

Joy is a 47-year-old G2 P2 who is experiencing periods of hot flashes or flushes and...

Joy is a 47-year-old G2 P2 who is experiencing periods of hot flashes or flushes and night sweats and has difficulty sleeping at night. She has mild hypertension but does not take any hypertensive medications since she started a daily walking regimen 6 months ago. Joy says that her menopausal symptoms are interfering with her quality of life. She made an appointment with the nurse practitioner at her gynecologist’s office to discuss natural or alternative therapies to help relieve her...

A 29-year old newly immigrated woman complains of weakness, shortness of breath, cough and night sweats...

A 29-year old newly immigrated woman complains of weakness, shortness of breath, cough and night sweats for the past month Discuss what questions you would ask the patient, what physical exam elements you would include, and what further testing you would want to have performed. In SOAP format, list Pertinent positive and negative information, Differential and working diagnosis, treatment plan, including: pharmacotherapy with complementary and OTC therapy, diagnostics (labs and testing), health education and lifestyle changes, age-appropriate preventive care, and...

This is a 35-year-old HIV-positive male with progressive lymphadenopathy and unexplained fever, night sweats, and chills....

This is a 35-year-old HIV-positive male with progressive lymphadenopathy and unexplained fever, night sweats, and chills. Low osmolar CT scan of the chest, abdomen, pelvis, and neck showed extensive lymphadenopathy involving mediastlnum and left hilum, paratracheal nodal chains, retroperiteoneum, right iliac nodal chains, and right inguinal nodes. There were several areas of atelectasis evident in the lung. CT guided needle biopsy of an emerged mediastinal node that was suspicious for tuberculosis. This was accomplished using visipaque contrast. The node in...

A 29-year old newly immigrated woman complains of weakness, shortness of breath, cough and night sweats...

A 29-year old newly immigrated woman complains of weakness, shortness of breath, cough and night sweats for the past month. For the case you have chosen: Discuss what questions you would ask the patient, what physical exam elements you would include, and what further testing you would want to have performed. In SOAP format, list: Pertinent positive and negative information Differential and working diagnosis Treatment plan, including: pharmacotherapy with complementary and OTC therapy, diagnostics (labs and testing), health education and...

Jack Lane, a 54-year-old male client who teaches history at the local high school, is seen...

Jack Lane, a 54-year-old male client who teaches history at the local high school, is seen at the outpatient surgical center for a left inguinal herniorrhaphy via a laparoscopic approach. The client was moving to a different house and developed the hernia while lifting heavy objects 1 week ago. When the client is standing, the nurse sees bulging in the left inguinal area, which decreases when he is lying flat. The vital signs include T, 99° F; BP, 120/78 mm...

Mrs. Shaw is a 54-year-old client who has been admitted with hypertensive crisis and tachycardia. She...

Mrs. Shaw is a 54-year-old client who has been admitted with hypertensive crisis and tachycardia. She was diagnosed with hypertension 2 years ago and until now has been controlling her blood pressure with a thiazide diuretic. In taking Mrs. Shaw’s health history, you learn that Mrs. Shaw has recently started taking pseudoephedrine in oral form for sinus congestion, along with a phenylephrine nasal spray for nasal congestion. Mrs. Shaw tells you, “I don’t understand it; I have been taking my...

The nurse is caring for 75-year-old male client who reports liver spots in addition to a...

The nurse is caring for 75-year-old male client who reports liver spots in addition to a change in color and size to one of his moles. The nurse notes that the client is speaking loudly and answering questions inappropriately. What information can the nurse provide the patient on the common causes and treatments of senile lentigines? Explain the rationale for asking the client about his current medication. Discuss the danger signs of pigmented lesions and the implications. Compare and contrast...

April Holiday,a 54 year old female client ,is going for her first hemodialysis today .The client...

April Holiday,a 54 year old female client ,is going for her first hemodialysis today .The client is scheduled to receive hemodialysis three times weekly and is on a fluid restriction and renal diet.The client's vital signs are T,98 F ,BP,110/70 mm Hg,HR,100 beats/minute;RR,22 breaths /minute.The client has has no pain but stated that she feels very fatigued and has constipation.The nurse notes that the conjunctiva and mucous membranes are pale.The client has a pale sallow coloration of her skin.The hemoglobin...

Susan Sanchez is a 54-year-old client with a history of diabetes mellitus, hypertension, smoking, and obesity....

Susan Sanchez is a 54-year-old client with a history of diabetes mellitus, hypertension, smoking, and obesity. On a recent physical exam, her total cholesterol level was 350 mg/dL, her LDL was 210 mg/dL, and her HDL was 35 mg/dL. Her physician prescribes atorvastatin, along with lifestyle modifications. 1. Susan asks the nurse why the lifestyle modifications are necessary since she will be taking medication for her dyslipidemia. How should the nurse respond? Describe the necessary lifestyle modifications that the nurse...

The client is a 53-year-old lawyer who travels internationally.

Patient with Meniere’s Disease: The client is a 53-year-old lawyer who travels internationally. He has noticed progressive sensorineural hearing loss, tinnitus that is interfering with his job performance, and occasional incapacitating vertigo. The health care provider is suspects that the client is suffering from Meniere’s Disease. How would you explain in layman’s terms the pathophysiology of Meniere’s disease to the client: Describe assessment finding that are consistent with the diagnosis of Meniere’s disease: Describe diagnostic finding (Weber and Rinne Test, audiogram,...

Subjects