Saturday, December 21, 2013

Pregnancy Case Study

1. First year university student, 9 weeks pregnant, considering abortion. Take a business relationship statement and counsel. Findings: tearful, guilty, sleep disturbance, has not engaged kindly supports. invoice: comply a gestation invoice with a social register and a screen for depression. Pregnancy: Patient ID (name, age, occupation). GTPAL (number of gestations, line pregnancies, unseasonable births, abortions, live fryren), history of problems, if any, with previous pregnancies. Current motherhood, put in gestational age (GA) by last menstrual expiration (LMP) if unremitting periods and sure dates (if unsure a dating sonography would be needed). The GA is the number of weeks from the offset twenty-four hours of the LMP. The EDC is first day of LMP + 7 days - 3 months. Ask around intent of alcohol, smoking, drugs, domestic violence (50% begins in pregnancy), maternal illnesses during the pregnancy (particularly diabetes, rubella, toxoplasmosis, herpes, CM V, thyroid dysfunction, HTN, hypercoagulation). Use of birth control, if any. Past medical history, family history of pregnancy related problems, medications. Social: Status of any relationships at fall in including relationship with the childs father. Social supports (family, friends, boyfriend), do they pick out? Are they service?
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Employment/financial/educational emplacement of the forbearing, does the patient thumb prepared to raise a child? Psychiatric: How does the patient feel about this decision? How is she grapple? C all over mnemonic for major depression. MSIGECAPS: sense of humor (depressed), sleep ( gaind or decreasedif decreased, ver! y much archaean morning awakening), interest (decreased), guilt/worthlessness, energy (decreased or fatigued), preoccupation/difficulty making decisions, appetite and/or system of weights increase or decrease, psychomotor activity (increased or decreased), suicidal ideation - lordly diagnosis of major depression requires five of these over a 2 week period, one of the five mustiness be loss of interest or depressed mood. Symptoms do not meet criteria for...If you want to get a dear essay, order it on our website: OrderCustomPaper.com

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