n discussing this case, I really would like you to focus on HRT…how to best treat the patient…what are the factors that need to be looked at when deciding on HRT…etc.? 

Discussion week 9 | Nursing homework help

When considering hormone therapy (HT) for this patient, there are several factors that need to be looked at before making a decision. The patient is experiencing hot flushing, night sweats, and genitourinary symptoms, which are consistent with menopausal symptoms. However, the patient is only 46 years old and has regular monthly menstrual cycles. The use of HT in this patient should be weighed against the risks associated with HT, including an increased risk of breast cancer, heart disease, and stroke.

Given the patient’s family history of breast cancer and history of ASCUS on her pap smear, caution should be taken when considering HT. The patient’s weight and history of hypertension should also be taken into consideration when making a decision about HT.

One option to consider would be non-hormonal therapies, such as selective serotonin reuptake inhibitors (SSRIs) or gabapentin. These therapies can be effective in managing menopausal symptoms, without the risks associated with HT. However, these therapies also have side effects that should be taken into consideration.

If the decision is made to use HT, the lowest effective dose for the shortest duration of time should be used. The patient should be closely monitored for any adverse effects, including an increased risk of breast cancer, heart disease, or stroke. Regular mammograms and pap smears should also be continued.

In summary, the decision to use HT in this patient should be made on a case-by-case basis, taking into consideration the patient’s individual risk factors and preferences. Non-hormonal therapies should also be considered, and the lowest effective dose of HT should be used for the shortest duration of time. Regular monitoring and screening for adverse effects should also be continued.