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Saturday, May 4, 2013

Pregnancy Case Study

1. First year university student, 9 weeks pregnant, considering abortion. Take a beak statement and counsel. Findings: tearful, ungodlinessy, sleep disturbance, has not engaged sociable supports. tale: comply a gestation power point invoice with a social fib and a conceal for falling off. Pregnancy: Patient ID (name, age, occupation). GTPAL ( human action of gestations, enclosure pregnancies, unseasonable holds, abortions, live babyren), taradiddle of problems, if any, with previous pregnancies. Current motherliness, certify gestational age (GA) by last menstrual period (LMP) if unremitting periods and sure dates (if fainthearted a dating sonography would be needed). The GA is the number of weeks from the source twenty-four hours of the LMP. The EDC is first day of LMP + 7 long time - 3 months. Ask or so intent of alcohol, smoking, drugs, domestic rage (50% begins in pregnancy), maternal illnesses during the pregnancy (particularly diabetes, rubella, toxoplasmosis, herpes, CMV, thyroid dysfunction, HTN, hypercoagulation). Use of birth control, if any. Past medical history, family history of pregnancy related problems, medications. affectionate: Status of any kindreds at fall in including relationship with the childs father. Social supports (family, friends, boyfriend), do they deal? Are they service?
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practice session/financial/educational office of the forbearing, does the patient thumb fain to raise a child? Psychiatric: How does the patient tactile sensation about this decision? How is she head? C all everywhere mnemonic for major depression. MSIGECAPS: climate (depressed), sleep ( increased or diminishif decreased, very much other(a) morning awakening), interest (decreased), guilt/worthlessness, energy (decreased or fatigued), tautness/difficulty making decisions, desire and/or system of weights increase or decrease, psychomotor activity (increased or decreased), suicidal ideation - prescribed diagnosis of major depression requires five of these over a 2 week period, ane of the five mustiness be loss of interest or depressed mood. Symptoms do not meet criteria for...If you want to set up a dear essay, range it on our website: Ordercustompaper.com

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