Preparing the Assignment

Nurse practitioners provide high-quality, comprehensive care to clients in various healthcare settings. Standardized procedures may be used to help guide care. Boards of Nursing, such as CaliforniaLinks to an external site., provide resources to ensure that NPs provide quality care while functioning within their scope of practice.  Identify the assigned topics listed by the first letter of your last name. For example, if your last name is Smith, then your assigned topic is urinary retention in older adults.

Include the following sections (detailed criteria listed below and in the Grading rubric). Use the standardized procedure templateLinks to an external site. to complete the assignment.

1. Disorder or condition
   1. Identify the selected disorder or condition.
   2. Provide a basic description of the pathophysiology of the selected disorder or condition.
   3. Provide a summary of the incidence and prevalence of the selected disorder or condition in the United States.
   4. Provide a scholarly source.
2. Assessment
   1. Identify common subjective findings (symptoms) consistent with the selected diagnosis.
   2. Identify pertinent physical examination components and the expected exam findings consistent with the selected disorder or condition.
   3. Identify your intended state of practice and whether physician collaboration is required, as it is in California. If collaboration is required, describe the circumstances that would require physician consultation.
   4. Provide a scholarly source.
3. Diagnostic tests
   1. List diagnostic tests appropriate for the selected disorder or condition.
   2. List expected abnormal results consistent with the selected disorder or condition.
   3. Provide a scholarly source.
4. Management: Present an evidence-based management plan for the selected disorder or condition.
   1. Describe in detail first-line prescribed medications recommended for the selected disorder or condition.
   2. Describe in detail second-line medication that should be prescribed IF the client had an allergy to first-line line treatment for the selected disorder or condition.
   3. Identify medication details including
      1. Trade and generic names for each medication
      2. Typical dose for each medication
      3.  Major contraindications for use
      4. Major drug-drug interactions
   4. Identify other recommended treatments, if any, for the selected disorder or condition.
   5. Discuss expected client follow-up. If the client called in with persistent or recurrent symptoms after initial treatment, describe the appropriate next action.
   6. Describe indications for referral.
   7. Use current clinical practice guidelines or relevant, scholarly resources appropriate for advanced practice as defined by program expectationsLinks to an external site. to support the management plan.

Solution:

Name:

1. Definition
2. Disease or condition: Vasomotor instability in perimenopausal females.

Vasomotorinstability (VMI) is a condition characterized by hot flashes, night sweats, and heartpalpitations that affect women during perimenopause and menopause (Khan et al., 2023). Perimenopause is the transitional period that leads to menopause. It usually affects women in their 40s and early 50s even though the exact time of onset varies across individuals (Faubion et al., 2022).

1. Pathophysiology

As described by Khan et al. (2023), the development of VMI occurs due to fluctuations in estrogen and progesterone levels due to progressive decline in ovarian follicles and reduction in endogenous estradiol. Estrogen fluctuations disrupt the function of the hypothalamic thermoregulatory center, leading to body temperature dysregulations such as an increase in the body’s reaction to endogenous and exogenous triggers for heat loss prevention(Khan et al., 2023).Temperature dysregulation causes alterations in blood vessel activity, including cutaneous constriction or vasodilation, leading to feelings of hot flashes (and association skin flushing, perspirations (including night sweats), heart palpitations,and chills) as seen in perimenopause and menopause women (Talaulikar, 2022).

1. Incidence and prevalence

According to Khan et al. (2023), in the United States, menopause affects women at the median age of 51.3 years. Moderate to severe VMS affects 34% of 40-65-year-old women in the U.S. (Nappi et al., 2021).Globally, VMI affects about bout 80% of women, with varied severity and impact on general health and quality of life (Khan et al., 2023)…… Click purchase for full solution