PRAC 6551: Primary Care of Women

PRAC 6551: Primary Care of Women

PRAC 6551: Primary Care of Women,Assignment 2: Practicum – Journal Entry 2 To prepare for this course’s Practicum Experience, think about common screenings for women. Explain how screenings differ for younger women and older women and explain the implications of these differences.PRAC 6551: Primary Care of Women,Primary Care of Women: Common Screenings for Women,The concept of screening is an important one in healthcare because it is an important part of secondary prevention of disease. The significance of screening lies in the fact that when a disease process is identified before it starts producing signs and symptoms, its management is usually easier and resolution faster. This is especially true with cancer. Almost all cancers will start producing signs and symptoms when the disease is already spread to other parts of the body. However, when identified earlier through screening, most of them can be effectively managed by chemotherapy and/ or radiotherapy (Hammer & McPhee, 2018; Huether & McCance, 2017). Women are unique in that they have particular screening tests that need to be done, given their anatomical and biological differences from men. This paper examines some of these common screening tests for women and their implications for the different ages.,Common Screening Tests for Women, Age Differences and Implications,There are several common screening tests specific to women. These include (MedicinePlus, 2020; Hammer & McPhee, 2018; Huether & McCance, 2017; Rodriguez, 2017):PRAC 6551: Primary Care of Women,Pelvic examination and Pap smear is screening meant to identify cervical cancer before it spreads to adjacent tissues and lymph nodes and becomes difficult to treat. According to the US Preventive Services Task Force or USPSTF, this screening should start from the age of 21 (every three years) and continue until the woman is 65 years of age. It can be done together with the HPV screening for the same purpose and results (MedlinePlus, 2020; Rodriguez, 2017). The difference in younger women and older women is that the risk of cancer increases with age and sexual activity.,The mammogram screen is not recommended for women below the age of 40 years. The USPSTF recommends the screening for women from the age of 50 years at an interval of two years (biennial). However, the American Cancer Society recommends starting at age 45 annually, then changing to twice a year (biannually) from the age of 55 years (MedlinePlus, 2020; Rodriguez, 2017). The screening difference for this test by age is in the fact that younger women are less likely to have breast cancers visible through a mammogram.,Bone density screening is done by the radiological test known as a DEXA scan (dual energy X-ray absorptiometry). The screening for osteoporosis and the age difference for women is in the fact that it is only women who are post menopause who are at increased risk of osteoporosis and frequent fracture. The screening should be done for all women over 65 years (MedlinePlus, 2020; Hammer & McPhee, 2018; American Family Physician, 2018; Rodriguez, 2017).,Lastly but not least is skin examination or screening for women. This should be done by older women at an interval of one month. The reason for this is that by age, older women are at a higher risk of developing skin cancers such as malignant melanoma. The American Cancer Society therefore recommends that they examine their breasts monthly for moles, markings, and freckles (MedlinePlus, 2020; Rodriguez, 2017).,As stated, the implications of the differences in the ages of the women being screened lies in the fact that some conditions are more frequent in older age than in youth. A good example is osteoporosis or loss in bone density that leads to the risk of fractures. In conclusion, therefore, women are known to have unique healthcare needs hitch include uniqueness in the need for screening tests. These tests are also frequently different in terms of when they are supposed to be conducted, as a result of biological time landmarks like menopause.PRAC 6551: Primary Care of Women,References,American Family Physician (2018). Screening for osteoporosis to prevent fractures: Recommendation statement. American Family Physician, 98(10), 594A-594E. https://www.aafp.org/afp/2018/1115/od1.html#:~:text=The%20most%20commonly%20used%20bone,the%20hip%20and%20lumbar%20spine.,Hammer, D.G., & McPhee, S.J. (Eds). (2018). Pathophysiology of disease: An introduction to clinical medicine, 8th ed. New York, NY: McGraw-Hill Education.,Huether, S.E. & McCance, K.L. (2017). Understanding pathophysiology, 6th ed. St. Louis, MO: Elsevier, Inc.,MedlinePlus (June 2, 2020). Health screenings for women ages 18 to 39. Retrieved 21 June 2020 from https://medlineplus.gov/ency/article/007462.htm,Rodriguez, D. (November 10, 2017). 10 health screenings all women should have. Everyday Health. Retrieved 21 June 2020 from https://www.everydayhealth.com/womens-health/10-screenings-all-women-should-have.aspx,PRAC 6551: Primary Care of Women, 

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