Assignment: Varicosities In Third Trimester

Assignment: Varicosities In Third Trimester

Assignment: Varicosities In Third Trimester

Third Trimester Common Discomforts

Your patient is in the third trimester and has had all routine prenatal care elements so far. All results have been normal.

The patient reports : Varicosities
Please respond to the following questions based on the common discomfort this patient has reported. Keep the patient’s gestational age in mind. 3rd trimester

Question 1: Briefly and in patient-centered, non-medical language, how would you explain to the patient the physiologic cause for this discomfort of pregnancy? [worth 2 of 10 points for this exam] Include only the level of detail that is appropriate for patients; patients can get overwhelmed with information. Your response does not need to demonstrate to faculty all that you know about the topic. Your response should be no more than about 3 bullet points.

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Question 2: What are the most important HISTORY OF PRESENT ILLNESS (HPI) elements that you would assess that would align with this common discomfort? Don’t include a list of questions you WOULD ask. Instead, list the HPI FINDINGS that would RULE IN a normal concern of pregnancy and are reassuringly supportive that this is the identified common discomfort, rather than something more serious.

Question 3: What are the most important CHART REVIEW elements that you would assess that would align with this common discomfort? Please list the FINDINGS FROM THE CHART that would RULE IN a normal concern of pregnancy and are reassuringly supportive that this is the identified common discomfort, rather than something more serious.

Question 4: Assuming that the HPI and chart review findings are benign, do you need OBJECTIVE DATA elements to be reassured that this is a common discomfort? [ Choose between the following options:

-No objective data is needed, assuming that the HPI and chart review findings are benign.
-Yes, I need objective data to be reassured that this is a common discomfort even if the HPI and chart review findings are benign.

Question 5: What is your rationale for your decision about objective data being needed or not? If you indicated that no objective data is needed, provide a brief reason for that decision. If you indicated that objective data is needed, include the FINDINGS that would RULE IN a normal concern of pregnancy, rather than indicating what you WOULD order/assess.

Question 6: What are the most important treatments or relief strategies you would suggest to the patient to manage this common discomfort (after eliciting their needs and values)? Limit to no more than 3-4 strategies.

I am looking for brief responses that answer the question in a concise, prioritized way.

Below is the grading rubic

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Varicosities
I will explain to the patient that she has varicosities, which is a condition characterized by twisted veins in the ankles, legs, and vulva. I will inform her that they develop due to high levels of progesterone hormone, which cause relaxation of blood vessel wall, hence, pooling of blood in them. There is also the effect of pressure from the growing fetus on the pelvic blood vessels, which affect the normal blood flow. Lastly, there is increased blood volume level during pregnancy, which results in the pooling of blood in the lower extremities, hence, varicosities (Rakhimovna & Shomurodovich, 2023).
The HPI that would RULE IN a normal concern of pregnancy include the patient reporting heavy feeling of her legs, itchiness around the veins, leg cramps, aching, pain, and tenderness of the lower limbs, and edema of the ankles and legs.
The most important CHART REVIEW elements that would RULE IN a normal concern of pregnancy include the absence of warmth, redness, or blisters in the lower leg, and impaired mobility. It would also include absence of bleeding, severe pain, and ulcers on the lower limb.
No. No objective data is needed in the case study since the HPI and chart review elements demonstrate a benign cause of her problem.
There is no need for objective data because varicosities in pregnancy is a reversible disorder. Changes such as decrease in progesterone levels, blood volume level, and pressure on pelvic blood vessels restores vessel integrity and normal blood flow, hence, no need for objective data.
Some of the relieving strategies I would share with the patient include educating her about the importance of avoiding prolonged standing or sitting, avoiding sitting with the legs crossed, and wearing compression socks (Dustova et al., 2030).

References
Dustova, N. K., Babadjanova, G. S., & Ikhtiyarova, G. A. (2030). PATHOGENETIC REASONS FOR THE DEVELOPMENT OF VARICOSE DISEASE IN PREGNANT WOMEN.
Rakhimovna, K. D., & Shomurodovich, Y. O. (2023). VARICOSE DISEASE AND PRECNANCY. International Journal of Medical Sciences And Clinical Research, 3(04), Article 04. https://doi.org/10.37547/ijmscr/Volume03Issue04-07