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 nine | Nursing homework help

There are several things to take into consideration before deciding whether or not hormone therapy is right for the patient. The patient experiences hot flushes as well as night sweats. These symptoms are indicative of menopausal symptoms. The patient has a regular menstrual cycle and is only 46. This patient’s use of HT should be balanced against its risks, which include an increased risk for breast cancer, stroke, and heart disease.

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.

Non-hormonal treatments, like gabapentin or selective serotonin reuptake inhibitors (SSRIs), are an option. They can help manage menopause symptoms without the associated risks. But these treatments also come with side effects.

The lowest possible dose should be given for the shortest period of time if HT is to be prescribed. Any adverse effects such as increased breast cancer or heart disease risk should be monitored closely. Continue regular mammograms, pap tests and other screenings.

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. Other non-hormonal treatments should also be taken into consideration, as should the use of the lowest dose effective of HT for the least amount of time. It is also important to continue regular monitoring for any adverse effects.