A 46-year-old, 230lb woman with a family history of breast cancer


A 46-year-old, 230lb woman with a family history of breast cancer. She is up to date on yearly mammograms. She has a history of HTN. She complains of hot flushing, night sweats, and genitourinary symptoms. She had felt well until 1 month ago and she presented to her gynecologist for her annual gyn examination and to discuss her symptoms. She has a history of ASCUS about 5 years ago on her pap, other than that, Pap smears have been normal. Home medications are Norvasc 10mg qd and HCTZ 25mg qd. Her BP today is 150/90. She has regular monthly menstrual cycles. Her LMP was 1 month ago.

• Write a description of the above patient’s health needs.
• Explain the type of treatment regimen you would recommend for treating this patient, including the choice or pharmacotherapeutics you would recommend, and explain why. Be sure to justify your response.
• Explain a patient education strategy you might recommend for assisting your patient with the management of their health needs. Be specific and provide examples.
• Discuss alternative therapies such as hypnosis, acupuncture, and mind-body exercises. What are your thoughts regarding complementary therapies and do you feel that you would utilize them in your practice?

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