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Wednesday, November 6, 2013

Pregnancy Case Study

1. First year university student, 9 weeks pregnant, considering abortion. Take a key statement and counsel. Findings: tearful, guilty, sleep disturbance, has not engaged amicable supports. accounting: comply a gestation invoice with a social report and a screen for depression. Pregnancy: Patient ID (name, age, occupation). GTPAL (number of gestations, limit pregnancies, unseasonable births, abortions, live electric razorren), history of problems, if any, with previous pregnancies. Current maternalism, undercoat gestational age (GA) by last menstrual full stop (LMP) if unremitting periods and sure dates (if unsure a dating echography would be needed). The GA is the number of weeks from the starting twenty-four hours of the LMP. The EDC is first day of LMP + 7 days - 3 months. Ask close to intent of alcohol, smoking, drugs, domestic violence (50% begins in pregnancy), maternal illnesses during the pregnancy (particularly diabetes, rubella, toxoplasmosis, herpes, CMV, thyroid dysfunction, HTN, hypercoagulation). Use of birth control, if any. Past medical history, family history of pregnancy related problems, medications. Social: Status of any relationships at fall in including relationship with the childs father. Social supports (family, friends, boyfriend), do they fill out? Are they service?
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Employment/financial/educational office of the forbearing, does the patient thumb prepared to raise a child? Psychiatric: How does the patient feel about this decision? How is she coping? C all over mnemonic for major depression. MSIGECAPS: belief (depressed), sleep ( adjo ind or decreasedif decreased, very much ot! her(a) morning awakening), interest (decreased), guilt/worthlessness, energy (decreased or fatigued), assimilation/difficulty making decisions, appetite and/or system of weights increase or decrease, psychomotor activity (increased or decreased), suicidal ideation - absolute diagnosis of major depression requires five of these over a 2 week period, one of the five mustiness be loss of interest or depressed mood. Symptoms do not meet criteria for...If you want to get a dear essay, revise it on our website: OrderCustomPaper.com

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