For this assignment, read the article, which I sent to you, you will review and reflect on the Prophylactic Hysterectomy article. This article can be applied to healthcare providers in the primary care and specialty settings. Discussion of the article is based on the course objectives and weekly content, which emphasize the core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, discussions are used to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills, and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice. APA format with at least 5 references, plus the article no older than 5 years old.
- Discuss any “take-away” thoughts from the article.
- What are the ethical dilemmas to consider with prophylactic surgeries?
- Discuss the screenings
- Interventions
- Options
- Education that you would provide to a patient that has a strong family history of ovarian cancer.
- What if the patient has no health insurance?
- What resources could you offer to assist the patient?
- Discuss and describe what causing patient to undergo a Prophylactic Hysterectomy.
Expert Solution Preview
Introduction: The following answers are based on the Prophylactic Hysterectomy article provided in the assignment. As a medical professor, it is important to understand the ethical dilemmas associated with prophylactic surgeries, the screenings, interventions, and options available for patients, and the necessary education for individuals with a strong family history of ovarian cancer. Additionally, it is vital to recognize the resources available for patients without health insurance and the reasons why a patient may choose to undergo a prophylactic hysterectomy.
1. Take-away thoughts: The article highlights the importance of genetic testing for individuals with a strong family history of ovarian cancer, as this can determine their risk for developing the disease. It also emphasizes the potential benefits of prophylactic surgery, including reducing the risk of cancer and avoiding the need for repeated surveillance. However, there are ethical concerns surrounding these procedures, and it is vital that patients fully understand the risks and benefits before making any decisions.
2. Ethical dilemmas: Prophylactic surgeries present several ethical dilemmas, including informed consent, patient autonomy, and potential harm. Patients must fully understand the risks and benefits of these procedures, and it is crucial that they make an informed decision without feeling pressured into the surgery. Additionally, there is a concern that prophylactic surgery may be performed unnecessarily, leading to potential harm and complications.
3. Screenings: For individuals with a strong family history of ovarian cancer, screening options include transvaginal ultrasound, CA-125 blood tests, and pelvic exams. However, these screenings are not always reliable and can present false positives or negatives. Genetic testing may also play a crucial role in determining a patient’s risk for developing ovarian cancer.
4. Interventions: Interventions for patients with a strong family history of ovarian cancer include prophylactic surgery, including prophylactic salpingectomy and oophorectomy. These surgeries can significantly reduce a patient’s risk of developing ovarian cancer, but they also present risks and concerns that must be carefully weighed.
5. Options: Patients with a strong family history of ovarian cancer have several options available to them, including surveillance, risk-reducing medications, and prophylactic surgery. Each option presents risks and benefits, and it is crucial that patients make an informed decision based on their personal circumstances and preferences.
6. Education: Patients with a strong family history of ovarian cancer must receive education on their screening and intervention options, the risks and benefits of each option, and the importance of genetic testing. Additionally, they must understand the potential impact of their decision on their future health and well-being.
7. Health insurance: Patients without health insurance may face significant barriers to accessing the necessary screening and interventions for ovarian cancer. As healthcare providers, it is essential to be aware of available resources, such as Medicaid and community health clinics, that can provide support and assistance.
8. Resources: Patients without health insurance can benefit from resources such as community health clinics, patient assistance programs, and financial assistance programs. Healthcare providers must be knowledgeable about these resources and be able to connect patients with the appropriate programs.
9. Reasons for prophylactic hysterectomy: Patients may choose to undergo a prophylactic hysterectomy to reduce their risk of developing ovarian or uterine cancer. This procedure may be recommended based on a patient’s family history, genetic testing results, or other risk factors. It is important to provide patients with appropriate education and information to make an informed decision.
