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NR 577 Week 2 Reflection NR 577 Week 2 Reflection
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Student Name Chamberlain College of Nursing NR 578- Primary Care Management of Adolescents and Adults Dr. Rollinson Week 2- iHuman Reflection Due Date Complementary and alternative therapies can be very useful, but for this patient I would suggest using evidenced based articles to help determine safe options. CAM products can be safe because they include herbs, plant-based treatments, non-botanical supplements, and mind-body therapies (Endocrine Society, 2022). However, they can interact with other medications, but Maya Delgado does not take medications, except multivitamins at times. In her case, Ginseng is a supplement that she can use because it can help with sleep and mood but can cause headaches and upset stomach (Endocrine Society, 2022). Also, flaxseed can be used to improve cholesterol levels, which in her case would be useful given her labs. However, flaxseed can cause abdominal bloating, nausea, and diarrhea. If she did not want to use medications while using prescription medications, acupuncture would be beneficial with insomnia, mood swings, or hot flashes (Endocrine Society, 2022). According to the Office of Women’s Health, there is one study that
suggests that hypnosis helped decrease hot flashes by 74% (2021). I would not suggest other medications for sleep or mood, because her biggest complaint is fatigue due to having night sweats and constantly waking up. Also, I would stress that the Food and Drug Administration (FDA) does not regulate supplements like they do for medicines and the labels and/or data can be misleading (Office on Women’s Health, 2021). Therefore, I would suggest thorough research and trying things such as lifestyle changes and mind-body therapies, instead of using supplements, especially if she plans to use hormone therapy. References Endocrine Society. (2022). Menopause treatment. Office of Women’s Health. (2021). Menopause treatment. Tracy Pinnock NR Professor: Dr. Alters Week 2 Reflection Topic: ranking differential diagnosis and identifying must not miss diagnoses: I missed some items in the ihuman when it came to differential diagnosis. I will need to read and find ways to be able to better understand in how to choose differential diagnosis. The one way that I can improve my skills, it is to reviewed videos, and notes from our current txt book. I need to practice in applying the pertinent positive and negative findings to be able to create differential diagnosis. I know once I have this, I will do better in the next iHuman assignment References Dunphy, L. M. (2019). Primary Care: Art and Science of Advanced Practice Nursing - An Interprofessional Approach. [VitalSource Bookshelf]. Retrieved from