nursing

1) Jenn is a seventeen year old single female who presents to your clinic with the chief complaint of “vaginal discharge and itch” for the past 5 days. Assess this patient completing only a focused history and review of systems relevant to this problem.  Be sure to do a symptom analysis using OLDCART.

2) In addition to this subjective information discuss how you would provide for Jenn’s comfort during the exam and the educational counseling about risk factors and prevention of STDs.

3) What are your thoughts on HPV vaccine for young girls and boys ? At what age? Should it be mandatory before Jr. High? Discuss on the forum. Read article below.

https://hms.harvard.edu/news/hpv-vaccination-not-linked-riskier-sex

B.

1) Kyle is a 56 year old divorced sexually active male who presents with the chief complaint of frequent urination especially at night and diminished volumes and force of stream with each void. Assess this patient completing only a focused history and review of systems relevant to this problem.  Be sure to do a symptom analysis using OLDCART.

2) In addition to this subjective information discuss how you would provide educational counseling about risk factors and prevention of STDs.

3) What screening tests are appropriate for this age group. Should he be screened for STDs?

4) Discuss the controversy surrounding PSA testing.