Nursing Question
Dysfunctional/Abnormal Uterine Bleeding (DUB/AUB)
Scenario:
A 29-year-old patient presents in the clinic with bleeding in between menses. Onset of
menarche was age 14 and she has had regular monthly menses. For the past 2 months, she has
had spotting between menses. She is not on any hormonal birth control, and she uses condoms
occasionally to prevent pregnancy and STIs. She is currently with a new partner of 6 months,
and she has not been tested for STIs with this partner. She is in the clinic because she is
concerned about why she has spotting in between menses. She is considering possibly
regulating her menses. Upon history taking and physical exam, you do not notice anything
abnormal. You suspect this is a case of dysfunctional uterine bleeding.
Based on your working diagnosis, patient’s HPI, and your physical assessment, create a 3–5-
minute video and a 2-4 page write-up discussing the following information:
• Definition of DUB/AUB. What is this condition? Why is this important to address?
• Prevalence and risk factors
• DUB/AUB can be a risk of developing what types of health complications?
• Presentation
• Pathophysiology
• Physical assessment and testing to confirm diagnosis
• Provide at least 1 differential diagnosis and an exam and/or lab test to rule out this
diagnosis.
• If a patient is hesitant on taking medication or intervening now, how long can she
continue to “watchfully observe” her situation before an intervention must occur?
• Treatment or management of dysfunctional uterine bleeding for a patient who is
currently not planning a pregnancy.
• Treatment or management of dysfunctional uterine bleeding for a patient who is
currently planning a pregnancy.
Your video can be informative while your write-up will be more detailed. Be creative with the
video. There are many ways to complete this portion of the assignment. Here are some
potential ideas to help you brainstorm (these are just examples):
• Create an explainer video with animations and voiceover using Biteable, Canva,
Powtoon, Animaker, or any other software platform.
• Create a voiceover PowerPoint presentation or use Panopto to record your screen while
you present your slides and your narration.
Your write-up and your video must include at least 2 scholarly sources that are not from your
textbook nor any standard government or medical websites. Scholarly sources must be peer-
reviewed articles. You do not have to write this paper in a SOAP format. You can use bullet
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