Posted: March 21st, 2025

O.P. is a 43-year-old female patient who is seeing at the office

Comprehensive Management of a 43-Year-Old Female with Postcoital Vaginal Bleeding and HPV History

Instructions Brief Paper:

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O.P. is a 43-year-old female patient who is seeing at the office because she is complaining of vaginal bleeding after sexual intercourse for about two months now. She reports that the bleeding is often light but occurs consistently after intercourse. She stated she has been married for 4 years now but has multiple sexual partners in the past. Her sexual history raises concerns about potential exposure to sexually transmitted infections (STIs) and other risk factors for cervical pathology.

As positive history in her last cervical cancer screen (two years ago) she was positive for HPV type 16. HPV type 16 is a high-risk strain known to significantly increase the risk of cervical cancer. This finding underscores the importance of timely and appropriate diagnostic testing and management.

Discuss the appropriate diagnostic testing for the patient.
Given her symptoms and history, a colposcopy with biopsy should be performed to evaluate for cervical dysplasia or malignancy. Additionally, a repeat HPV test and Pap smear are essential to assess the current status of her cervical health.

Develop the management plan (pharmacological and nonpharmacological).
Pharmacological management may include antiviral therapy if active HPV infection is confirmed. Nonpharmacological management should focus on patient education regarding safe sexual practices, smoking cessation (if applicable), and regular follow-up screenings.

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Why is HPV the most important of the cervical cancer screening in patients that have tested HPV positive?
HPV is the most significant risk factor for cervical cancer, with high-risk types like HPV 16 and 18 being responsible for the majority of cases. Screening for HPV allows for early detection and intervention, reducing the risk of progression to cancer.

According to the United States Preventive Service Taskforce (USPSTF) guidelines, what would be the cervical cancer screening recommendation for average-risk women in the age range for O.P. and until what age women should be screened?
The USPSTF recommends cervical cancer screening with cytology (Pap smear) every 3 years for women aged 21–29, and either cytology every 3 years or HPV testing every 5 years for women aged 30–65. Screening can be discontinued after age 65 if prior screenings have been consistently normal.

Once you receive your case number, answer the specific question on the table above. Then, continue to discuss the 3 topics listed below for your case:

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An effective health assessment incorporates not only physiological parameters; please suggest other parameters that should be considered and included on health assessments to reach maximal health potential on individuals.
Health assessments should also include psychological, social, and environmental parameters. For example, assessing mental health status, social support systems, and exposure to environmental toxins can provide a more comprehensive understanding of an individual’s health.

Name the different family developmental stages and give examples of each one.
Family developmental stages include:

Newly married couples: Adjusting to married life and establishing roles.

Families with young children: Managing parenting responsibilities and child development.

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Families with adolescents: Navigating teenage independence and family dynamics.

Launching families: Transitioning as children leave home.

Aging families: Coping with retirement and health challenges.

Describe family structure and function and the relationship with health care.
Family structure refers to the composition of the family (e.g., nuclear, single-parent, extended), while family function refers to how the family interacts and supports its members. A supportive family structure and function can enhance health outcomes by providing emotional and practical support, whereas dysfunctional families may contribute to poor health behaviors and outcomes.

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Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources within 5 YEARS.

References:

American Cancer Society. (2020). Guidelines for the Prevention and Early Detection of Cervical Cancer.

Centers for Disease Control and Prevention. (2021). HPV and Cervical Cancer Screening: What You Need to Know.

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