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Essay / Research Paper Abstract
A 3 page research paper that responds to questions concerning a case scenario involving a middle aged woman suffering from menopausal symptoms. The writer reviews ethical issues associated with hormone replacement therapy. Bibliography lists 2 sources.
Page Count:
3 pages (~225 words per page)
File: D0_khhtmen.rtf
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Unformatted sample text from the term paper:
rejects sexual intimacy and worries, subsequently, that her marriage is in trouble. She believes that hormone treatment might relieve her symptoms, but she is aware of the controversy pertaining to
hormone therapy (HT). She turns to a nurse practitioner for guidance and primary care. A potential ethical issue that can arise in providing primary care for this patient has
to do with the uncertainty that currently surrounds the issue of HT for menopausal women. In 2002, the Womens Health Initiative (WHI), a study involving a large cohort of post-menopausal
women, found that extended use of HT (estrogen combined with progestin, which is a "synthetic form of progesterone) resulted in a small increase in the incidence of breast cancer among
participants, as well as an increase in heart disease and stroke (Jaffe and Santen, 2002). However, the second part of the WHI study showed that use of estrogen alone, for
up to five years, did not cause an increased risk of breast cancer (Jaffe and Santen, 2002). The symptoms that are causing this patient concern occur during the early
years of menopause and for these symptoms, "nothing is more effective than estrogen" (Jaffe and Santen, 2002). The ethical obligations of a nurse practitioner in providing primary care for
this patient include giving the patient advice and treatment that will improve her overall health and life satisfaction. To suggest any intervention that may possibly result in development of disease
is antithetical to nursing practice. On the other hand, the nurse practitioner (NP) also has an obligations to address the womans symptoms, both physical and psychological, and the fear of
damaging her marriage has to be considered to be a prime concern. Therefore, the NP has to be knowledgeable about the different hormone therapies available, as it may be that
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