J. L., a 27-year-old African American female account executive, presents to the Family Medicine office for her annual checkup with her CNP. She has no significant past medical history. Her medications include calcium carbonate 500 mg orally twice a day and a multivitamin daily. She exercises regularly.
Her family history is significant for cardiovascular disease (her father had an MI at age 54 and died of a further MI at age 63). She notes that she has been dating her current partner for approximately 5 months. She is interested in a reliable form of contraception. After discussing the various contraceptive options, she decides that an oral contraceptive (OC) would best fit her needs.
Discuss what tests or examinations the CNP would likely perform before prescribing an OC regimen, and why.
Discuss three different OC regimens that could be chosen for J.L. Discuss their differences and why you chose them.
Discuss the potential side effects of each OC regimen that need to be relayed to J. L.
Discuss especially those effects for which she should seek immediate medical care.
Discuss health promotion recommendations you would consider for J. L.
What ethical issues should be considered?
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