Video #3 Essay

Instructions for Video 3- watch video below and then answer questions, in essay form.

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Watch Dr. Kimberly Cheatham’s video on Urinary incontinence and pelvic organ prolapse posted in module. Write a 250-350 -word essay addressing the patient scenario and answer the questions. APA format with citations. 2 references, the video and at leaset one other credible source that is no older than 5 years old. Do NOT rephrase the questions please.

Ethel is a 69 y/o WF who presents to your office complaining of leaking large amounts when she coughs and laughs for the past year. She states it happens several times daily and she has had to start wearing feminine briefs for protection. She had a hysterectomy 20 years ago. She has had 2 UTIs in the last year and doesn’t know why. She tells you she sometimes notices a “pulling” in her vagina but denies pain. She is otherwise healthy and wants to remain active. Her husband is deceased and she is not sexually active.

Considering this scenario…

1. What type of incontinence do you suspect she has? Give common the etiology and clinical presentation for it.
2. How will you evaluate for incontinence in your exam?
3. How will you evaluate for pelvic organ prolapse? Describe the difference in your speculum exam.

On examination, you see a Grade 2 cystocele.
4. Describe the non-surgical options for treatment for both conditions.
5. What will be your plan of care?

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