Activity 3 - Patient Scenarios
For this activity you will consider some common client
scenarios related to injectable contraceptives. In each
of these scenarios clients have a condition or question
that makes their situation unique.
Use FHI's Quick Reference Chart
for the Medical Eligibility Criteria of the WHO
and the technical information presented in this module
to write a solution for each patient scenario.
When you have completed the answers for each scenario,
click on the words "Reveal Answer" to see the
recommended solution for each patient scenario.
- A 20-year-old woman who is recently married wants
to postpone her first pregnancy for one year so she
can finish her education. She wants to use DMPA. What
information does she need to know before making a decision
about her contraceptive choice?
Reveal
Answer
- A 37-year-old woman who smokes heavily wants to use
DMPA as a method of contraception. What would be your
recommendation and why?
Reveal
Answer
- A 26-year-old woman has one child and wants to use
DMPA as a method of contraception. She has insulin dependent
(Type I) diabetes. What would be your recommendation
and why?
Reveal
Answer
- A 30-year-old woman is thinking about using DMPA as
a method of contraception. Her mother was diagnosed
with endometrial cancer and she is concerned about using
a hormonal method. How you would address her concern?
Reveal
Answer
- A 37-year-old woman has four children and is considering
DMPA as a method of contraception. She has a long history
of high blood pressure, sometimes up to 190/100 mm Hg.
What would be your advice and why?
Reveal
Answer
- A 36-year-old woman is using DMPA as a method of contraception.
She is five weeks late for her next injection. What
do you do?
Reveal
Answer
- A 32-year-old woman has three children and does not
want more. She previously used an intrauterine device,
but after three months had it removed because she experienced
severe cramping and heavy menstrual bleeding. She also
tried combined oral contraceptives, but stopped using
them after two cycles because she experienced headaches
and nausea. A friend of hers is using DMPA and has convinced
her it is a good method. She wants to try this method.
What information does she need to know about the method
prior to making a decision?
Reveal
Answer
- A 28-year-old woman gave birth to her third child
two weeks ago. She is breastfeeding, but does not feel
she can use LAM as a method of contraception. She wants
to use another method, possibly DMPA. What would you
recommend and why?
Reveal
Answer
- A 32-year-old woman has three children and is not
planning to have more. She has prolonged and heavy menstrual
periods and clinical signs of anemia. She would like
to use DMPA. What would you recommend and why?
Reveal
Answer
- A 28-year-old woman has received counseling at a
family planning center. As a result, she has decided
that she wants to use DMPA. She has come to your clinic
today for her first injection. She is in the middle
of her menstrual cycle. What additional information
do you need? What will you do?
Reveal
Answer
- A woman presents who has been using NET-EN. You are
out of supplies but do have DMPA. What do you do?
Reveal
Answer
- A 25-year-old woman gave birth to her third child
six weeks ago. She is breastfeeding, but does not want
to rely on LAM as a method of contraception. She wants
to use another method, possibly Cyclofem. What would
you recommend and why?
Reveal
Answer
|
