¶ … Woman Exam With Pap Smear Subjective

The patient is a 28-year-old white Caucasian woman who is married with no children. She is a professional insurance adjustor and travels frequently throughout the year to settle claims, as she works for the disaster division of the insurance company that is her employer.

The patient is presenting for her annual Well Woman Exam with Pap smear. The patient is a healthy female with no issues. She discusses exercise, nutrition, smoking, alcohol consumption, sexual practices and menstrual cycles with her health care provider as is the custom with a Well Woman visit. A Pap smear is performed upon request.

The patient has no precipitating/alleviating factors, as there are no issues pertaining to health wellness that the patient describes. She does not smoke, abuse alcohol, or eat an improper diet. She exercises regularly in spite of her frequent travels and her sexual activity is healthy; she stated that she does not engage in extra-marital sexual intercourse. She demonstrates no associated symptoms of illnesses, and her Pap smear indicates no sign of cervical cancer.

The patient's quality of life is reported as being very high: she enjoys outdoor activities, has a healthy social life, easily makes friends everywhere she goes (and for this reason has friends in many cities around the world, due to her frequent travels); she is interactive with members of her community and church, expresses no symptoms of depression, has a good...

They feel financially secure at this point in their lives, their house is paid off, and their jobs are stable. She is comfortable with where she is in life and is looking forward to the next stage.
The issue of how children might effect her job situation was discussed and she stated that she can always move back to a position that allows her to work locally and that will not require travel if she and her husband do decide to have children. Currently, she is using birth control and a discussion of returning to a natural menstrual cycle was conducted.

Because she is under the age of 50 the patient is not determined to be at risk for breast cancer and she declined a mammogram, as she had received one in the prior year and it is only recommended that a mammogram be performed every three years for women over the age of 20. Once she is at 40 years of age, she was informed that the mammogram should be performed every year.

Patient discussed with the health care provider the subject of pubic hair grooming because she wanted to know what was "normal" for women her age and whether the provider had any advice on common practices. The provider told her that is now "more common than not for women to have groomed their pubic hair" (Demaria, Berenson, 2013).

Patient did express some concern over the usefulness of gynecologic exams -- the Pap smear -- as she had come into contact with misconceptions about cancers. The provider discussed the patient's beliefs and values regarding performing pelvic examinations and why it is important for the Pap smear (Stormo, Cooper, Hawkins et al., 2012).

Objective

Pap smear results were normal indicating no sign of cervical cancer. HPV test was…