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Unfortunately, the patient never received the HPV vaccination and was not aware of its potential danger with persistent infections. Studies have proven the low rates of HPV vaccination among young Asian Americans. This issue must be addressed due to the high incidences of cervical cancer among this population (Lee et al., 2016). This made me realize that patient education cannot start early enough and should be addressed at every visit. Although, my preceptor has focused on the current medical issue and detailed explained the patient’s treatment plan, I would have added more education to this visit since the patient does not practice safe sex methods and would reevaluate the teaching in future appointments. I would have also researched why the patient did not receive an HPV vaccine when she was younger and would address such with proper education and promote the HPV vaccine since the patient is 23 years old and is still eligible to be vaccinated according to the Centers for Disease Control and Prevention (Saslow et al., 2016). Lastly, I have gained additional knowledge from this clinical experience due to my preceptor informing me that the gold standard for abnormal pap smears is a colposcopy. However, in this case the colposcopy was delayed to a later time until the patient is negative from any sexual transmitted diseases. My preceptor explained, that this is necessary in order avoid further complication of spreading the chlamydia infection into the other parts of the
10reproductive system but also to allow the frail cervix to recover from this inflammatory response to avoid complication during the procedure such as perforation or severe hemorrhage.________________________Preceptor Signature and DateSignature is REQUIRED for this assignment.
11ReferencesBurd E. M. (2003). Human papillomavirus and cervical cancer. Clinical microbiology reviews, 16(1), 1-17. Retrieved from Bhatla, N., Puri, K., Joseph, E., Kriplani, A., Iyer, V. K., & Sreenivas, V. (2013). Association of Chlamydia trachomatis infection with human papillomavirus (HPV) & cervical intraepithelial neoplasia - a pilot study. The Indian journal of medical research, 137(3), 533-9. Retrieved from Cho, H. W., So, K. A., Lee, J. K., & Hong, J. H. (2015). Type-specific persistence or regression of human papillomavirus genotypes in women with cervical intraepithelial neoplasia 1: A prospective cohort study. Obstetrics & gynecology science, 58(1), 40-5. Retrieved from Jayakumar N. K. (2015). Cervicitis: How Often Is It Non-specific!. Journal of clinical and diagnostic research : JCDR, 9(3), EC11-2. Retrieved from Lee, H., Kwon, M., Vang, S., DeWolfe, J., Kim, N., Lee, D. & Yeung, M. (2016). Disparities in Human Papillomavirus Vaccine Literacy and Vaccine Completion Among Asian American Pacific Islander Undergraduates: Implications for Cancer Health Equity.