Task descriiption Submission of this assignment is to be made directly through t

Task descriiption
Submission of this assignment is to be made directly through the Turnitin submission link on Moodle. Parts 1 and 2 must be submitted in the same file.
This assignment will assume an in depth understanding of the investigation and management of the menopause and will be based on a number of the modules. You will be required to think about how the Modules are interrelated and to do research in addition to the information provided in the Modules and text. The major assignment will be marked primarily on content. It is however expected that it will be presented in a prose rather than largely ‘dot-point’ format and appropriate referencing is essential.
Please be sure to read the outline of the Major Assignment (via the Turnitin submission link) when it becomes available in Week 5 to ensure that you have considered aspects in each of the various modules as they relate to the question. You may find it useful to make notes as you go.
Marking criteria
Please refer to the course outline for the rubric marking criteria for this assessment.
This major assignment will contribute 60% to your total grade for this course and be marked out of 50. Part 1 is worth 20 marks; Part 2 is worth 30 marks.
Modules to refer to:
Physiology and Epidemiology of the Menopause
Module 2: The Effects of Oestrogen Deficiency
Hormone Replacement Therapy
The Management of Osteoporosis
Alternative Pharmacological Approaches to Menopause Management
Alternative and Complementary Approaches to Menopause Management – including Bio-identical Hormone Therapy
Psychosexual Aspects of the Perimenopause and Menopause
Part 1: Estimate 1000 words
Robyn is a well woman who is 59 years of age. Her mother, who just had her 80th birthday, recently fractured the neck of right femur and is in hospital. Robyn tells you her mother has been diagnosed with osteoporosis and she wants to discuss her own risks. She tells you she had her last period about 10 years ago, and that following that her doctor commenced her on combined hormone replacement therapy- initially at least for symptom control as she was experiencing frequent hot flushes. She used cyclical HRT and then continuous for a total of 4 years, and remembers no problems on either. Robyn then ceased HRT after a discussion she had with her then GP about the risks of continuing combined HRT beyond 5 years of use. She experienced no symptoms or problems when she stopped it.
Additional History
Robyn is married to Paul, aged 60. She says he is extremely busy running his own business and confides that though she would describe their relationship as “good” the sex is not what it used to be. She says she thought they would be winding down at this time in their lives and instead they both seem to be busier than they have ever been. They have a son aged 20 years and a daughter, 24 years, who are both attending university and are still living at home. She works part-time as a receptionist in a local medical practice in Melbourne. There is no family history of breast cancer. She smokes 5 cigarettes a day and drinks two glasses of wine each night with dinner-“to relax”. She takes no regular medications. When asked about her calcium intake she tells you she has a small amount of low fat milk on her breakfast cereal each day and “some cheese 3 times a week”. Robyn is 161 cms tall and weighs 53 kg. She walks for 20 minutes 2-3 times per week.
This assignment requires that you address the following questions. Please focus on providing Robyn with an overall assessment of her risk factors in easy to understand terms and offering some suggestions as to how she might best manage these-
• What are Robyn’s risk factors for osteoporosis? How would you discuss these with her?
• Are there any other factors that you identified in Robyn’s history which may be important to her overall management?
• Would you order any investigations at this point? If yes, which ones and how would these affect your advice to Robyn?
• What lifestyle changes/management options might you suggest to Robyn and why?
Part 2: Estimate 2000-2500 words
The publication of the findings of the Women’s Health Initiative Study in July 2002 has changed forever the approach taken to the management of the menopause. Discuss this statement.
PLEASE COMBINE PART 1 and 2 IN THE SAME DOCUMENT and SUBMIT IT AS ONE FILE.