Please respond to discussion below using current APA edition and 2 scholarly re

Please respond to discussion below using current APA edition and 2 scholarly references. Must be atleast 150 words.
This case involves an APN who works at a women’s health clinic where many patients presents with chronic pelvic pain (CPP). One of the complex challenges faced in various healthcare settings is CPP. Lamvu et al. (2021) noted that this condition is a frequently occurring gynecological problem affecting one in four women. This condition being multi factorial necessitates an elaborate etiology, symptoms, treatment options, as well as patient education.
Pathophysiology and Symptomology of CPP
CPP is pain in the area between the hips and below the belly bottom that lasts for at least six months. It can be a condition of its own or a symptom of another disease. The pathophysiology of this condition depends on its cause. For instance, in pelvic congestion syndrome, the pain is due to dilated/engorged pelvic pains that cause reduced venous washout (Lamvu et al., 2021). In endometriosis, recurrent bleeding in the endometriotic implants causes the pain. The pain can be present in different parts of the pelvic area, and can be stead and serious, sharp or cramping, dull aching, occasional, or occur during sex or while urinating or having a bowel movement. Other clinical manifestations can include bloating, upset stomach, constipation, diarrhea, and/or frequent or urgent need to urinate.
Examples with Definition of CCP
Gynecological origin:
Endometriosis (N80.9)
Pelvic inflammatory disease (PID) (N70.9).
Uterine Fibroids (D25.9).
Non-gynecological Origin:
Irritable bowel syndrome (IBS) (K58.9).
Intestinal cystitis (N30.10).
Chronic appendicitis (K37).
Management Plan and Patient Education
With CPP, the treatment goal is to treat the specific cause, ease the symptoms, and make the patient’s quality of life better. The pharmacological treatment for a patient with CPP would include pain relievers to ease pain, hormone treatments to help relieve pain that overlaps with a phase of the menstrual period, antibiotics if there is a bacterial cause, and muscle relaxers to help relax muscles associated with pelvic pain (Dydyk & Gupta, 2020). Besides medications, other treatments may include physical therapy, trigger point injections, and talk therapy. The patient should be educated on the condition and its potential causes, treatment options, and the importance of medication compliance.
Health Assessment Parameters
An effective health assessment for the diagnosis of CPP goes beyond physical parameters to include psychosocial factors, quality of life, and cultural and spiritual beliefs. The provider will need to assess the patient’s potential stressors, mental health, and coping mechanisms and evaluate how the pain impacts their daily activities and relationships. In addition, the provider would need to understand how various factors, such as cultural or religious beliefs, may influence healthcare decisions and pain management.
Family Developmental Stages
Based on Duvall’s family development theory, the family lifecycle comprises eight stages that commence with the stage of a married couple with no children (Scott Crapo & Bradford, 2021). Then the family lifecycle progresses to the stages of childbearing, family with preschool children, family with school-age children, family with adolescents, launching family with all children leaving home, and middle-aged family. The last stage is aging family characterized by retirement to the death of one/both spouses.
Family Structure and Function
Family structure and function describe the dynamics within a family that can significantly influence health outcomes. Given that experiencing CPP can be stressful, family members should not only offer emotional support to the family member with this condition but also listen to their concerns and provide reassurance. Family members should also educate themselves about the condition.