| Course | PA 533 Obstetrics & Gynecology |
|---|---|
| Week | 8 |
| Paper type | Well-woman visit outline |
| Length | About 670 words, 5 pages |
| Format | APA 7 student paper |
| School | Chamberlain University |
| Program | Master of Physician Assistant Studies (MPAS) |
| Updated | October 2026 |
Free sample paper for PA 533 Week 8
Well-Woman Visit Outline for L.M. at 35: Every Item Present Because of the Age, Grouped by How Often It Returns, Offered Rather Than Performed, and the Mammogram Left Off Until 40 With the Reason Stated
Student Name
Chamberlain University
PA 533: Obstetrics & Gynecology
Instructor Name
Month Day, Year
Well-Woman Visit Outline for L.M. at 35: Every Item Present Because of the Age, Grouped by How Often It Returns, Offered Rather Than Performed, and the Mammogram Left Off Until 40 With the Reason Stated
The Age Does the Organizing
L.M., 35. Every item below is here because of that age and L.M.'s history: two pregnancies, a cesarean, heavy bleeding now treated with a levonorgestrel IUD, depression on sertraline, a mother with type 2 diabetes and a prior large baby.
Every Visit
Blood pressure: hypertension screening for adults, every visit.
Depression screening with a validated tool: L.M. has a history of depression and takes sertraline.
Intimate partner violence screening: recommended for women of reproductive age.
Contraception and pregnancy intention: confirmed; the IUD is in place and L.M. is satisfied.
Substance use: alcohol, tobacco and other drugs, asked briefly.
Every Few Years
Cervical cancer screening: between 30 and 65, the Task Force accepts a Pap test on a three-year cycle or an HPV-based test on a five-year cycle (Curry et al., 2018). L.M.'s last cytology was normal two years ago, during pregnancy. Plan: primary HPV testing next year, then every five years if negative.
Diabetes screening: L.M.'s history of a large baby and a mother with type 2 diabetes raise risk; after a pregnancy screened for gestational diabetes, testing every one to three years is reasonable. Plan: A1C now and every three years if normal.
Lipids: not routinely due at 35 without other risk factors; L.M.'s family history of diabetes alone does not require it. Plan: at 40, or sooner if other risks appear.
Once in a Lifetime, or Once if Not Done
HIV and hepatitis C: L.M. was tested in pregnancy; no repeat needed unless new risk.
Vaccines
Influenza yearly. Tdap was given in the last pregnancy; next tetanus booster due in about ten years. HPV vaccine: L.M. completed the series at 16.
Offered, Not Performed
Each item is offered and discussed; L.M. may decline. The outline records what L.M. chose: accepted A1C, depression screening and an HPV test next year; declined a lipid panel now; asked to discuss genetic carrier screening if planning another pregnancy.
What Is Left Off, and Why
Mammography: not offered at 35. Current Task Force advice starts screening at 40, every other year, for those at average risk; L.M. has no family history of breast cancer and no known genetic risk. Clinical breast examination is not recommended as routine screening at this age.
Pelvic examination for screening in a person without symptoms: not performed; it was done recently for the bleeding workup.
Colon cancer screening: begins at 45.
Bone density: begins at 65 unless risk factors.
The Visit in Order
Weight, blood pressure and a review of the IUD and bleeding first; then the depression and safety questions in private; then the A1C draw and vaccine; then the plan for next year's HPV test. L.M. left with a written summary listing what was done, what was declined and what comes due next.
How the History Changed the Outline
Without the large baby and the family history, diabetes screening would not appear at 35. Without depression, screening would still be offered, but the follow-up would be lighter. Without the IUD, contraception would take more of the visit. Each change is written down so that the next clinician sees why this outline differs from the standard one.
Written for One Decade
This outline is for L.M.'s thirties. At 40, mammography and lipid screening join; at 45, colorectal screening. The interval items, such as cervical screening, continue unchanged until 65. Cervical screening intervals follow the Task Force statement (Curry et al., 2018), and the depression follow-up continues the plan from pregnancy (American College of Obstetricians and Gynecologists, 2023).
References
American College of Obstetricians and Gynecologists. (2023). Treatment and management of mental health conditions during pregnancy and postpartum (Clinical Practice Guideline No. 5). Obstetrics and Gynecology, 141(6), 1262-1288. https://doi.org/10.1097/AOG.0000000000005202
Curry, S. J., Krist, A. H., Owens, D. K., Barry, M. J., Caughey, A. B., Davidson, K. W., Doubeni, C. A., Epling, J. W., Jr., Kemper, A. R., Kubik, M., Landefeld, C. S., Mangione, C. M., Phipps, M. G., Silverstein, M., Simon, M. A., Tseng, C.-W., & Wong, J. B. (2018). Screening for cervical cancer: US Preventive Services Task Force recommendation statement. JAMA, 320(7), 674-686. https://doi.org/10.1001/jama.2018.10897
Reading the PA 533 Week 8 instructions
The final week asks for a well-woman visit outline organized by age. State the age in the opening line and list the history that adds to it, so every item below is present for a reason. Group items by how often they recur: every visit, every few years and once in a lifetime. Write each as offered to the patient rather than performed on them, and record what the patient chose. Include vaccines. List items deliberately left off at this age, with the reason for each. Explain how the patient's history changed the standard outline. Make clear the outline is written for one decade and what will join at the next. Cite the screening recommendations you rely on.
Inside the PA 533 Week 8 example
The outline opens with L.M. at 35 and the history that shapes it: two pregnancies, a cesarean, an IUD for heavy bleeding, depression on sertraline, a large first baby and a parent with diabetes. Every-visit items cover blood pressure, depression and partner violence screening, contraception and substance use. Every-few-years items set cervical screening by the Task Force statement, an A1C every three years and lipids deferred to 40. Once-only items note HIV and hepatitis C tested in pregnancy. Vaccines follow. An offered-not-performed section records accepted and declined items. A left-off section explains mammography at 40, no screening pelvic exam, colon screening at 45 and bone density at 65. Final sections give visit order, how history changed the outline and what joins at 40.
Where the points sit in the PA 533 Week 8 rubric
Grading begins with organization by age; an outline that copies a generic list without stating the age or history loses the largest share. Faculty then check grouping by interval, since items that recur at different rates must not be mixed. Credit goes to writing items as offered, with the patient's choices recorded. The section on what is left off is weighted heavily, because omissions are decisions. Explaining how the history changed the outline earns marks. Screening intervals must match current recommendations; outdated intervals cost points. The outline should be clearly scoped to one decade, and the main recommendations should be cited.
Common PA 533 Week 8 mistakes, and how to avoid them
Well-woman outlines often lose marks as long lists copied from a template with no reason for any item. Send your patient's age and history, and the outline written from them would state the age first, list the history that adds to it, group items by how often they return and present each as offered, with the patient's choices. Items left off at this age are named with reasons, and the next decade's additions are noted. If your patient is in their twenties or forties, the groups and omissions shift accordingly. Check every interval against current recommendations before relying on the outline.
Get a PA-533 Week 8 example written to your instructions
Send the Week 8 instructions with the age your outline is meant for, and a custom example is written to that age and returned inside 24 to 48 hours. The first one is free. If your section marks a patient facing summary or a documentation template beside the outline, include it and the example is built to fit inside it.
More PA 533 papers and MPAS samples
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- PA 533 Week 4: Prenatal Visit Schedule Rationale
- PA 533 Week 5: Maternal-Fetal Risk Brief
- PA 533 Week 6: Abnormal Uterine Bleeding Workup
- PA 533 Week 7: Contraceptive Comparison Table
- PA 532 Week 8: Complication Timeline Analysis
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PA 533 Week 8 questions, answered
Does the outline cover everything a visit contains?
Only what the age calls for, plus the reasoning. Papers trying to document an entire encounter run long and thin, and the sections carrying marks are the preventive items with their spacing and the omissions with their reasons. A brief history and examination section, followed by the argument, is the shape that tends to score.
What if my case gives no age?
Choose one and write it into the first line. An outline staying neutral about age cannot commit to a single spacing or exclude a single item, and it will read as general knowledge rather than as a decision. Picking an age openly, then holding every item in the document to it, is the version that marks well.
Is menopause part of this week?
Often, where the age you are given reaches it, and it is handled as a stage rather than as a disorder. What changes is which items stay on the list, which drop off it, and which spacing moves. An outline written for a woman past menopause that still carries the twenty-two year old's list is the commonest error in this direction.
Where can I find a free PA 533 Week 8 sample paper?
The full PA 533 Week 8 well-woman outline is on this page, organized by age 35 and grouped by how often each item returns.
Why is mammography left off in the PA 533 Week 8 sample?
Current Task Force advice starts screening at 40 for people at average risk, and the patient has no family history or genetic risk.