Coping with Menopausal Symptoms Through Physical Activities

Dear writer,
I am s student of MSN/Family nurse practitioner. This is the assignment of the last class of Comprehensive Directed Examination Study, which is a Comprehensive Problem-Solving Paper. It is the Capstone project. I am interested in natural treatment options to decrease Menopause symptoms since I am personally suffering from this chronic illness as a mid 50ish woman. I am afraid to use Hormone because I cannot take the hormone due to the risk of cancer since I have a huge size of fibroid cyst over the years. I feel so lonely because no one thinks my condition is a real issue especially within Asian family’s culture and tradition. So I know for sure more women will be lied in the same situation like myself. I want to help them as a primary care provider, educator, health coacher for their lives. The goal of this paper will be to demonstrate the critical role of the advanced practice registered nurses (APRN) to cope with Menopausal Symptoms experienced by Asian American women by participating in a physical activity program. I want to provide alternative options for Asian menopause women who refuse to use hormonal replacement therapy or cannot use hormone as a treatment so that they can manage themselves with natural way by learning self-care management program. Eventually they will adapt to their condition optimally by the guidance from APRN, primary care provider.
I want to find the best alternative ways and propose options to reduce menopausal symptoms such as vasomotor symptoms (hot flashes, night sweats) or mood swings or fatigue or joint pain, ... and so on...particularly in Asian American women with menopause as a provider. And I narrowed down to Physical Activity for this paper for one of the effective interventional options.
So far my polished topic will be
“Coping with Menopause symptoms experienced by Asian American Women by participating in a Physical Activity Program”
Because I am planning to apply Roy’s Adaptation Model later as a nursing theory, I put the word "Coping" mechanism which you will need to address this in Section 5. Thematic Discussion of literature.
Most provider will suggest hormone therapy first as a proven therapeutic guideline, but many patients are refusing to use hormone therapy due to the issues of many controversies or their traditional and cultural values or mistrust or several adverse reactions or complications from estrogen or progestin or combination or else despite that there are many diverse pathways to apply Hormone therapy such as oral route, IV Injection, transdermal, vaginal. You will need to touch all of these in introduction by arguing these to start by addressing Asian American midlife women, and later add more of prevalence and significance, or evidence for this population.
I did fill out “Table of Evidence” for you to look at and to utilize, but I could not find some answers especially in the area of Research method, limitation/bias, gaps, or possible theme. You can fill out or edit this content or choose different articles if you think or find better articles to bring strong evidences for this topic.
Entire paper has 14 sections to discuss as you will check the Rubrics.
This paper will be total 26 pages by using about 50 articles, but at least 20 or 22 articles that have strong evidence (25 Listed on the “Table of Evidence” on a separate file) for just “Review of Literature” section. You may use 22 strong articles to do this section if you believe those have good supportive evidence. Plus # 1 page of Abstract later, so total 27 pages I will be requesting.
For current paper, I am asking only 16 pages for section 1 through 8.
Per Rubrics, I set number of page for you; for 1. Introduction; #1 page, for 2. Operational Definitions; #2 pages, for 3. Background and Significance; #2 pages,
for 4. Review Of Literlature; #1, for 5. Thematic Discussion of
Literature; #5, for 6. Synthesis & Summary; #1, for 7 & 8 of Related Socio-Economic, Political, Community, Cultural, Family Issues & Related Spiritual and Ethical as well as Educated and health literacy Issues; # 4,
Later for second request will be:
for 9. Conceptual Model (CM) or Theoretical Framework (TF); #1, for 10. Conceptual Model Applied; # 2, for 11. MSN Scope and Role in Assessment of the Problem/Phenomenon; #1, for 12. Proposed Interventions to Problem; #2, for 13. Outcomes, Timelines, and Evaluation r/t Intervention; #3, and for Conclusion & Recommendations/Implications for Clinical; #1page.
In operational definitions, Regular exercise or Physical Activity, Asian American, Menopausal Symptoms, Pathophysiology of Menopause will be the subtopic to address.
In Thematic discussion, please identify themes and sub-themes logically in an integrated review that lists multiple sources reporting on each.
In Related Issues, you will address main socio-economic or political or policy issues and identify clearly implications for community and for family by articulating meaningfully. Also spiritual & ethical issues (use of code of Ethics) will be discussed. Educational needs/resources & Health literacy issues in the menopause will be clearly articulated and described.
At the end of Synthesis /Summary of ROL, you can add gaps/limitation of the literature.
Also later for my second request, you will apply the nursing theory with Roy’s Adaptation Model, which will be elaborated in detail in Section 9. Conceptual model. You also need to find support group of this population for interventional plan as you search more academic articles, which in turn, this is associated to Thematic discussion/ Related issues that you will touch in detail.
The reason why I am explaining this earlier is that the paper title that I created is related to Roy's Adaptation nursing theory. As you write, you may inject some contents related to this theory into the each section by engaging this theory.
Through my researches so far focusing on regular physical exercise such as walking, aerobic, yoga, stretching, isometric exercise, exercise for mental strength like meditation, mindfulness, social networking, Church women gathering, counseling or approved herbal plants are also efficent options. You can touch these as well lightly in the beginning (Background & Significance).
However, my best proposal as a treatment will be regular physical exercise either solely one type of exercise (aerobic or walking) or combination with isometric strengthening exercise. I am not quite sure which one I will choose. You may decide or you will find the best effective plan by addressing the evidence as you synthesize and summarize the articles. For example, “30 minutes for 2 times a week aerobic plus 30 minutes stretching for 2 times a week” or “45minutes walking 3 times a week” or “ aerobic 3 times a week” over 3 or 4 months could be the possible option. As of now, I am still not sure which option has the strongest evidence currently.
The attached files will be one sample of paper to assist you better, the information of about 50 researched articles with titles and abstracts, and the Rubrics.
Hope for great research paper from you.
Thank you so much for your time and effort in advance.