NU680 Unit 10 Inclusive Care Plan Example

Reviewed by Elspeth Marlowe, MSN, RN Gynecological, Reproductive, and Sexual Health Purdue University Global Free custom sample in 24 to 48h

Eight years without cervical screening, because two clinics had no table she could transfer onto, lead to this NU680 Unit 10 inclusive care plan for a composite 34-year-old accountant with a T4 spinal cord injury. The plan schedules primary HPV testing under the USPSTF recommendation in a double appointment with a height-adjustable table, a ceiling lift and two trained staff. Autonomic dysreflexia prevention follows Krassioukov and colleagues' review: an empty bladder, lidocaine gel, frequent blood pressure checks and a stop-and-sit-up response. Her mobility and bone loss rule out estrogen methods and the injection, and she chooses an implant. Sexual health questions are answered without assumptions, and a chart note keeps the setup from depending on one staff member's memory. Purdue Global NU 680 closes the course this way within the MSN Women's Health NP track, with Horner-Johnson and colleagues' data on screening gaps framing the problem.

CourseNU680 Gynecological, Reproductive, and Sexual Health
UnitUnit 10
Paper typeInclusive care plan
LengthAbout 1,030 words, 6 pages double-spaced
FormatAPA 7 student paper
SchoolPurdue University Global
ProgramMSN
UpdatedOctober 2026

Free sample paper for NU680 Unit 10

1

Eight Years Since Her Last Pap: A Unit 10 Inclusive Care Plan for a Woman With a Spinal Cord Injury

[Student Name]

Purdue University Global

NU680: Gynecological, Reproductive, and Sexual Health

Unit 10 Inclusive Care Plan

[Instructor Name]

[Date]

The patient is composite; her history is illustrative; the sources cited are real.

What this part is doingNaming the specific way earlier clinics failed her shows the plan will treat access as a clinical problem to solve.
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The Patient and What She Wants

Ms. Adeyemi was injured in a car crash at 26 and has a complete injury at the fourth thoracic level. She lives independently, drives an adapted car and manages her bladder with intermittent catheterization every four to six hours. She has had episodes of autonomic dysreflexia, most often when her bladder is overfull, with a pounding headache, flushing above the injury and blood pressure rising from her usual 98/60 to over 170 systolic. She began a relationship six months ago and asks about contraception and whether sex is likely to trigger the same episodes.

Her last cervical screening was before her injury. She has never been offered a mammogram referral discussion, although she is not yet due, and two clinicians have assumed aloud that she is not sexually active.

Why This Matters

Women with disabilities receive cervical screening less often than women without disabilities, and the gap widens as disability becomes more complex (Horner-Johnson et al., 2014). The reasons are rarely medical. Inaccessible tables, missing lift equipment, short appointments and assumptions about sexual activity all contribute. Ms. Adeyemi's eight-year gap is typical of the pattern rather than an exception.

Nothing about her injury changes the screening she needs; it only changes how the visit must be set up.

Screening She Is Owed

For a woman of 34, three screening routes are equally acceptable to the federal task force: a Pap alone at three-year intervals, an HPV test alone at five-year intervals, or the two combined, also at five years (US Preventive Services Task Force [USPSTF], 2018). She is overdue, so this visit uses an HPV test alone; a negative result means she will not be due again until she is 39, which also cuts the number of future pelvic examinations she will need. If she prefers, a self-collected vaginal sample for HPV testing in the clinic is an alternative, though she would need a speculum examination if the result is positive. She chooses clinician collection at this visit, provided the steps below are in place.

Setting Up the Visit

The appointment is booked as a double slot in a room with a height-adjustable examination table and a ceiling lift. Two staff members trained in transfers are scheduled. Before the visit, she is asked by phone how she prefers to transfer, which positions are comfortable and whether she has spasms the staff should expect. She will bring her catheter supplies. Padding is placed on the table to protect her skin, which she cannot feel below the chest, and the time she spends lying in one position is kept short.

What this part is doingWriting the setup as specific steps rather than a general promise of accessibility makes the plan something staff can follow.
3

Preventing Autonomic Dysreflexia

An injury at the sixth thoracic level or higher leaves her open to autonomic dysreflexia, in which a stimulus below the injury, such as a full bladder or a speculum, triggers a sudden, potentially dangerous rise in blood pressure. The plan follows the standard prevention and response steps (Krassioukov et al., 2009). She empties her bladder by catheter just before the examination. Her baseline blood pressure is recorded, and blood pressure is measured every few minutes during the examination. Lidocaine gel is applied to the vaginal entrance before the speculum is inserted, and the smallest suitable speculum is used.

If her systolic pressure rises 20 to 40 above baseline or she develops a headache or flushing, the examination stops, she is sat upright, tight clothing is loosened and any remaining trigger is removed. If pressure stays high, a short-acting antihypertensive under the practice's protocol is given and she is monitored until it settles. Her own experience is part of the plan: she knows her early warning signs and is told she can stop the examination at any time.

Contraception

She wants a reliable method and is not planning pregnancy for at least three years. Two features of her health shape the choice. Reduced mobility raises her risk of venous thromboembolism, which makes estrogen-containing methods a poor fit even though the eligibility criteria do not list spinal cord injury as a separate condition. And spinal cord injury causes bone loss below the level of injury, which argues against the injection, since medroxyprogesterone also lowers bone density.

That leaves the implant and the IUDs, which are highly effective and contain no estrogen. The levonorgestrel IUD would also reduce menstrual bleeding, which matters because managing periods is a practical burden for her. Insertion could trigger autonomic dysreflexia, so it would follow the same protocol as the examination. She chooses the implant, inserted in the arm, which avoids a second pelvic procedure.

What this part is doingExplaining how her mobility and bone health narrow the options shows the contraceptive choice follows from her body, not from a default.
4

Sexual Health

She asks whether sex will trigger dysreflexia. It can, particularly with stimulation below the injury, and she is advised to empty her bladder beforehand, to know her warning signs and to stop and sit up if they appear. Vaginal lubrication may be reduced, and a lubricant can help. A referral to a rehabilitation clinic with sexual health services is offered. The clinician also asks, without assumptions, about her partner and her sexual practices, which leads to an offer of testing for sexually transmitted infections.

Communication and Follow-Up

The plan is shared with her primary care clinician and spinal cord injury specialist. A note in her chart describes the transfer method, room requirements and autonomic dysreflexia protocol, so future visits do not depend on one staff member's memory. Her HPV result will be reported within two weeks, and if negative her next screening is due in five years. The implant site is checked at a follow-up visit, which she can attend by video unless there are concerns.

Conclusion

Ms. Adeyemi did not miss eight years of screening because of her injury; she missed them because clinics were not prepared for her. The plan gives her the same screening and contraceptive choices any patient her age would receive and adds the equipment, staffing and safety protocol her injury requires.

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References

Horner-Johnson, W., Dobbertin, K., Andresen, E. M., & Iezzoni, L. I. (2014). Breast and cervical cancer screening disparities associated with disability severity. Women's Health Issues, 24(1), e147-e153. https://doi.org/10.1016/j.whi.2013.10.009

Krassioukov, A., Warburton, D. E., Teasell, R., & Eng, J. J. (2009). A systematic review of the management of autonomic dysreflexia after spinal cord injury. Archives of Physical Medicine and Rehabilitation, 90(4), 682-695. https://doi.org/10.1016/j.apmr.2008.10.017

US Preventive Services Task Force. (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

The Purdue Global NU680 Unit 10 instructions

The final unit of NU680 usually asks for a comprehensive care plan that brings the course's topics together around one patient whose care has been shaped by assumptions or barriers. Prompts commonly want the patient's history and goals, the screening she is due for, contraception or other reproductive care, sexual health, the practical setup of the visit and a follow-up plan. Instructors look for plans that treat access as a clinical problem with specific solutions, such as equipment, staffing and safety protocols. The patient's own knowledge and preferences should appear in the plan. Expected sources include the current screening recommendation, evidence about the disparity the patient faces and clinical guidance on any condition that changes the visit. A plan of about five headed APA pages is common, and many sections reward a closing section on communication with other clinicians.

How this NU680 Unit 10 example is built

Ms. Adeyemi's plan opens with her injury, bladder routine, past dysreflexia episodes and her questions about contraception and sex, then notes the assumptions clinicians had made. A short section uses Horner-Johnson and colleagues to show that her gap fits a wider pattern, under a highlighted line that her injury changes only the setup of the visit. Screening follows the USPSTF strategies, with primary HPV testing chosen to lengthen the interval. The visit setup lists the room, equipment, staff and transfer preferences, which a margin note marks as followable steps. The dysreflexia section gives prevention and response steps from Krassioukov and colleagues and invites her to stop the exam at any time. Contraception reasons from her mobility and bone loss to the implant, under a second margin note. Sexual health, communication with her other clinicians and follow-up complete the plan.

NU680 Unit 10 rubric: what earns full points

Inclusive care plans in this course are generally scored on completeness of preventive care, clinical safety, accommodation of the patient's needs, patient-centered communication, coordination and writing. Completeness means the screening and reproductive care match what any patient her age would receive. Safety credit goes to recognizing and planning for autonomic dysreflexia, with thresholds and a response. Accommodation is scored on specificity: named equipment, appointment length and staff roles outrank general statements about accessibility. Communication rewards plans that ask the patient about her preferences and avoid assumptions about sexual activity. Coordination credit comes from sharing the plan with her other clinicians and recording the setup in the chart. Evidence on the disparity she faces strengthens the rationale. Organized headings and APA references for the screening recommendation, the disparity study and the clinical review complete the criteria.

Common NU680 Unit 10 mistakes, and how to avoid them

Plans lose the most marks when they describe accessibility in general terms, promising an accessible visit without saying what that requires. Another serious gap is missing autonomic dysreflexia for a patient with an injury at T6 or above, since a pelvic exam can trigger it. Some plans assume a woman with a disability is not sexually active, repeating the mistake the case describes. Others recommend estrogen-containing contraception without considering the thrombosis risk of reduced mobility, or the injection without considering bone loss. Leaving the screening schedule vague, or deferring screening again, misses the point of the unit. Begin by listing everything a patient without a disability her age would be offered, then add for each item what she needs to receive it safely. Send the case and your prompt, and a care plan can be built around that patient.

Get an NU680 Unit 10 example written to your instructions

Send the case, the patient's history and goals and the plan instructions with the rubric. A custom plan covers screening, contraception and the visit itself, with the accommodations and safety steps that patient needs. The first plan is free and comes back within 24-48h. The paper above is an original model document written by our desk, not a submitted student paper and not an official Purdue University Global document.

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NU680 Unit 10 questions, answered

What makes a gynecologic care plan inclusive for a patient with a disability?

It asks the patient what she needs rather than assuming, provides accessible equipment and enough time, plans for medical risks such as autonomic dysreflexia and offers the same screening and contraception choices other patients receive.

Does a wheelchair user need cervical cancer screening?

Yes, on the same schedule as any other patient with a cervix. Access barriers, not medical reasons, explain most missed screening. A plan should name the equipment and staff the visit requires and consider self-collected HPV testing where available.

Should the final unit plan cite earlier course topics?

Often it helps. The final unit usually rewards bringing together screening, contraception, sexual health and access issues from earlier units into one coherent plan.

Where can I find a free NU680 Unit 10 sample paper?

This page has the full NU680 Unit 10 inclusive care plan. It arranges overdue cervical screening, contraception and sexual health care for a composite 34-year-old with a T4 spinal cord injury, including an autonomic dysreflexia protocol for the exam.

Why does the NU680 Unit 10 plan rule out the contraceptive injection?

Spinal cord injury causes bone loss below the level of injury, and medroxyprogesterone also lowers bone density. Estrogen methods were ruled out for clot risk with reduced mobility, which left the implant and IUDs.