This is the only truly comprehensive advanced text for the assessment of women's health, written for such primary care providers as nurse practitioners, physician assistants, and certified nurses;midwives. It encompasses both foundational and cutting-edge physical and psychosocial information in a clear and concise outline format, and is unique in its presentation of more advanced techniques and procedures not addressed in standard graduate assessment texts. Keeping pace with the expanding scope of advanced practice, the third edition provides several completely new chapters authored by renowned specialists, expanded chapters, and updates. This includes new information on contraception, domestic violence, health history of special populations, lesbian health, evaluation of the pelvic floor, aging and menopause, bleeding irregularities, infertility, skin aesthetics, pelvic pain, and health guidelines. With an integrated approach to treatment, the authors delineate the expanded roles of advanced health care providers, including guidance for situations when a practitioner must decide whether to act independently, co-manage, consult, or refer. The authors provide in-depth descriptions enhanced by plentiful tables and figures of each assessment skill and technique along with its underlying rationale. Basic techniques are augmented by the inclusion of possible alterations for a particular procedure. On a continuum from simple to complex, the text is divided into 11 units that cover basic women's health assessment down to the cellular level, health history, prenatal assessment, investigative procedures including sonohysteroscopy and simple cystometrogram, and several chapters on specific women's health concerns. A special chapter on urinary incontinence includes diagnosis of bladder dysfunction. Sample assessment forms are integrated throughout, as are comprehensive lists of equipment required for each procedure along with information on patient preparation and follow-up. New to the Third Edition: Updated assessment guidelines New chapters on lesbian health, dysfunctional uterine bleeding, polycystic ovarian syndrome, skin aesthetics, and pelvic pain Information on new contraception devices New information on domestic violence, health history of special populations, and vaginal microscopy Cervical cancer screening, menopause assessment, and osteoporosis screening Expanded information on evaluation of the pelvic floor Expanded information on aging and menopause Updates on infertility and information on BRCA gene testing Key Features: Provides detailed descriptions of advanced assessment techniques enhanced with plentiful tables and figures Presents the rationale for all assessments and procedures Delineates clinical procedures on the leading edge of the expanded role of the advanced practice clinician Includes unique chapters about selection and insertion of the vaginal pessary, intrauterine insemination procedure, and donor insemination Covers such advanced skills as vulvar exam and biopsy, endometrial biopsy, acrochordonectomy, polypectomy, and colposcopy
ìThis is an extraordinarily down-to-earth and useful rapid review guide for both novice and experienced cliniciansÖMost of all, this book is a gold mine for clinicians committed to delivering the best possible care to women with a wide range of characteristics and challenges.î From the Foreword by Joellen W. Hawkins, RN, WHNP-BC, PhD Professor Emeritus, Boston College, Connell School of Nursing Writer-in-Residence, Simmons College School of Nursing and Health Sciences This step-by-step guide to the key points of conducting the GYN exam addresses everything a nurse practitioner needs to know, from basic procedures through high-level challenges. The concise and accessible guide discusses strategies to decrease patient anxiety, minimize discomfort, and navigate such challenging scenarios as working with virginal women, premenarchal girls, elderly women, and sexually abused women. It includes difficult-to-find information on how to locate key organs in obese women and how to handle patients who have undergone female genital mutilation. This handy guide also covers diagnostic skills and includes the Fast Facts in a Nutshell summary feature. Key Features: Provides a comprehensive, accessible, step-by-step review of conducting the GYN exam for novice and seasoned NPs Covers diagnostic procedures including vaginal microscopy, how to obtain a vaginal and anal Pap smear, as well as samples for testing for STIs, and much more Provides tips on how to examine special populations, including overweight, anxious, multiparous, pediatric, menopausal, and elderly patients, with skill and confidence
This is an extraordinarily down-to-earth and useful guide for both novice clinicians and experienced clinicians who are presented with challenging patient situations. ... a must-have book for novice clinicians as they struggle to make it through their first solo gynecologic examination and move on to mastering the art of caregiving as well as the science of providing the best possible individualized care for each woman across the life span." - Joellen W. Hawkins, PhD, RN, WHNP-BC; Professor Emeritus, Boston College, William F. Connell School of Nursing; Writer-in-Residence, Simmons College School of Nursing and Health Sciences This newly updated, step-by-step guide to the key points of conducting the GYN exam addresses everything both busy nurse practitioners and NP students need to know, from basic procedures to high-level challenges. Part I breaks down the GYN exam into clinical parts, emphasizing strategies to decrease anxiety and minimize discomfort at every stage of the exam. Part II walks the caregiver through the exam for women at every stage of the life span, sexually abused women, obese women, and women who have undergone genital mutilation. This second edition delivers an all-new chapter on providing care to transgender and LGBT women and also includes new information on intimate partner violence and working with adolescents and menopausal and older women. Comprehensive and organized for easy access to information, the book features prominently displayed key points, learning objectives, and "Fast Facts in a Nutshell" boxes based on the authors' more than 40 years of teaching experience. Along with the most up-to-date information on STIs, Pap guidelines across the life span, and recommendations on the well-woman exam, this concise guide comes with a wealth of essential resources, including links to instructional videos and free apps for patient and practitioner education, adding to the book’s value as an indispensable, quick-access guide to delivering excellent holistic care to women. New to the Second Edition: New chapter on examining the transgender and LGBT woman Latest information on intimate partner violence Updates on examining adolescents and menopausal and older women New information on female genital mutilation New CDC STD, PAP, and ACOG Guidelines Links to instructional videos Free apps for patient and practitioner education Key Features: Delivers easy-to-read, bulleted information in a convenient pocket size Provides learning objectives, key points, and Fast Facts in a Nutshell Includes tips on examining special populations including obese, anxious, multiparous, pediatric, menopausal, and older patients and transgender/LGBTQ Serves as a refresher for those studying for the WHNP Exam
Written for nurse practitioners, physician assistants, nurse midwives, and other primary care providers, this new edition of Advanced Health Assessment of Women, continues to deliver the clinical skills required to care for the unique healthcare needs of women. This text delves into the growing role of the advanced practice clinician, establishing a foundation for and an understanding of the rationale behind the techniques and procedures described. Master’s level and doctoral level curricula provide basic content for the advanced practice clinician but may not provide sufficient education and training regarding advanced women’s health skills and procedures. This practical manual is designed to fill that gap, linking theory to clinical practice using critical thinking. Using a clear and concise outline format, Advanced Health Assessment of Women avoids unnecessary jargon and cuts straight to the clinical skills, techniques, and procedures the advanced practice provider needs to know. Content progresses from simple to complex, covering basic assessment and physiology, health history, physical examination, and specific investigative procedures. Each technique and procedure outlined contains detailed descriptions, strategies for patient preparation, and recommended follow up, accompanied by a comprehensive list of equipment. In this new edition, all content has been reviewed and expanded to reflect the most updated evidence-based clinical practice guidelines. Key Features: Clinical procedures that are on the leading edge in the expanded role of the advanced practice clinician Detailed descriptions of advanced assessment techniques with plentiful tables and figures Special chapter on urinary incontinence includes diagnosis of bladder dysfunction Appendices contain patient information handouts and practice forms that can be adapted for practice Unique chapter: selection and insertion of the vaginal pessary New to this edition: NEW Chapter: Assessment of Transgender Persons Revisions of clinical guidelines and procedures for menopause, cervical cancer screening, and osteoporosis chapters Treatment summary sections for selected chapters such as PCOS, AUB, vulvodynia, obesity, and urinary incontinence
The only text to focus specifically on advanced health assessment/management of women This authoritative text for busy clinicians, advanced practice students, and faculty delivers essential content focused on improving the quality of healthcare provided to women/persons with a vagina across the lifespan. Brimming with new and updated content, the fifth edition reflects the most current evidence-based clinical practice guidelines available. It includes 14 new chapters written by experts in their field and the addition of disease management content, especially medications. Chapters are enhanced with management/pharmacology summary charts and case studies with discussion questions. The use of two colors improves readability, and amplified Instructor Resources include key statistics/epidemiology, learning objectives, suggested student activities and self-assessment questions, and UAB videos. Using a clear, concise outline format, this user-friendly text delivers quick, comprehensive information regarding the health assessment and management of women/persons with a vagina. It defines the role, skills, and scope of practice of different health providers and illuminates a variety of assessment skills, techniques, and procedures used by advanced practice clinicians in everyday practice. Sample assessment forms are integrated throughout along with numerous educational handouts for patients. Discussion of techniques includes a comprehensive list of requisite equipment and information on patient prep and recommended follow-up. Boxes, tables, and figures throughout reinforce key information. New to the Fifth Edition: Fourteen new chapters Telehealth in women's health Vaginal health and vaginal microscopy Mental health screening Preconception care Complementary and alternative medical therapies Adolescent health Lactation assessment and management Female veterans Male sexual and reproductive health Amenorrhea PMS/PMDD Sexual health and related problems Human trafficking The contraceptive consult Expanded breast health including breastfeeding Transgender care Updates on screening instruments Best-practice apps Case studies Management/treatment summaries Enhanced instructor package including key statistics/epidemiology, learning objectives, student activities, and self-assessment questions Two-color printing to improve readability Step-by-step videos of five office gynecology simulations from UAB Key Features: Delivered in outline, bulleted format for speedy reference Reflects the most current evidence-based clinical practice guidelines Offers easy-to-follow, step-by-step coverage of procedures Addresses treatment/management of multiple conditions Includes detailed illustrations
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