Guidelines for Nurse Practitioners in Gynecologic Settings, Tenth Edition / Edition 10

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This textbook provides the busy clinician with a 'one stop' comprehensive guide to women's health that includes essential components of the history, diagnostic workup, treatment, and management guidelines for most common health issues and problems specific to providing gynecologic care to women. Clinicians will welcome the updated clinical content and additional resources and educational recommendations.

R. Mimi Secor, MS, MEd, FNP-BC, FAANP
Family Nurse Practitioner/Consultant, Specializing in Women's Health
National NP Radio Host for ReachMD Partners in Practice
(From the Foreword)

This landmark 10th edition of a highly respected classic and best-selling reference provides current guidelines for primary care management of common gynecological conditions across the age span. The fully revised new edition provides well-organized, concise, and easier-to-access evidence-based practice guidelines for use in community and ambulatory settings. It has been written by nurse practitioners with over 90 years of combined experience in women's health, and integrates the knowledge of noted experts for each topic.

This 10th edition offers new information for all guidelines and presents essential new guidelines for sexually transmitted diseases, family planning, medical abortion, breast cancer screening and other breast conditions, osteoporosis, menopause, incontinence, sexual dysfunction, complementary and alternative therapies, smoking cessation, abuse and violence screening, abuse screening for disabled women, and Pap, PCOS, and preconception care. The guide also contains an entirely new chapter on annual well woman visits, an enhanced mental health chapter detailing discontinuation of SSRIs/SNRIs, recent guidelines from the World Health Organization regarding contraception, and more. This book will be of value to graduate nursing programs, all nurse practitioners, and nurse midwives.

Key Features:

  • Reflects best practice standards of care empirically proven to improve patient outcomes by at least 28%
  • Provides quick and easy access to crucial clinical information through use of an intuitive alpha organization, a consistent format, and new spiral binding
  • Contains new Well Woman Annual Visit chapter
  • Patient education handouts are included in book AND are available in printable PDF format online
  • Contains completely new bibliographies reflecting the latest literature and evidence-based practice, and relevant websites


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Product Details

  • ISBN-13: 9780826129628
  • Publisher: Springer Publishing Company, Incorporated
  • Publication date: 9/23/2011
  • Edition description: New Edition
  • Edition number: 10
  • Pages: 496
  • Sales rank: 97,280
  • Product dimensions: 5.80 (w) x 8.80 (h) x 1.20 (d)

Meet the Author

Joellen W. Hawkins, RN, PhD, WHNP-BC, FAAN, FAANP has been a women's health nurse practitioner since 1969 and is Professor Emerita, William F. Connell School of Nursing, Boston College where from 1983 to 2007 she was the coordinator of the women's health nurse practitioner program, teaching clinical and theory courses for that program, as well as the advanced practice role course. Currently, she is Writer in Residence at Simmons College, Department of Nursing, Boston. For 30 years, she practiced as a WHNP in Rhode Island, Connecticut, and Massachusetts. Her research includes abuse during pregnancy; screening for abuse, coalition building to address violence in a community, and historical work on individual nurses, advanced practice nursing, and women's health nurse practitioners. She is the Chief Nursing Consultant for Taber's Cyclopedic Medical Dictionary T-22. She is the author or editor of 36 books and more than 100 articles in professional journals.

Diane M. Roberto-Nichols, BS, APRN-C, has practiced as an OB/GYN nurse practitioner for more than 30 years. She practices at the University of Connecticut Student Health Services (Storrs) and Ellington OB/GYN Associates in Ellington, CT. Her practice focus has been women's health, starting as coordinator of the Women's Health Clinic at the University of Connecticut (Storrs), where she was instrumental in making contraception and confidential health care available to female students. She also co-developed a protocol and implemented an assault crisis center for sexually and physically abused students at the University, as well as co-authored the protocols that served as the prototype for this book. She continues to provide education and health care to women throughout the life span.

J. Lynn Stanley-Haney, MA, APRN-C, is an Adult Medicine nurse practitioner with special practice areas in Gynecology and Psychiatry. Her current practice includes Ellington OB/GYN Associates (Ellington, CT), Eastern Connecticut State University Counseling and Psychological Services (Willimantic, CT) and Private Practice in Psychotherapy and Psychotherapeutic Medication Management. Since certification in 1980, she has pursued advocacy in women's health and access to care. As the Director of Nursing for the University of Connecticut Student Health Services (1978 - 1993), she worked with their Women's Health Clinic in assuring quality of care and also provided direct care to students. Along with her long time colleague and co-author Diane Roberto-Nichols, she co-developed and implemented a 24-hour sexual assault crisis service for physically abused and sexually assaulted women students as well as co-authored the protocols that served as the prototype for this book. Since leaving the university, she has worked to implement and manage, as well as practice clinically in state funded school-based health services.

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Table of Contents

Part I: General Guidelines for Women’s Health Care

Chapter 1 Well Woman Initial Annual Exam

Chapter 2 Safe Practice for Clinicians

Chapter 3 Complimentary Alternative Therapy (CAM)

Chapter 4 Smoking Cessation

Chapter 5 Weight Management

Chapter 6 Guidelines for Assessing Victims of Abuse and Violence

Part II: Guidelines for Contraception and Preconception Care

Chapter 7 Methods of Contraception and Family Planning

  • Barrier Methods

o Diaphragm

o FemCap

o Lea’s Shield

o Vaginal Contraceptive Sponge

  • Contraceptive Spermicides and Condoms
  • Emergency Contraception
  • Hormonal Contraception
  • Intrauterine Devices (IUDs)
  • Natural Family Planning
  • Sterilization

Chapter 8 Preconception Care

Part III: Guidelines for Managing Women’s Health Conditions

Chapter 9 Breast Conditions

  • Abnormal breast discharge
  • Breast mass

§ Breast Pain

Chapter 10 Cervical Aberrations

  • Cervicitis
  • Papanicolaou (PAP) Smear and Colposcopy

Chapter 11 Emotional and Mental Health Issues

Chapter 12 Genitourinary Tract Conditions

  • Interstitial Cystitis, Painful Bladder Syndrome
  • Urinary Tract Infection

Chapter 13 Infertility

Chapter 14 Loss of Integrity of Pelvic Floor Structures

Chapter 15 Medical Abortion

  • Post abortion care, medical and surgical
  • Post abortion care of complications

Chapter 16 Menstrual Disorders

  • Abnormal Vaginal Bleeding

  • Amenorrhea
  • Dysmenorrhea
  • Endometrial Biopsy
  • Premenstrual Syndrome (PMS)

Chapter 17 Miscellaneous Gynecological Conditions

  • Abdominal Pain
  • Acute Pelvic Pain
  • Bartholins Cyst, Bartholinitis
  • Chronic Pelvic Pain

· Dysesthetic Vulvadynia

  • Pediculosis
  • Pelvic Inflammatory Disease
  • Pelvic Mass

§ Scabies

  • Uterine Leiomyomata

§ Vulvar Conditions

Chapter 18 Peri and Post Menopause

  • General Care: Menopause
  • Hormone therapy
  • Osteoporosis

Chapter 19 Polycystic Ovary Syndrome (PCOS)

Chapter 20 Sexual Dysfunction

Chapter 21 Vaginal Conditions

  • Checklist for Vaginal Discharge Work-up
  • Checklist for Vaginal Discharge with Odor Workup
  • Candidiasis

  • Bacterial Vaginosis
  • Chancroid
  • Chlamydia Trachomatis Infection

  • Condylomata Acuminata (Genital Warts)
  • Genital Herpes
  • Gonorrhea
  • Granuloma Inguinale
  • Hepatitis
  • Lymphogranuloma Venerum
  • Molluscum Contagiosum
  • Syphilis
  • Trichomoniasis


Appendix A: For your information: Patient Education

Appendix B: Informed Consent Forms

Appendix C.: Abuse Assessment Screen

Appendix D: Danger Assessment

Appendix E: HIV Risk

Appendix F: Women and Heart Disease

Appendix G: Complementary and Alternative Medicine (CAM)

Appendix H: Constipation

Appendix I: Body Mass Index Table

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