Women's Health: A Primary Care Clinical Guide / Edition 1

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Overview

Women's Health: A Primary Care Clinical Guide is an essential resource for nurse practitioners and other health care providers. Covering a wide variety of women's issues and needs - including physical and psychosocial factors, common medical problems, and health care issues of the disabled woman - this easy to use handbook also focuses on important reproductive issues. Features general adult health problems - physical and psychosocial; up-to-date overview discussing health care reform; obstetric and gynecologic care in one volume; and a unique chapter on women with disabilities.

The book contains black-and-white illustrations.

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Editorial Reviews

Linda Bergstrom
This is the second edition of a book whose audience is women's health care providers who assume responsibility for complete primary care, not just obstetric and gynecology services. This book is intended to be used as a handbook for primary care providers for women. It is also intended as a source for teaching advice for clients. This is useful for women's health care providers who studied primarily obstetrics and gynecology in their basic education program and are now faced with having to manage other kinds of primary care problems and issues. The intended audience is providers already in practice, presumably nurses in advanced roles. The chapter contributors are nurse-practitioners, clinical nurse specialists, and nursing educators. I think this book could also be used for students learning advanced practice roles. There are very few illustrations and photographs, and all are in black and white. Most chapters have no illustrations. The references are up-to-date and pertinent, although some well-known nursing research has not been used, such as Sandelowski's work on infertility and Beck's work on postpartum depression. The organization of the clinical problem chapters is very helpful and makes information easy to locate. I wish this were two separate volumes -- one about obstetrics and gynecology and one about other aspects of primary care. Students and practitioners could then buy only the book that would be most useful to them. For example, nurse-midwives would probably find the primary care section very useful, but are far more likely to use midwifery references like Varney and Lichtman for midwifery and gynecology content. Conversely, family nurse practitioners wouldprobably find the obstetrics/gynecology section useful but may find the general section redundant. For all readers the chapters about physical disability and health care for lesbian women are excellent.
From The Critics
Reviewer: Linda Bergstrom, RN, MEd, PhD (East Carolina University)
Description: This is the second edition of a book whose audience is women's health care providers who assume responsibility for complete primary care, not just obstetric and gynecology services.
Purpose: This book is intended to be used as a handbook for primary care providers for women. It is also intended as a source for teaching advice for clients. This is useful for women's health care providers who studied primarily obstetrics and gynecology in their basic education program and are now faced with having to manage other kinds of primary care problems and issues.
Audience: The intended audience is providers already in practice, presumably nurses in advanced roles. The chapter contributors are nurse-practitioners, clinical nurse specialists, and nursing educators. I think this book could also be used for students learning advanced practice roles.
Features: There are very few illustrations and photographs, and all are in black and white. Most chapters have no illustrations. The references are up-to-date and pertinent, although some well-known nursing research has not been used, such as Sandelowski's work on infertility and Beck's work on postpartum depression. The organization of the clinical problem chapters is very helpful and makes information easy to locate.
Assessment: I wish this were two separate volumes:one about obstetrics and gynecology and one about other aspects of primary care. Students and practitioners could then buy only the book that would be most useful to them. For example, nurse-midwives would probably find the primary care section very useful, but are far more likely to use midwifery references like Varney and Lichtman for midwifery and gynecology content. Conversely, family nurse practitioners would probably find the obstetrics/gynecology section useful but may find the general section redundant. For all readers the chapters about physical disability and health care for lesbian women are excellent.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780838512302
  • Publisher: Appleton & Lange
  • Publication date: 7/28/1994
  • Edition description: Older Edition
  • Edition number: 1
  • Pages: 771
  • Product dimensions: 7.00 (w) x 9.27 (h) x 1.45 (d)

Read an Excerpt

Many women, by choice or by necessity, will seek out the women's health care provider as their source of primary care. This third edition of Women's Health: A Primary to Clinical Guide is designed to help meet the needs of these providers who offer women more than basic reproductive health care. It covers the traditional reproductive and gynecologic content as well as selected common medical, psychosocial, developmental, and political problems, issues, and needs. We have updated every chapter, and, at the request of readers, included a new chapter: Chapter 5, Integrating Wellness: Complementary Therapies and Women's Health. To maintain a reasonable length of the book, we had to choose a chapter to omit, unfortunately. Since legal issues are covered well in most references on the role of the nurse practitioner, we now refer readers to such references for this topic. We hope to bring legal issues back in the future in an expanded manner with role and policy components specific to women's health.

Part I, Women, Health, and the Health Care System, begins with a chapter on the major historical and contemporary changes in health care relating to women, focusing on the important societal, economic, and political factors that will affect health needs for the end of this century and into the next. Chapter 2 discusses women's health and development through the life cycle, followed by Chapter 3, specific to the adolescent woman. Chapter 4 deals with incidences of diseases, general guidelines for health care screening, and interventions. Information on the revised 2001 Bethesda Guidelines for reporting and managing cervical cytology is included. Chapter 6 covers sexuality facts and issues. Chapter 7 concerns the health needs of lesbians.

Part II, Promotion of Gynecologic Health Care, delves into the more traditional health problems and needs of women related to the reproductive systems. Chapters 8 through 15 cover menstrual concerns, fertility management, infertility, sexually transmitted diseases and vaginitis, including the 2002 STD guidelines from the CDC, the special needs of women with HIV, pelvic and abdominal diseases, breast concerns, and the health concerns of perimenopausal and older women.

Part III, Promotion of Women's Health Care During Pregnancy, details uncomplicated and complicated pregnancy care, postpartum needs and problems, lactation issues, and fetal surveillance.

Primary Care Problems Affecting Women's Health, Part IV, was significantly expanded in the second edition to address even more of the medical problems frequently encountered in primary care of women such as headaches, anemia, hypertension, asthma, and dermatologic conditions. Chapters 21 and 22 are dedicated to current information on common medical problems. Selected psychosocial problems, such as violence, depression, and eating disorders and their impacts on women, with insights into related health care needs and therapies, are discussed in Chapter 23. Chapter 24 reviews unique care concerns of women with disabilities and chronic illness. The appendices address emergency childbirth (Appendix A), assessment of the newborn (Appendix B), and selected laboratory values commonly referenced in women's health (Appendix C).

We particularly intend this book to be a handbook, a resource that allows any primary health care provider to retrieve basic information easily. We see it as a reference with enough depth to be useful in a clinical setting, serving as a source of teaching advice for clients, including differential medical diagnoses, screening and early intervention measures, and guidelines for referral. Some of the chapters fit more easily into an outline format for diseases or other conditions, whereas many chapters conform to a more traditional text format or a combination format for presentation of issues.

We wish to remind the reader that the scope of advanced practice nursing varies from state to state, and the individual practitioner is responsible for knowing his or her legal limits of practice. Also, recognizing the rapidity with which new knowledge becomes available and standards change, the practitioner must stay ever alert.

Women's health care providers are continuously challenged to expand their knowledge and ability to help women fulfill a wide spectrum of needs, both physical and psychosocial. Women's health is no longer limited to reproductive organs. The broadening scope of women's health care is a critically important issue in this period of rapidly changing health care systems. Resources are burgeoning, empowering women to become more informed consumers in the health care arena, yet attaining holistic care to meet basic needs remains a struggle for many. We, with the contributing authors, hope that you as primary care providers in a rapidly changing world of health care will find this book a useful and an effective resource in your endeavors to provide women with the health care they need and deserve.

Our sincere thanks go to our excellent contributing authors. Their outstanding expertise and effort have made this book the useful clinical reference we envisioned. We also wish to thank the fine editors and staff at Prentice Hall Health and Pine Tree Composition, Inc., for their support and many hours of work on this project. Last, our deep appreciation goes to our families who encouraged us during the months of preparation and work. A special note goes to our inspiring "little women," Alicia, Valarie, Julianne, Emily, and Annie, who join the women of the twenty-first century in deserving the best health care of the new millennium.

Ellis Quinn Youngkin Marcia Szmania Davis

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Table of Contents

Contributors
Reviewers
Preface
Ch. 1 Women and the Health Care System 3
Ch. 2 Health and Development Through the Life Cycle 23
Ch. 3 Assessing Adolescent Women's Health 39
Ch. 4 Assessing Women's Health 53
Ch. 5 Integrating Wellness: Complementary Therapies and Women's Health 103
Ch. 6 Women and Sexuality 109
Ch. 7 Health Needs of Lesbians 131
Ch. 8 Menstruation and Related Problems and Concerns 145
Ch. 9 Controlling Fertility 165
Ch. 10 Infertility 227
Ch. 11 Vaginitis and Sexually Transmitted Diseases 261
Ch. 12 Women and HIV 291
Ch. 13 Common Gynecologic Pelvic Disorders 303
Ch. 14 Breast Health 351
Ch. 15 The Climacteric, Menopause, and the Process of Aging 387
Ch. 16 Assessing Health During Pregnancy 427
Ch. 17 Promoting a Healthy Pregnancy 461
Ch. 18 Complications of Pregnancy 505
Ch. 19 Assessing Fetal Well-Being 573
Ch. 20 Postpartum and Lactation 613
Ch. 21 Common Medical Problems: Cardiovascular through Hematological Disorders 679
Ch. 22 Common Medical Problems: Musculoskeletal Injuries through Urinary Tract Disorders 751
Ch. 23 Psychosocial Health Concerns 823
Ch. 24 Health Care Concerns for Women with Physical Disability and Chronic Illness 861
App. A Emergency Childbirth 899
App. B Immediate Assessment of the Newborn 904
App. C Selected Laboratory Values 909
Index 911
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Preface

Many women, by choice or by necessity, will seek out the women's health care provider as their source of primary care. This third edition of Women's Health: A Primary to Clinical Guide is designed to help meet the needs of these providers who offer women more than basic reproductive health care. It covers the traditional reproductive and gynecologic content as well as selected common medical, psychosocial, developmental, and political problems, issues, and needs. We have updated every chapter, and, at the request of readers, included a new chapter: Chapter 5, Integrating Wellness: Complementary Therapies and Women's Health. To maintain a reasonable length of the book, we had to choose a chapter to omit, unfortunately. Since legal issues are covered well in most references on the role of the nurse practitioner, we now refer readers to such references for this topic. We hope to bring legal issues back in the future in an expanded manner with role and policy components specific to women's health.

Part I, Women, Health, and the Health Care System, begins with a chapter on the major historical and contemporary changes in health care relating to women, focusing on the important societal, economic, and political factors that will affect health needs for the end of this century and into the next. Chapter 2 discusses women's health and development through the life cycle, followed by Chapter 3, specific to the adolescent woman. Chapter 4 deals with incidences of diseases, general guidelines for health care screening, and interventions. Information on the revised 2001 Bethesda Guidelines for reporting and managing cervical cytology is included. Chapter 6 covers sexuality facts and issues. Chapter 7 concerns the health needs of lesbians.

Part II, Promotion of Gynecologic Health Care, delves into the more traditional health problems and needs of women related to the reproductive systems. Chapters 8 through 15 cover menstrual concerns, fertility management, infertility, sexually transmitted diseases and vaginitis, including the 2002 STD guidelines from the CDC, the special needs of women with HIV, pelvic and abdominal diseases, breast concerns, and the health concerns of perimenopausal and older women.

Part III, Promotion of Women's Health Care During Pregnancy, details uncomplicated and complicated pregnancy care, postpartum needs and problems, lactation issues, and fetal surveillance.

Primary Care Problems Affecting Women's Health, Part IV, was significantly expanded in the second edition to address even more of the medical problems frequently encountered in primary care of women such as headaches, anemia, hypertension, asthma, and dermatologic conditions. Chapters 21 and 22 are dedicated to current information on common medical problems. Selected psychosocial problems, such as violence, depression, and eating disorders and their impacts on women, with insights into related health care needs and therapies, are discussed in Chapter 23. Chapter 24 reviews unique care concerns of women with disabilities and chronic illness. The appendices address emergency childbirth (Appendix A), assessment of the newborn (Appendix B), and selected laboratory values commonly referenced in women's health (Appendix C).

We particularly intend this book to be a handbook, a resource that allows any primary health care provider to retrieve basic information easily. We see it as a reference with enough depth to be useful in a clinical setting, serving as a source of teaching advice for clients, including differential medical diagnoses, screening and early intervention measures, and guidelines for referral. Some of the chapters fit more easily into an outline format for diseases or other conditions, whereas many chapters conform to a more traditional text format or a combination format for presentation of issues.

We wish to remind the reader that the scope of advanced practice nursing varies from state to state, and the individual practitioner is responsible for knowing his or her legal limits of practice. Also, recognizing the rapidity with which new knowledge becomes available and standards change, the practitioner must stay ever alert.

Women's health care providers are continuously challenged to expand their knowledge and ability to help women fulfill a wide spectrum of needs, both physical and psychosocial. Women's health is no longer limited to reproductive organs. The broadening scope of women's health care is a critically important issue in this period of rapidly changing health care systems. Resources are burgeoning, empowering women to become more informed consumers in the health care arena, yet attaining holistic care to meet basic needs remains a struggle for many. We, with the contributing authors, hope that you as primary care providers in a rapidly changing world of health care will find this book a useful and an effective resource in your endeavors to provide women with the health care they need and deserve.

Our sincere thanks go to our excellent contributing authors. Their outstanding expertise and effort have made this book the useful clinical reference we envisioned. We also wish to thank the fine editors and staff at Prentice Hall Health and Pine Tree Composition, Inc., for their support and many hours of work on this project. Last, our deep appreciation goes to our families who encouraged us during the months of preparation and work. A special note goes to our inspiring "little women," Alicia, Valarie, Julianne, Emily, and Annie, who join the women of the twenty-first century in deserving the best health care of the new millennium.

Ellis Quinn Youngkin Marcia Szmania Davis

Read More Show Less

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