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  • December 10th, 2013

Guidelines on Screening Procedures: The goal of health promotion and education is to help prevent disease in patients. However, this is not always successful, and disease it not always preventable Custom Essay

The goal of health promotion and education is to help prevent disease in patients. However, this is not always successful, and disease it not always preventable. With disease, early detection is ideal, often making screening procedures a routine part of clinical care. Unfortunately, many patients do not utilize these health services. This can be attributed to lack of awareness or access to care, financial concerns, or even levels of comfort with health care providers.
In your role as the advanced practice nurse, you must be aware of potential obstacles for patients and implement strategies to ensure patients receive necessary screenings. Although a variety of screening procedures are recommended for women at various stages of life, not all screenings are appropriate for all patients. Understanding the strengths and limitations of each screening, as well as current guidelines for use is essential to effectively facilitate patient care.
To prepare:
Review this week’s media presentation, as well as Chapter 6 of the Tharpe et al. text and the U.S. Department of Health and Human Services article in the Learning Resources.

Research guidelines on screening procedures for one of the following condtions: (e.g., guidelines on screening for domestic violence, safety, nutrition, osteoporosis, mental health, eating disorders, thyroid disease, pap smear, mammogram, cancer, and sexually transmitted infections).

Reflect on strengths and limitations of the screening guidelines.

Consider how the guidelines might support your clinical decision making.

Write/ discuss the guidelines on screening procedures for the condition you chose.

Include an explanation of strengths and limitations of the guidelines.

Then, explain how the guidelines might support your clinical decision making.

Readings
Schuiling, K. D., & Likis, F. E. (2013). Women’s gynecologic health (2nd ed.). Burlington, MA: Jones and Bartlett Publishers.
Chapter 5, “Gynecologic Anatomy and Physiology” (pp. 81–101)

This chapter explores female anatomy and physiology with a focus on the female reproductive anatomy. It also describes the physiology of the menstrual cycle, including the hormonal feedback system and the ovarian and endometrial cycles.
Chapter 6, “Gynecologic History and Physical Examination” (pp. 103–131)

This chapter identifies the core knowledge and skill base required for obtaining a gynecologic health history and performing physical examinations such as pelvic and breast exams.
Chapter 8, “Periodic Screening and Health Maintenance” (pp. 157–173)

This chapter explores preventive health services for women such as screening tests, counseling, immunization, and chemoprevention. It also compares screening recommendations from organizations such as the U.S. Preventive Services Task Force, American College of Obstetricians and Gynecologists, and American Cancer Society.
Chapter 14, “Intimate Partner Violence” (pp. 329–348)

This chapter defines intimate partner violence (IPV) and describes the epidemiology and health effects of IPV. It also examines screening tools for assessing IPV and strategies for managing patients experiencing IPV, particularly pregnant women, adolescents, and older women.
Chapter 15, “Sexual Violence” (pp. 349–367)

This chapter examines strategies for identifying sexual violence and providing care to women who are victims of sexual violence. It explores potential health consequences of sexual violence on women, including physical injury, spread of sexually transmitted diseases, and unintended pregnancy.
Tharpe, N. L., Farley, C., & Jordan, R. G. (2013). Clinical practice guidelines for midwifery & Women’s health (4th ed.). Burlington, MA: Jones & Bartlett Publishers.
Chapter 6, “Care of the Well Woman Across the Life Span”
“Preventive Health Care for Well Women” (pp. 263–265)

This section examines social, mental, and physical issues that affect women during different stages of their lives. It also examines the provider’s role in prevention and care.
“Care of the Well Woman: Health Assessment and Screening” (pp. 265–270)

This section provides a list of health information for the health care provider to address during well-woman examinations, as well as an immunization schedule for women across the life span.
“Care of the Well Woman: Health Assessment and Screening During Menopause” (pp. 270–275)

This section explains the physiologic changes that occur during menopause, including health issues that are likely to present. It also examines treatment and management options related to diet, exercise, sleep, and sexual comfort.
“Care of the Woman at Risk for Osteoporosis” (pp. 302–307)

This section explores factors that increase risks of osteoporosis in women, particularly postmenopausal women. It also provides strategies for identifying risk factors of osteoporosis and diagnosing and treating the condition.
“Care of the Woman in Need of Smoking Cessation” (pp. 310–314)

This section outlines factors that impact successful smoking cessation. It also describes treatment options and patient education strategies for women in need of smoking cessation.
U.S. Department of Health and Human Services. (2012b). Screening tests and vaccines. Retrieved from http://www.womenshealth.gov/screening-tests-and-vaccines/screening-tests-for-women/

 

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