Maternal Newborn Nursing: Women's Health Chapters 18-19 PDF

WOMEN’S HEALTH Inge Luce, MSN/Ed, RN-C, Paramedic Week 13 Chapters 18-19 WOMEN’S HEALTH Inge Luce, MSN/ED, RN-C, NRP  HEALTH PROMOTION The process of enabling people to increase control over, and to improve, their health WHO,...

WOMEN’S HEALTH Inge Luce, MSN/Ed, RN-C, Paramedic Week 13 Chapters 18-19 WOMEN’S HEALTH Inge Luce, MSN/ED, RN-C, NRP  HEALTH PROMOTION The process of enabling people to increase control over, and to improve, their health WHO, 2017  SEXUALLY TRANSMITTED INFECTIONS  HPV PREVENTION Education Gardasil-9 vaccine SCREENING Papanicolaou (PAP) smear HPV testing  CERVICAL CANCER CERVICAL CANCER TREATMENT Conization, LEEP, Cryo Hysterectomy Radiation and Chemotherapy  UTERINE LEIOMYOMA  ABNORMAL VAGINAL DISCHARGE POST-MENOPAUSAL BLEEDING FISTULAS Vaginal bleeding after Abnormal tract between hollow menopause organs or spaces Endometrial cancer Vagina, bladder, rectum, intestines, abdominal cavity Endometrial biopsy for diagnosis Imaging for diagnosis Hysterectomy Surgical repair Radiation and chemotherapy Prevent constipation and stay with patient for first BM HYSTERECTOMY BREAST CANCER PREVENTION None SCREENING Screening mammograms U/S and MRI to follow up on abnormalities Biopsy TREATMENT Oncotype testing Lumpectomy Mastectomy Radiation therapy and Chemotherapy Hormone therapy Targeted therapy  MAMMOGRAM Begin at age 40-45 Earlier if high risk Annual exam Avoid perfumes, lotions, deodorants, or powder in the armpits or on the arms that day to prevent shadowing  PCOS ACNE HAIR LOSS FACIAL HAIR ABDOMINAL OBESITY OVARIAN CYSTS DM II INFERTILITY  MENOPAUSE Perimenopausa Irregular menses Symptoms l Menopause 12 months no menses Permanent cessation of Postmenopaus menses Symptoms should be al less  LGBTQ CARE Extreme health disparities Increased risks Decreased access Education and support are critical Offer quality care to all patients regardless of sexual orientation or identity This Photo by Unknown Author is licensed under CC BY-SA-N  INTIMATE PARTNER VIOLENCE Physical or sexual violence, Screen and watch for: stalking, or psychological Overuse of healthcare system with aggression by a current or former repeat visits for nonspecific intimate partner complaints Often increases during pregnancy- Vague, evasive history correlation with low birth weights, Delay in seeking care, even preterm births, neonatal death avoiding care for serious injuries Risks: low self-esteem, low Injuries are hidden and in various academic achievement, young stages of healing age, substance use, limited Hovering partner support system