Women Health Study Guide latest 100% approved

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Acknowledges oppression of women within patriarchal society Work “WITH” as opposed to For Uses heterogeneity- quality or state of being diverse in character or content Not Homogeneity- everyone... fits into a “box” Minimizes/ exposes power imbalances Rejects androcentric models Challenges medicalization and pathophysiology Seeks social and political change to address women’s health issues Health A state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity Research Evidence Based Practice- Clinical research + Patient Preference + Clinical Experience -Help to standardize care or eliminate wide variations in care -Assists w/ development of outcome based performance measures -Eliminates unnecessary processes or procedures and sort through research *Began w/ Nightingale Randomized Controlled Trial- Considered Gold Standard Systematic Review- literature review, collects and critically analyzes multiple research Meta-Analyses- subset of systematic reviews; Qualitative + Quantitative =1 conclusion Quasi-Experimental- treatment and control groups may not be comparable at baseline Qualitative- researcher cannot be fully removed, “naturalistic”- uncontrolled setting Questions are often exploratory Stetler Model of Research Utilization Preparation (Purpose?), Validation (examine/critique), Comparative Evaluation- synthesize evidence and decide whether to use it or not Translation (dissemination of change), Evaluation (is it working?) Prevention Primary= preventing disease in susceptible populations Secondary= focus on early detection of disease to  severity and short and long-term problems Tertiary= services limit disability and promote rehabilitation from disease states #1 Preventable Death in US- Smoking Killers- Cardiac Cancer (top 3) In Women Worldwide Breast, Lung, Colorectal Leading Causes of Cancer Death in Women Lung, Breast, Colorectal Leading Cause of Gyn Death Ovarian Immunization MMR, Zoster, Varicella, HPV, MPSV4- CI for pregnancy Tdap in 3rd Trimester of Every Pregnancy Pregnancy Not Attempted Until 28 Days After Rubella Vaccine Hep B in  Risk- 2+ Partners in 6 months, Eval/Tx for STD, IV use G&D Theories Erickson’s Trust/Mistrust =Infancy Autonomy/Shame= Early Childhood 18 months – 3 years Initiative/Guilt= Play Age 3-5 Industry/Inferiority= School Age 5-12 Identity/Role Confusion= Adolescence 12-18 Intimacy/Isolation= Young Adult 18-40 Generativity/Stagnation= Adult 40-65 Ego Integrity/Despair= Maturity 65+ Tanner Stages Stage 1- Prepubertal (Vellus Hair- No Pubic) Stage 2- Breast bud stage w/ elevation of breast and papilla; enlarged areola Thelarche (8-13) and Menarche is 1-3 Years Later Adrenarche ~6 months After Thelarche Sparse, long, slightly pigmented, straight or slightly curved Mean age- 12.1 = undetectable estradiol to 24 Stage 3- Further enlargement, no separation of contour Darker, coarser, curlier, sparsely over pubic symphysis Mean age- 13.6 = undetectable estradiol to 60 Stage 4- Secondary Mound and Menarche typically (9-17) Coarse and curly, covered greatly, but not including the thighs Mean age- 15.1 = estradiol 15-85 Stage 5- Mature- projection of papilla only; Hair adult in quantity and quality Mean age- 18 = estradiol 15-350 Screening All Women- Depression (women at  risk), ask about mood and ADL pleasure IPV, BMI (25-29.9= overweight), HTN, Rubella Immunity, Tobacco Use Ovarian Cancer- risks w/ screening outweighs benefits, family history  BRCA1 BRCA2 How to screen for BRCA? Adolescents- #1 Chlamydia (sexually active 24 and younger) Chlamydia and Gonorrhea – Nucleic acid amplification test (NAAT) recommended Middle age & Older Breast Ca- 50-74- Mammogram Q2 Colorectal- 50+, FOBT Q1, Sigmoid q5 or Colonoscopy q10 Cholesterol- 45+ Older Women- hearing, visual changes Osteoporosis- 60+ DEXA Q2 Menstrual Cycle Hypothalamus, Anterior Pituitary, Ovaries, Uterus, Outflow Tract Caucasian- 12.6; AA- 12.1; Latinas 12.2 BMI  Earlier onset of pu [Show More]

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