Topic: Guiding Your Women’s Health Exam
Topic: Guiding Your Women’s Health Exam
Discuss how the age of the female patient, demographics, race, and lifestyle will drive your exam and plan of care. Give examples and support with evidence-based practice.
Unit 1
The following readings provide information to assist you in preparation for doing women’s health assessments. Being an informed provider can help increase the comfort level of patients during examinations.
Textbook Readings:
Women’s Health: A Primary Care Clinical Guide
- Chapter 2: “Women’s Development into the 21st Century”
- Chapter 3: “Epidemiology, Diagnostic Methods, and Procedures in Women’s Health”
- Chapter 4: “Assessing Adolescent Women’s Health”
- Chapter 5: “Assessing Adult Women’s Health”
- Chapter 6: “Assessing Older Women’s Health”
- Appendix C: “Selected Screening Tools for Women’s Health”
- Appendix D: “Medical Billing and Coding in Women’s Health”
- Appendix F: “Federal Agencies Concerned with Women’s Health”. Topic: Guiding Your Women’s Health Exam
Web Resources:
Centers for Disease Control and Prevention. (2015). Sexually Transmitted Diseases Treatment Guidelines. UpToDate. Retrieved February 19, 2020 from https://www.cdc.gov/std/tg2015/default.htm page last reviewed Dec 27, 2019
U.S. Preventive Services Task Force. (2018). Cervical Cancer Screening.
Retrieved from https://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/cervical-cancer-screening2?ds=1&s=cervical%20cancer
NPWH Nurse Practitioners in Women’s Health. The NPWH Well Woman Visit Mobile App. (2019). Retrieved from https://www.npwh.org/pages/mobile-app
Centers for Disease Control and Prevention. STD Tx Guide Mobile App. (2015).
Retrieved from https://apps.apple.com/us/app/std-tx-guide/id655206856
Centers for Disease Control and Prevention. US Medical Eligibility Criteria for
Contraceptive Use Mobile App. (2016). Retrieved from https://apps.apple.com/us/app/contraception/id595752188
ACOG Mobile App (2017). Retrieved from
https://apps.apple.com/us/app/acog/id616323665
Unit 2
Sexual problems can be extremely frustrating and can seriously affect relationships. As a nurse practitioner in primary care, you will have to have open discussions related to sex and sexuality. The resources below provide information on the topics for this unit. Topic: Guiding Your Women’s Health Exam
Textbook Readings
Women’s Health: A Primary Care Clinical Guide
- Chapter 7: “Women and Sexuality”
- Chapter 8: “Health Needs of Lesbians, Bisexual, and Transgender Populations”
- Chapter 9: “Health Needs of Women with Disabilities”
- Chapter 10: “Integrating Wellness: Complementary Health Approaches and Women’s Health”
- Chapter 25: “Psychosocial Health Concerns for Women”
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Web Resources
Office of Women’s Health U.S. Department of Health and Human Services. Active Duty and Veteran Women’s Health. (2019). Retrieved from https://www.womenshealth.gov/about-us/what-we-do/programs-and-activities/active-duty-and-veteran-womens-health
Office of Women’s Health U. S. Department of Health and Human Services. (2019). Recognizing the Needs of Lesbian, Bisexual, and Transgender Women. Retrieved from: https://www.womenshealth.gov/30-achievements/29
The American College of Obstetricians and Gynecologists. (2020). Promoting Healthy Relationships in Adolescents. Retrieved from https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2018/11/promoting-healthy-relationships-in-adolescents
American College of Obstetricians and Gynecologists (2012). Committee Opinion: Healthcare of Lesbian and Bisexual Women. UpToDate. Retrieved February 19, 2020 from http://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Health-Care-for-Underserved-Women/Health-Care-for-Lesbians-and-Bisexual-Women
U.S. Department of Veterans Affairs (2019). Overview of VA Research on Women’s Health. Retrieved from https://www.research.va.gov/topics/womens_health.cfm reaffirmed 2018
Unit 3
Did you know that women are more likely to seek medical care than men? Often the reason for seeking care is related to normal reproductive changes across the lifespan. The resources below provide information useful in understanding the reproductive transitions of women.
Textbook Readings
Women’s Health: A Primary Care Clinical Guide
- Chapter 11: “Menstruation and Related Problems and Concerns”
- Chapter 13: “Infertility”
- Chapter 18: “The Menopausal Transition”
Web Resources
Lindsey, T.J., Vitrikas, K.R., (March, 2015). Evaluation and Treatment of Infertility. American Family Physician, 1:91(5), 308-315. Retrieved from http://www.aafp.org/afp/2015/0301/p308.html
North American Menopause Association: (2020). The North American Menopause Society. Recommendations for Clinical Care of Midlife Women. Retrieved from http://www.menopause.org/publications/clinical-care-recommendations. Topic: Guiding Your Women’s Health Exam
The Frax Fracture Risk Assessment Tool: Frax Calculator. (ND). Retrieved from https://www.shef.ac.uk/FRAX/tool.aspx?country=9
Unit 4
Textbook Readings
Women’s Health: A Primary Care Clinical Guide
- Chapter 12: “Managing Contraception and Family Planning”
Library Readings:
Birth Control Options for Women (2019). Johns Creek: Ebix Inc. Retrieved from https://search-proquest-com.libauth.purdueglobal.edu/central/docview/2087705680?accountid=34544
Web Resources:
Centers for Disease Control and Prevention (2019). Contraception. Retrieved from: http://www.cdc.gov/reproductivehealth/unintendedpregnancy/contraception.htm
Center for Disease Control and Prevention. (2016). US Medical Eligibility Criteria (US MEC) for Contraceptive Use, 2016. UpToDate. Retrieved February 19, 2020 from https://www.cdc.gov/reproductivehealth/contraception/mmwr/mec/summary.html?CDC_AA_efVal=https%3A%2F%2Fwww.cdc.gov%2Freproductivehealth%2Fcontraception%2Fusmec.htm reviewed 2018
Unit 5
Textbook Readings:
Women’s Health: A Primary Care Clinical Guide
- Chapter 14: “Vaginitis and Sexually Transmitted Diseases”
- Chapter 15: “Women and HIV”
Web Resources:
Centers for Disease Control and Prevention (2019). Sexually Transmitted Diseases. Retrieved from http://www.cdc.gov/std/treatment/
Unit 6
The resources below provide information on the topics for this unit.
Textbook Readings:
Women’s Health: A Primary Care Clinical Guide
- Chapter 17: “Breast Health”
Web Resources:
American Cancer Society. (2020). Non-cancerous Breast Conditions. Retrieved from www.cancer.org/healthy/findcancerearly/womenshealth/non-cancerousbreastconditions/non-cancerous-breast-conditions-toc
Komen, S. G. (2019). The Who, What, Where, When, and Sometimes Why. Retrieved from: http://ww5.komen.org/BreastCancer/AboutBreastCancer.html
Himes, D.O., Root, A.E., Gammon, A., Luthy, K.E. (2016). Breast Cancer Risk Assessment: Calculating Lifetime Risk Using the Tyler-Cuzick ModeL. The Journal of Nurse Practitioners, 12(9) 581-592. DOI: http://dx.doi.org/10.1016/j.nurpra.2016.07.027
Unit 7
Pain in the female pelvis can be caused by many conditions. These resources provide information on how to navigate the patient who complains of pelvic pain.
Textbook Readings
Women’s Health: A Primary Care Clinical Guide
- Chapter 16: “Common Gynecologic Pelvic Disorders”
Web Resources
American Academy of Family Physicians. (2016). Common Questions about the Evaluation of Acute Pelvic Pain. Retrieved from http://www.aafp.org/afp/2016/0101/p41.html
Unit 8
Pregnancy can be a time of joy and fear for the patient and family. This unit and the resources below provide you with information on changes considered normal or abnormal in pregnancy. In addition, you will care for the patient during the postpartum period, identifying lactation concerns and depression.
Textbook Readings
Women’s Health: A Primary Care Clinical Guide
Chapter 19: “Health Promotion and Assessment During Pregnancy”
Chapter 20: “Maternal Conditions Impacting Risk in Pregnancy”
Chapter 21: “Assessing Fetal Well-Being”
Chapter 22: “Postpartum and Lactation”. Topic: Guiding Your Women’s Health Exam
Web Resources:
Centers for Disease Control and Prevention. (2020). Breastfeeding. Retrieved from https://www.cdc.gov/breastfeeding/index.htm
The American College of Obstetrics and Gynecologists. (2019). Postpartum Depression. Retrieved from https://www.acog.org/Patients/FAQs/Postpartum-Depression
Unit 9
Pain in the female pelvis can be caused by many conditions. These resources provide information on how to navigate the patient who complains of pelvic pain.
Textbook Readings
Women’s Health: A Primary Care Clinical Guide
- Chapter 23: “Common Medical Problems: Cardiovascular through Hematological Disorders”
- Chapter 24: “Common Medical Problems: Musculoskeletal Injuries through Urinary Tract Disorders”
Web Resources:
Centers for Disease Control and Prevention (January 2020). Women and Heart Disease. Retrieved from https://www.cdc.gov/heartdisease/women.htm
World Health Organization (November 2019). Musculoskeletal Conditions. https://www.who.int/news-room/fact-sheets/detail/musculoskeletal-conditions
Unit 10
The need is growing to distinguish the various biological and psychosocial factors that may impact the mental health of women. The resources below provide information on common psychosocial conditions in women.
Textbook Readings:
Women’s Health: A Primary Care Clinical Guide
- Chapter 25: “Psychosocial Health Concerns for Women”
- Appendix C: “Selected Screening Tools for Women’s Health”
Web Resources:
National Institutes of Health. (2019). Women and Mental Health. Retrieved from http://www.nimh.nih.gov/health/topics/women-and-mental-health/index.shtml
American College of Obstetricians and Gynecologists (2019). Committee Opinion: Sexual Assault. Retrieved from http://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Health-Care-for-Underserved-Women/Sexual-Assault
Centers for Disease Control and Prevention (2018). Vital Signs: Prescription Painkiller Overdoses. Retrieved from https://www.cdc.gov/vitalsigns/prescriptionpainkilleroverdoses/index.html
World Health Organization (n.d.). Comprehensive Mental Health Action Plan 2013–2020. Retrieved from https://www.who.int/mental_health/action_plan_2013/en/ Topic: Guiding Your Women’s Health Exam
Rubric Title:
| MSN 20 point Discussion Rubric |
| Criteria 1 | Level III Max Points
Points: 4 |
Level II Max Points
Points: 3.2 |
Level I Max Points
Points: 2.4 |
Not Present
0 Points |
| Identification
(20%)
|
● Thorough identification of the importance of the subject matter to the individual, clinical, and professional.
● Supports discussion concepts through personal experience and evidence-based information. ● Submits a minimum of three posts, one initial and two responses to either the course faculty or peers, with thorough reflection and content. |
● Reflection of subject to self, clinical, and professional importance with minimal integration of evidence-based information.
● Submits two or more posts with some reflection and content. |
● Minimal reflection without reference to personal, clinical, or profession.
● Submits one or more posts that have minimal reflection or content. |
No Posts |
| Criteria 2 | Level III Max Points
Points: 12 |
Level II Max Points
Points: 9.6 |
Level I Max Points
Points: 7.2 |
Not Present
0 Points |
| Reflection/Participation/Knowledge
(60%) |
● Provides a well-written reflection that is clearly connected to the outcomes and clinical insight.
● Responds to at least two other student postings with a response that advances the discussion. ● Clear critical thinking acknowledges application, analysis, synthesis, and evaluation. ● Replies move the conversation forward. Makes a reply to a question asked in response to their own posting. ● Builds a focused argument. ● Asks new or related questions. ● Makes an oppositional or congruent statement that is supported by experience or research.
|
● Provides a well-written reflection and there is a clear connection to outcomes, but lacks clinical insight.
● Replies partially move the conversation forward. Makes a reply to question asked in response to their own posting. ● Some clear critical thinking acknowledges application, analysis, synthesis, and evaluation. ● Affirms statements or references to relevant research. ● Asks similar or related questions within the context of the conversation.
|
● Provides short reflection and there is a slight connection to outcomes.
● Student does not move the conversation forward within their own post or in their response to peer/faculty. ● Minimal critical thinking that acknowledges application, analysis, synthesis, and evaluation. ● Does not affirm or oppose statements in conversation. ● Does not pose or ask related question in the context of DB conversation. |
No Posts |
| Criteria 3 | Level III Max Points
Points: 4 |
Level II Max Points
Points: 3.2 |
Level I Max Points
Points: 2.4 |
Not Present
0 Points |
| Format/Style/APA/ Citations
(20%) |
● No grammar, word usage, or punctuation errors. Overall style is consistent with professional work.
● Writing style facilitates communication. ● Provides three references that are relevant to the content and published within the last five years. Topic: Guiding Your Women’s Health Exam
|
● Fewer than three grammatical errors.
● Provides less than three references that are relevant to the content and published within the last five years. ● Writing style facilitates some communication.
|
● More than three grammatical errors.
● Provides less than three references that are relevant to the content and published within the last five years. ● Writing style does not facilitate communication.
|
No Posts |
| Maximum Total Points | 20 | 16 | 12 | 0 |
| Minimum Total Points | 17 points minimum | 13 points minimum | 1 point minimum | 0 |
