reply to jennifer
Comprehensive exams in women’s health need to
As with any assessment, the chief complain is often what drives what our questions are and what clinical pathways we explore. With women’s health that approach is not any different, as we need to explore the “what was”, “what is” and “what will be” for the patient. The comprehensive assessment is one that is longer in nature and normally saved for the first visit, as if this patient will be a returning patient a more focused examine comes during their following appointments. The follow is a “blanket” comprehensive assessment that can be tweaked for any patient (Elson, 2008); Chief complaint (is this a focused complaint or a first meeting or annual meeting) History of present illness Menstrual History Age at menarche Last menstrual period Menstrual characteristics Length How long is flow Amount of flow Other symptoms? (breast tenderness, pelvic pain, etc)5 Pain? Intermenstrual bleeding Perimenopause/menopause Bleeding pattern Vasomotor symptoms Contraception Current method; is it working? Previous method; any complications and reason for change Cervical and vaginal cytology Results and date of most recent pap Hx of abnormal paps? Why? Treatment? Infections Hx of STD? Hx of vaginitis (types, frequency and treatment) Hx of PID Fertility/infertility Any desire for future? Difficulty conceiving? Treatments in past? Sexual hx Type Concerns about libido, orgasm, dyspareunia Any hx of abuse? Assault? Obstetric hx Describe each pregnancy and outcome Any maternal, fetal or neonatal complications? Past medical history Current and past illnesses Hospital admissions Surgical hx GYN and Non-gyn Medications/allergies OTC, prescribed, herbal Allergies to meds, food, environment and reactions? Family hx Significant illnesses of family Hereditary concerns Social hx Relationship status Level of education Occupation R.O.S. Abdomino-pelvic GYN GI GU Breast Others
18.Health Maintenance Smoking, alcohol use, drug use Diet Supplement intake Exercise Regular screenings (mammo, pap, colonoscopy) Immunizations and dates
Health maintenance is very important for all ages when related to women’s health. The following are some ideas of health maintenance for each age group (Well-Woman Recommendations, 2018); Adolescents If sexually active the patient should have discussion with provider on sexually transmitted diseases and contraceptive use Drugs and alcohol use Peer pressure with sexual situations Childbearing Annual blood work to identify challenges in anemia, TSH, Cholesterol and minerals. Breast self-awareness Reproductive health plan Imitate partner violence Peri-menopausal Hormone therapy Mammograms Advance directives Problems with sexual encounters (pain, dry, etc) Menopausal Sleep patterns Changes of the body (hair growth, hormonal changes, sexual changes) Breast self-awareness Geriatric Women Sexual function Injury prevention Neglect/abuse
Elson, N. B. (2008, July). The Gynecologic History and Examination. Retrieved from The Global Library of Womens Health: https://www.glowm.com/section_view/heading/TheGynecologicHistoryandExamination/item/3#3521
Well-Woman Recommendations. (2018, January 5). Retrieved from The American College of Obstetricians and Gynecologists: https://www.acog.org/About-ACOG/ACOG-Departments/Annual-Womens-Health-Care/Well-Woman-Recommendations?IsMobileSet=false
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reply to jennifer was first posted on August 3, 2020 at 2:43 am.
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