Women S Health In Clinical Practice

Even though slightly over half of the U.S. population is female, medical research historically has neglected the health needs of women. However, over the past two decades, there have been major changes in government support of women's health research-in policies, regulations, and the organization of research efforts. To assess the impact of these changes, Congress directed the Department of Health and Human Services (HHS) to ask the IOM to examine what has been learned from that research and how well it has been put into practice as well as communicated to both providers and women. Women's Health Research finds that women's health research has contributed to significant progress over the past 20 years in lessening the burden of disease and reducing deaths from some conditions, while other conditions have seen only moderate change or even little or no change. Gaps remain, both in research areas and in the application of results to benefit women in general and across multiple population groups. Given the many and significant roles women play in our society, maintaining support for women's health research and enhancing its impact are not only in the interest of women, they are in the interest of us all.

This text presents a compilation of current practices that includes evidence-based, traditional, and empiric care from a wide variety of sources. Each Guideline moves through problem identification and treatment using a standardized format for day-to-day clinical practice with diverse populations. The Guidelines are currently in use by many practices as a way of meeting the American College of Nurse Midwives (ACNM) recommendations, and are acceptable for collaborative practice with physician colleagues.

In the nineteenth century some scientists argued that women should not be educated because thinking would use energy needed by the uterus for reproduction. The proof? Educated women had a lower birth rate. Today's researchers can only shake their heads at such reasoning. Yet professional journals and the popular press are increasingly criticizing medical research for ignoring women's health issues. Women and Health Research examines the facts behind the public's perceptions about women participating as subjects in medical research. With the goal of increasing researchers' awareness of this important topic, the book explores issues related to maintaining justice (in its ethical sense) in clinical studies. Leading experts present general principles for the ethical conduct of research on womenâ€"principles that are especially important in the light of recent changes in federal policy on the inclusion of women in clinical research. Women and Health Research documents the historical shift from a paternalistic approach by researchers toward women and a disproportionate reliance on certain groups for research to one that emphasizes proper access for women as subjects in clinical studies in order to ensure that women receive the benefits of research. The book addresses present-day challenges to equity in four areas: Scientificâ€"Do practical aspects of scientific research work at cross-purposes to gender equity? Focusing on drug trials, the authors identify rationales for excluding people from research based on demographics. Social and Ethicalâ€"The authors offer compelling discussions on subjectivity in science, the evidence for male bias, and issues related to race and ethnicity, as well as the recruitment, retention, and protection of research participants. Legalâ€"Women and Health Research reviews federal research policies that affect the inclusion of women and evaluates the basis for researchers' fears about liability, citing court cases. Riskâ€"The authors focus on risks to reproduction and offspring in clinical drug trials, exploring how risks can be identified for study participants, who should make the assessment of risk and benefit for participation in a clinical study, and how legal implications could be addressed. This landmark study will be of immediate use to the research community, policymakers, women's health advocates, attorneys, and individuals.

Primary Care Nursing Series. All registered nurses are required to keep portfolios which demonstrate their competence in clinical practice in order to receive re-registration with the Nursing and Midwifery Council. In addition, they are encouraged to seek individual annual appraisals which highlight their progress and areas the require development. This book provides examples and ideas on how to document learning, competence, performance or standards of service delivery. Presented in an easy-to-read style, with practical suggestions to improve clinical care, it enables readers to expand their clinical knowledge as well as enabling them to demonstrate their level of expertise through portfolio work, focusing on the area of women’s health. It highlights the most appropriate evidence to prove competency and expertise, and provides the information to identify areas of strength and weakness, suggesting ways in which clinical care can be improved and explains how to gather evidence for clinical interactions and other aspects of daily work. All nurses working in primary care with an interest in women’s health, including practice nurses, health visitors, community midwives, school nurses, district nurses, occupational health nurses and sexual health nurses will find this book essential reading. For more information on other titles in this series please click here

This book clearly elucidates many of the key issues found in the disparate literature on sex-based differences in health and illness. It provides primary care clinicians with a practical, up-to-date source of information that can lead to optimal, targeted care for women. Among the topics examined in this comprehensive volume are treating and preventing osteoporosis, diabetes, cervical cancer, eating disorders, and more.

A unique and inspirational guide to the creation of an integrated medical education framework for family planning and reproductive health.

This manual-style reference presents the clinical skills needed to assess health and provide care to women of all of ages, with systematic reviews of all aspects of female mental and bodily health. The authors and contributors comprehensively cover female reproduction, anatomy, and physiology as examined at the cellular level. Also discussed are developmental, psychological, and sociocultural dimensions of women. Offering an integrated approach to women's health care, the authors delineate the roles and functions of various health care providers serving female patients, including physician's assistants, nurse midwives, and nurse practitioners. The chapters present assessment strategies that are on the leading edge of the expanded role of the advanced practice clinician. The chapter authors provide full, in-depth discussions of each assessment skill and technique as well as an understanding of the rationale behind each assessment. Key Topics Discussed: Health assessment: physical examinations, assessment of pregnant women, and assessment and clinical evaluation of obesity in women Female Reproduction: anatomy, physiology, and the reproductive cycle Contraceptive devices: the diaphragm, intrauterine contraception, and contraceptive implants Assessment of women at risk: domestic violence, STIs, and sexual assault Assessment of the infertile woman: initial evaluations, donor insemination, and more