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); olliChief complaint (is this a focused complaint or a first meeting or annual meeting)/liliHistory of present illness/lili Menstrual History olli Age at menarche/liliLast menstrual period/liliMenstrual characteristics olliLength/liliHow long is flow/liliAmount of flow/li/ol /li/ol /liliOther symptoms? (breast tenderness, pelvic pain, etc)5/liliPain?/liliIntermenstrual bleeding/liliPerimenopause/menopause olliBleeding pattern/liliVasomotor symptoms/li/ol /lili Contraception olliCurrent method; is it working?/liliPrevious method; any complications and reason for change/li/ol /liliCervical and vaginal cytology olliResults and date of most recent pap/liliHx of abnormal paps? Why? Treatment?/li/ol /lili Infections olliHx of STD?/liliHx of vaginitis (types, frequency and treatment)/liliHx of PID/li/ol /lili Fertility/infertility olliAny desire for future?/liliDifficulty conceiving? Treatments in past?/li/ol /liliSexual hx olliType/liliConcerns about libido, orgasm, dyspareunia/liliAny hx of abuse? Assault?/li/ol /liliObstetric hx olliDescribe each pregnancy and outcome/liliAny maternal, fetal or neonatal complications?/li/ol /liliPast medical history olliCurrent and past illnesses/liliHospital admissions/liliSurgical hx olliGYN and Non-gyn/li/ol /lili Medications/allergies olliOTC, prescribed, herbal/liliAllergies to meds, food, environment and reactions?/li/ol /li/ol /liliFamily hx olliSignificant illnesses of family/liliHereditary concerns/li/ol /liliSocial hx olliRelationship status/liliLevel of education/liliOccupation/li/ol /liliR.O.S./liliAbdomino-pelvic olliGYN/liliGI/liliGU/li/ol /liliBreast/liliOthers/li/ol 18.Health Maintenancediv style #button { background-color: #F05A1A; border: 5px; border-radius: 5px; color: white; padding: 5px 5px; text-align: center; text-decoration: none; display: inline-block; font-size: 13px; margin: 4px 2px; cursor: pointer; } /style div class=’alert alert-success’ h3Save your time – order a paper!/h3 p style=’font-size: 16px;’Get your paper written from scratch within the tight deadline. Our service is a reliable solution to all your troubles. Place an order on any task and we will take care of it. You won’t have to worry about the quality and deadlines a href=’/order’ id=’button’Order Paper Now/a /div/div olliSmoking, alcohol use, drug use/liliDiet/liliSupplement intake/liliExercise/liliRegular screenings (mammo, pap, colonoscopy)/liliImmunizations and dates/li/ol 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); olliAdolescents olliIf sexually active the patient should have discussion with provider on sexually transmitted diseases and contraceptive use/liliDrugs and alcohol use/liliPeer pressure with sexual situations/li/ol /liliChildbearing olliAnnual blood work to identify challenges in anemia, TSH, Cholesterol and minerals./liliBreast self-awareness/liliReproductive health plan/liliImitate partner violence/li/ol /li/ol Peri-menopausal olliHormone therapy/liliMammograms/liliAdvance directives/liliProblems with sexual encounters (pain, dry, etc)/li/ol /li/ul olliMenopausal olliSleep patterns/liliChanges of the body (hair growth, hormonal changes, sexual changes)/liliBreast self-awareness/li/ol /liliGeriatric Women olliSexual function/liliInjury prevention/liliNeglect/abuse/li/ol /li/ol Elson, N. B. (2008, July). emThe Gynecologic History and Examination/em. Retrieved from The Global Library of Womens Health: https://www.glowm.com/section_view/heading/TheGynecologicHistoryandExamination/item/3#3521 emWell-Woman Recommendations/em. (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