Primary Care of Women: A Guide for Midwives and Women's Health Providers

by Hackley, Barbara K.; Kriebs, Jan M.; Rousseau, Mary Ellen

• ISBN13: 9780763716509
• ISBN10: 0763716502
• Format: Paperback
• Copyright: 2006-05-12
• Publisher: Jones & Bartlett Learning

Summary

This text presents primary care information for the women's health scope of practice, including management of common health problems, lifestyle changes, prevention, immunizations, and the presentation and management of complications in pregnancy. Features: Real life care approach In-depth coverage of women's health concerns Easy-to-use tables summarizing diagnostic possibilities

Table of Contents

CONTRIBUTORS	xi
PREFACE	xv
ACKNOWLEDGMENTS	xvii
Chapter 1: Defining Primary Care	1	(10)
By Jan M. Kriebs
Midwives as Primary Care Providers	2	(1)
Midwives and the Provision of Primary Care	2	(2)
Common Health Problems in Primary Care	4	(1)
Disparities in Health Care	5	(1)
Cultural Competence in Practice	6	(2)
Conclusion	8	(3)
Chapter 2: Immunizations	11	(50)
By Barbara Hackley
Immune Response	11	(1)
Types of Vaccinations	12	(1)
Vaccine Safety	12	(6)
Communicating Vaccine Risk	18	(6)
Principles of Vaccination	24	(18)
Immunization in Special Populations	42	(2)
Commonly Used Adult Vaccines	44	(11)
Vaccines: The Future	55	(6)
Chapter 3: Health Screenings	61	(30)
By Barbara Hackley
Principles of Screening	62	(1)
Accuracy of Screening Tests	63	(1)
Impact of Disease Prevalence	64	(1)
Biases in Screening Tests	65	(2)
Recommendations of Various Organizations	67	(1)
Conclusion	68	(23)
Chapter 4: Environmental Health	91	(24)
By Donna Vivio
Why Midwives?	91	(1)
The Clinical Setting	92	(5)
Environmental and Patient Care Issues and Foundation	97	(11)
Conclusion	108	(7)
Chapter 5: Antibiotics	115	(24)
By Valerie A. Roe
Microbiology	116	(1)
Antibiotic Classifications	117	(15)
Antimicrobial Resistance	132	(2)
Summary	134	(5)
Chapter 6: Obesity and Weight Management	139	(54)
By Diane Berry and Kimberly Whitfill
Etiology of Obesity	140	(1)
Pathophysiology of Obesity	141	(1)
Office-Based Obesity Care	142	(7)
Associated Disease Risks and Management	149	(2)
Management of Obesity	151	(17)
Obesity and Pregnancy	168	(7)
Example of an Exercise Program	175	(18)
Chapter 7: Violence Against Women and Children	193	(20)
By Patricia A. Paluzzi
Child Abuse and Neglect	193	(4)
Rape,or Sexual Assault	197	(1)
Intimate Partner Violence	198	(10)
Danger Assessment and Safety Planning	208	(1)
Other Important Aspects of Caring for Abuse Survivors	209	(2)
A Final Note for Clinicians	211	(2)
Chapter 8: Substance Abuse	213	(36)
By Thomas Kidder and Barbara Hackley
Use, Abuse, or Addiction? A Continuum	214	(1)
Common Drugs of Abuse and Their Impact	215	(1)
Substance Abuse during Pregnancy	216	(6)
Historical Understanding of Addiction: Explanatory Models	222	(2)
Drug Addiction: A Treatable Brain Disease	224	(1)
Diagnosis of Substance Abuse	225	(5)
Treatment Options	230	(9)
Nicotine Addiction	239	(1)
Conclusion	240	(9)
Chapter 9: Mental Illness in Primary Women's Health Care	249	(64)
By Ruth E. Johnson
Presentations of Mental Illness Throughout the Life Cycle	250	(2)
Mental Disorders Commonly Seen in Primary Care	252	(25)
Assessment of Mental Illness	277	(6)
Midwifery Management of Common Mental Disorders	283	(30)
Chapter 10: Headache	313	(26)
By Diane C. Viens
Definitions and Epidemiology	313	(2)
Pathophysiology	315	(2)
Assessment of the Woman with Headache	317	(1)
Physical Examination in a Woman with Headache	317	(2)
Diagnostic Tests for the Woman with Headache	319	(1)
Chronic Daily Headache (CDH)	319	(3)
Treatment of the Woman with Migraine	322	(4)
Acute Migraine Medications	326	(3)
Behavioral and Physical Treatments	329	(1)
Treatment for Tension-Type Headache	330	(1)
Women and Headaches	331	(1)
Treatment for Menstrual Migraine	332	(1)
Treatment for Peri-/Menopausal Migraine	333	(1)
Migraine and Pregnancy	334	(2)
When to Consult	336	(1)
Conclusion	336	(3)
Chapter 11: Common Conditions of the Eye and Ear	339	(44)
By Mary Ellen Bouchard
The Eye	339	(16)
The Ear	355	(28)
Chapter 12: Asthma and Allergy	383	(46)
By Barbara Hackley
Asthma	383	(27)
Allergies	410	(19)
Chapter 13: Respiratory Conditions	429	(52)
By Karen A. Stemler
Common Symptoms	429	(4)
Management of Specific Respiratory Conditions	433	(48)
Chapter 14: Cardiovascular Disease in Women	481	(46)
By Eileen Barrett Wyner, Julie Marfell, Deborah Karsnitz, and Mary Ellen Rousseau
Risk Identification	481	(2)
Hypertension	483	(17)
Hyperlipidemia	500	(11)
Chest Pain	511	(5)
Heart Sounds	516	(3)
Varicose Veins	519	(2)
Deep Vein Thrombosis	521	(2)
Conclusion	523	(4)
Chapter 15: Anemias	527	(32)
By Kimberly Updegrove
Physiology	528	(1)
Hemoglobinopathies	529	(2)
Classification of Anemia	531	(3)
Routine Screening	534	(2)
Clinical Presentation	536	(1)
Essential History, Physical Examination, and Laboratory Data	537	(5)
Treatment	542	(13)
Physiology of Pregnancy and Anemia	555	(1)
Conclusion	556	(3)
Chapter 16: Endocrine	559	(38)
By Melissa D. Avery and Karyn D. Baum
Thyroid Disorders	559	(17)
Diabetes	576	(21)
Chapter 17: Gastrointestinal	597	(82)
By Diane Angelini, Diane Hodgman, and Edie McConaughey
Health History and Physical Assessment	597	(5)
Nausea and Vomiting	602	(6)
Diarrhea	608	(2)
Constipation	610	(2)
Gastroesophageal Reflux Disease	612	(5)
Gallbladder Disease	617	(6)
Gastritis	623	(2)
Pancreatitis	625	(6)
Peptic Ulcer	631	(3)
Bowel Obstruction	634	(2)
Abdominal Aortic Aneurysm	636	(1)
Inflammatory Bowel Disease	637	(5)
Irritable Bowel Syndrome	642	(6)
Appendicitis	648	(5)
Diverticular Disease	653	(3)
Intestinal Worms	656	(2)
Rectal Bleeding	658	(21)
Chapter 18: The Abdomen: Kidney, Bladder, and Reproductive Problems	679	(40)
By Diane Hodgman, Edie McConaughey, and Diane Angelini
Urinary Tract Infections	679	(1)
Lower Urinary Tract Infections	680	(12)
Upper Urinary Tract Infections	692	(5)
Pregnancy Considerations	697	(2)
Interstitial Cystitis	699	(2)
Midwifery Management	701	(1)
Pelvic Pain	702	(1)
Endometriosis	702	(2)
Ectopic Pregnancy	704	(3)
Ovarian Mass	707	(1)
Ovarian Cancer	708	(3)
Ovarian Torsion	711	(1)
Conclusion	712	(7)
Chapter 19: Breast Health and Disease	719	(34)
By Mary Ellen Rousseau
Clinical Presentation	719	(1)
Essential History, Physical, and Laboratory Evaluation	720	(9)
Management of Specific Conditions	729	(8)
Breast Cancer	737	(1)
Breast Cancer in Perspective	738	(6)
High-Risk Women	744	(1)
Breast Cancer Screening and Controversies	744	(4)
Missed Diagnosis	748	(1)
Conclusion	749	(4)
Chapter 20: Cervical and Ovarian Cancer Screening	753	(32)
By Margaret W. Beal and Molly Fey Persinger
Cervical Cancer Screening	753	(23)
Ovarian Cancer Screening	776	(4)
Conclusions	780	(5)
Chapter 21: Musculoskeletal Conditions	785	(24)
By Todd Ambrosia and Jan M. Kriebs
Structures of the Musculoskeletal System	785	(1)
Assessment	786	(1)
Low Back Pain	787	(4)
Sprain Injuries	791	(1)
Costochondritis	792	(1)
Carpal Tunnel Syndrome	793	(2)
Scoliosis	795	(1)
Arthritic Conditions	796	(5)
Osteoporosis	801	(4)
Conclusion	805	(4)
Chapter 22: Dermatology	809	(56)
By Mary Ellen Rousseau
The Skin	809	(1)
Burden of Skin Diseases	809	(1)
Racial Differences	810	(1)
Clinical Presentation	811	(3)
Tests and Laboratory Evaluations	814	(1)
Classifications of Dermatologic Conditions	815	(2)
Conditions of Pregnancy	817	(3)
Genital Lesions	820	(4)
Eczematous Disorders	824	(5)
Diseases of the Sebaceous and Apocrine Glands	829	(2)
Disorders of Hair Follicles	831	(2)
Fungal Infections	833	(2)
Bacterial Infections	835	(2)
Viral Infections	837	(3)
Infestations	840	(2)
Benign Skin Tumors and Conditions	842	(2)
Disorders of Blood Vessels	844	(1)
Nail Disorders	845	(1)
Pigment Disorders	846	(1)
The Skin and Aging	847	(1)
Premalignant and Malignant Skin Tumors	848	(5)
Management of Common Conditions	853	(6)
Conclusion	859	(6)
Chapter 23: Infectious Diseases in Women	865	(40)
By Jan M. Kriebs
Vaginal Ecology	865	(1)
Counseling and Testing for Infectious Diseases	866	(1)
History/Review of Systems	867	(1)
Physical Examination	868	(1)
In Office Laboratory Testing	869	(1)
Infections Characterized by Discharge	870	(9)
Mucopurulent Cervicitis	879	(3)
Infections Characterized by Lesions	882	(8)
Pelvic Inflammatory Disease	890	(2)
Hepatitis and HIV as Sexually Transmitted Diseases	892	(5)
Safer Sex and Prevention of STD Transmission	897	(8)
Index	905