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Guidelines for Nurse Practitioners in Gynecologic Settings 13/e

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A comprehensive, one-stop guide to gynecological health for busy clinicians

The 13th edition of this gold standard for the assessment and management of gynecological health is updated with a broad trove of new evidence-based information to promote the highest standards of clinical practice. With contributions from expert practitioner/educators, this edition encompasses key guidelines reflecting the most current best practices, several new or updated chapters, and two features designed to facilitate student learning and enhance primary care---30 case studies with Q&A for 15 chapters and updated education templates for input into electronic health records.

Guidelines are organized in concise outline format to promote easy access to commonly occurring gynecologic issues and clinical conditions. In addition to its value for clinicians specializing in the comprehensive care of women and individuals across the lifespan, this resource will be an asset to all graduate nursing programs preparing nurse practitioners in womens and gender-related health. Purchase includes online access via most mobile devices or computers.

New to the 13th Edition:

  • Extensively revised clinical guidelines and appendices representing the most current evidence-based information from research and national organizations
  • New chapters on care of sexual and gender minority individuals, adolescents, and older women; use of telehealth in gynecologic care; and women-specific pharmacology issues
  • Updated content on substance abuse and misuse and on best practices developed during COVID 19 pandemic
  • Enhanced mental health chapter focusing on pharmacological approaches
  • Updated guidelines for STIs, vaginitis, and vaginosis and prevention and management of HPV-associated cancers with links to ASCCP for ongoing updates
  • Guidelines for addressing vaccine hesitancy
  • Guidelines for care of individuals who have experienced sexual assault
  • Updated information on contraception, hormone therapy, menopause, and osteoporosis
  • Case studies with Q&A to help students/practitioners translate information into practice
  • Updated, customizable education templates for input into electronic health records with lay public-appropriate language

Key Features:

  • Evidence-based guidelines empirically proven to boost patient outcomes
  • Outline format ensuring quick and easy access to essential information
  • Online access to appendices presenting updated clinical resources, assessments, and screening tools
  • Online access to case studies and health record education templates to facilitate student learning

Heidi Collins Fantasia, PhD, RN, WHNP-BC, FNAP, FAAN, is an associate professor and department chair in the Zuckerberg College of Health Sciences, Solomont School of Nursing at the University of Massachusetts Lowell, and has been a board-certified womens health nurse practitioner since 1997. She has practiced clinically in a variety of settings including obstetrics/gynecology, primary care, and a Title X public health clinic. She is the author of more than 100 publications, including peer-reviewed manuscripts, books, book chapters, and editorials that focus on various aspects of womens and gender related health throughout the life span. Her research interests include the intersection of violence and the reproductive health of women, including violence screening, womens experiences of violence, issues surrounding sexual consent and coercion, and human trafficking. Dr. Fantasia previously served on the Board of Directors for the National Association of Nurse Practitioners in Womens Health from 2019-2021 and is the current editor of the journal Nursing for Womens Health. She is a Distinguished Practitioner and Fellow in the National Academies of Practice and a Fellow in the American Academy of Nursing. Dr. Fantasia received a bachelor of science in nursing from Salem State College in Salem, Massachusetts, and masters and doctoral degrees from Boston College in Chestnut Hill, Massachusetts. She completed a postdoctoral fellowship at Boston College prior to joining the faculty at the University of Massachusetts.

Allyssa L. Harris, PhD, RN, WHNP-BC, FNAP,is Dean and Professor of the College of Nursing at Prairie View A&M University, Houston, Texas. Formally Dr Harris was associate professor and program director for the Womens Health Nurse Practitioner program at the William F. Connell School of Nursing at Boston College. Dr. Harris has been a board-certified womens health nurse practitioner since 1996 and has practiced clinically in a variety of settings, including federally qualified community health centers and family planning agencies. She has authored numerous data-based and clinical publications. Dr. Harris program of research centers on reducing adolescent sexual risk behaviors. In particular, she is focused on understanding the role of parent–adolescent sexual communication on sexual risk behaviors. She has received awards for education from the New England Regional Black Nurses Association and the Inspiration in Womens Health award from the National Association of Nurse Practitioners in Womens Health. She is a member of the Honor Society of Nursing, Sigma Theta Tau International, the National Association of Nurse Practitioners in Womens Health, the Association of Womens Health, Obstetric, and Neonatal Nurses (AWHONN), and is a Distinguished Practitioner and Fellow in the National Academics of Practice. Currently, Dr. Harris is a member of the board of directors and secretary for National Association of Nurse Practitioners in Womens Health and is a member of the Editorial Advisory Board and a column editor for the journal Nursing for Womens Health. Dr. Harris received her associate degree in nursing from Gardner-Webb College, Boiling Springs, North Carolina, and her bachelors, masters, and doctoral degrees from Boston College.

Holly B. Fontenot, PhD, RN, WHNP-BC, FNAP, FAAN, is a professor, Research Director for Department of Nursing, and Frances A. Matsuda Chair in Womens Health at the School of Nursing at the University of Hawaii at Manoa. She has been a board-certified womens health nurse practitioner since 2000, and has practiced in multiple settings, including 10 years at the Sidney Borum Jr. Health Center, a program of Fenway Health. Fenway Health is a federally funded health center that focuses on providing quality/competent care for sexual and gender minority persons. Dr. Fontenot is also Adjunct Faculty at The Fenway Institute as well as an Associate Member at the University of Hawaii Cancer Center. She is a member of the CDC, Adult/Child Combined Immunization Workgroup and a nursing leader at the Society of Adolescent Health and Medicine. Prior to her move to Hawaii, Dr. Fontenot was the Program Director for the Boston College Womens Health Nurse Practitioner program for over 10 years. Her nationally funded program of research focuses on cancer prevention (with a particular focus on HPV associated cancers), adolescent and young adult vaccination, and adolescent health. Her work has enhanced care delivery associated with human papillomavirus (HPV) vaccination, HPV-associated cancer screening, and comprehensive adolescent health, including elucidating the importance of sexual and gender minority-affirming care on health outcomes. She has authored numerous national webinars/presentations and nearly 100 publications. Dr. Fontenot is a Distinguished Practitioner and Fellow in the National Academies of Practice and Fellow in the American Academy of Nursing. She is a member of numerous professional organizations including Sigma Theta Tau International and the National Association of Nurse Practitioners in Womens Health. Dr. Fontenot received her bachelor of science from the Georgia Baptist College of Nursing at Mercer University and her masters and doctoral degrees from Boston College.

Contributors

Preface

Acknowledgments

Springer Publishing ConnectTM Resources

PART I: WOMENS HEALTH: SPECIAL TOPICS

Chapter 1. Well-Patient Initial/Annual Gynecologic Exam

Chapter 2. Safe Practices for Clinicians

Chapter 3. Complementary and Alternative Therapies

Chapter 4. Substance Use and Misuse

Chapter 5. Weight Management

Chapter 6. Guidelines for Assessing Individuals Who Have Experienced Abuse, Violence, and Sexual Assault

Chapter 7. Special Populations

Chapter 8. Emotional and Mental Health

Chapter 9. Pharmacology and Womens Health

Chapter 10. Telehealth and Gynecologic Healthcare

PART II: GUIDELINES FOR CONTRACEPTION AND PRECONCEPTION CARE

Chapter 11. Methods of Contraception and Family Planning

  • Barrier Methods
  • Contraceptive Spermicides and Condoms
  • Emergency Contraception
  • Hormonal Contraception
  • Intrauterine Devices
  • Natural Family Planning
  • Sterilization

Chapter 12. Preconception Care

PART III: GUIDELINES FOR MANAGING WOMENS HEALTH CONDITIONS

Chapter 13. Breast Conditions

  • Breast Cancer Screening Guidelines
  • Abnormal Breast Discharge
  • Breast Mass
  • Mastalgia/Breast Pain

Chapter 14. Human Papillomavirus and Management of Cervical Abnormalities

  • Cervicitis
  • Human Papillomavirus
  • Routine Screening for Cervical Cancer

Chapter 15. Genitourinary Tract Conditions

  • Interstitial Cystitis/Bladder Pain Syndrome
  • Urinary Tract Infection

Chapter 16. Infertility

Chapter 17. Pelvic Floor Dysfunction

Chapter 18. Medical Abortion

  • Overview of Medical Abortion
  • Postabortion Care: Medical and Surgical
  • Postabortion Complications

Chapter 19. Menstrual Disorders

  • Abnormal Uterine Bleeding
  • Amenorrhea
  • Dysmenorrhea
  • Premenstrual Syndrome

Chapter 20. Gynecologic and Pelvic Conditions

  • Abdominal Pain (Generalized)
  • Acute and Chronic Pelvic Pain
  • Bartholins Cyst, Bartholinitis
  • Dysesthetic Vulvodynia
  • Endometriosis
  • Pelvic Mass
  • Uterine Leiomyomata (Fibroids)
  • Vulvar Conditions
  • Vulvar Dermatology

Chapter 21. Perimenopause and Postmenopause

  • General Care Measures
  • Hormone Therapy
  • Atrophic Vaginitis
  • Osteoporosis

Chapter 22. Polycystic Ovary Syndrome

Chapter 23. Sexual Dysfunction

Chapter 24. Sexually Transmitted Infections

  • Chancroid
  • Chlamydia trachomatis Infection
  • Condylomata Acuminata (Genital Warts)
  • Genital Herpes Simplex
  • Gonorrhea
  • Granuloma Inguinale
  • Hepatitis
  • HIV/AIDS
  • Lymphogranuloma Venereum
  • Molluscum Contagiosum
  • Pediculosis (Lice)
  • Pelvic Inflammatory Disease
  • Scabies
  • Syphilis
  • Trichomoniasis

Chapter 25. Vaginitis and Vaginosis

  • Normal Vaginal Flora
  • Bacterial Vaginosis
  • Candidiasis
  • Tips for Microscopic Examination

PART IV: CASE STUDIES AND EDUCATION TEMPLATES

Chapter 26. Case Studies

  • Case Studies 1A and 1B: Contraception (Chapter 11)
  • Case Studies 2A and 2B: Preconception Care (Chapter 12)
  • Case Studies 3A and 3B: Breast Conditions (Chapter 13)
  • Case Studies 4A and 4B: HPV and Cervical Abnormalities (Chapter 14)
  • Case Studies 5A and 5B: Genitourinary Tract Conditions (Chapter 15)
  • Case Studies 6A and 6B: Infertility (Chapter 16)
  • Case Studies 7A and 7B: Pelvic Floor Dysfunction (Chapter 17)
  • Case Studies 8A and 8B: Medical Abortion (Chapter 18)
  • Case Studies 9A and 9B: Menstrual Disorders (Chapter 19)
  • Case Studies 10A and 10B: Gynecologic Conditions (Chapter 20)
  • Case Studies 11A and 11B: Perimenopause and Postmenopause (Chapter 21)
  • Case Studies 12A and 12B: Polycystic Ovary Syndrome (Chapter 22)
  • Case Studies 13A and 13B: Sexual Dysfunction (Chapter 23)
  • Case Studies 14A and 14B: Sexually Transmitted Infections (Chapter 24)
  • Case Studies 15A and 15B: Vaginitis and Vaginosis (Chapter 25)

Chapter 27. "For Your Information": Education Templates for Electronic Records

  • Bacterial Vaginosis
  • Candidiasis (Monilia) Yeast Infection
  • Care After Abortion
  • Cervical Cap (FemCap)
  • Chlamydia trachomatis
  • Contraceptive Implant
  • Contraceptive Patch
  • Contraceptive Vaginal Ring
  • Cystitis (UTI)
  • Diaphragm
  • Genital Herpes Simplex
  • Genital Warts (Condylomata Acuminata)
  • Gonorrhea
  • Hormone Therapy
  • Intrauterine Device
  • Lice (Pediculosis)
  • Osteoporosis
  • Polycystic Ovary Syndrome
  • Preconception Care
  • Premenstrual Syndrome
  • Scabies
  • Smoking Cessation
  • Stress or Urge Urinary Incontinence
  • Syphilis
  • Trichomoniasis
  • Vaginal Contraceptive Sponge

APPENDIX A: Abuse Assessment Screen

APPENDIX B: Danger Assessment: Women with Male or Female Partners

APPENDIX C: HIV Risk Assessment

  • HIV Testing
  • HIV Prevention

APPENDIX D: Women and Heart Disease: Risk Factor Assessment

APPENDIX E: Endometrial Biopsy

APPENDIX F: Differential Diagnosis of Vaginitis and Vaginosis

APPENDIX G: Body Mass Conversion Table

APPENDIX H: Post Sexual Assault Care

Bibliographies

Index

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