1 / 13

Safety: Responsible Sexual Behavior and Anticipatory Guidance

Safety: Responsible Sexual Behavior and Anticipatory Guidance. Perry pp. 5, 55-63. National Patient Safety Goals. NPSGs are generally directed toward improving health and decreasing the disparity (unfair differences) of access to health care.

aiko
Download Presentation

Safety: Responsible Sexual Behavior and Anticipatory Guidance

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Safety: Responsible Sexual Behavior and Anticipatory Guidance Perry pp. 5, 55-63

  2. National Patient Safety Goals • NPSGs are generally directed toward improving health and decreasing the disparity (unfair differences) of access to health care. • More specific goals for the maternal-child population are found on p. 5 • Specific directives for each of these goals can be found on the website. We will research these in class: www.health.gov/healthypeople

  3. Anticipatory Guidance • One of the nurse’s responsibilities is to promote health and reduce risk. • Some of the ways nurses can be involved is in the areas of substance abuse, health screening, decreasing health risks, violence against women and children (covered in NUR 212), and decreasing safety risks.

  4. Substance Abuse • Mrs. Hogan will cover this topic in more detail. • Stopping smoking is the greatest health issue we face in the effort to improve the health of women who both are and are not pregnant. • There are many avenues for stopping smoking, altho not all are appropriate during pregnancy. • The abuse of alcohol and drugs increase the risk of rape, accidents, STIs, and birth defects.

  5. Health Screening • Recommendations are found on p. 59 • We will concentrate on the pelvic exam, breast exam, mammography, Pap test. • Immunizations recommended for women in general are Td, MMR, Hep B, and influenza • During pregnancy, some immunizations are contraindicated (MMR, polio, C-pox) • Td, Hep B, and rabies are OK for pregnancy

  6. Pelvic Examination • External exam—view external structures • Bimanual exam—determines size, shape, mobility and tenderness of internal structures • Helps determine pregnancy; for placement of IUDs • Screens for abnormalities: • Structural disorders • Infections • Fistulas • Cysts, tumors • Cancerous lesions

  7. Breast Self-Exam (BSE) Can detect the 10-15% not detected by mammography • Examine monthly , preferably after period, beginning at age 20 • Clinical exam q3yr 20-40; qyr after 40 • Examine in shower with soap and water • Look at breasts in mirror, then raise arms • Put hands on hips; then lean forward • Use a method to palpate entire breast tissue, including tail of Spence

  8. BSE Techniques

  9. Mammography • Detects tumors using x-ray even before they are palpable (usually 1 cm-10 years) • Can show early cancer tissue changes if compared to previous x-rays • Yearly mammography starting at 40 (talk with MD if high-risk)

  10. Papanicolaou Test • Primarily for early detection of cancer cells, altho will also detect inflammation and some types of STDs. • Taken from cervix during pelvic exam using cervical spatula or cytology brush. • Microscopically examined for cellular changes. • Should begin at age 18 or as soon as sexually active. • No douching for 24 hours before test. Not done during menstruation.

  11. Decreasing Risk: General Guidelines • Focuses on vehicle safety, fire and water safety, protecting hearing, avoiding second-hand smoke, skin protection, and gun safety. • See p. 58, Box 4-10

  12. Decreasing Risk: Sexually Transmitted Infections • Decrease # partners • Know sexual hx of partner • Use condoms, spermicides • H2O based lubricants • Antiseptic mouthwash and handwashing • Voiding after sex • STD exams (2x yr), examine own genital area • Seek medical attention immediately if suspect infection

More Related