Despite the common perception that medicine is becoming specialty driven, there are many reasons for primary care providers to offer women’s health procedures in an office setting. Women feel more comfortable having procedures done by prov- ers whom they already know and trust. Continuity of care is still valued by patients, who trust their primary care providers to work with them as collaborators in the decision-making process. Women have found that their options for care have become limited, not by their own decision, but by the lack of training of their p- vider. In rural areas, the barriers of time, expense, and travel often prevent many women from obtaining necessary care; yet many of the procedures that these women are requesting are relatively easy to learn. Positive experiences are shared by women who then refer friends and family by word of mouth. This book has been designed to assist not only the clinician performing the pro- dures covered, but also the office staff with setting up the equipment tray prior to p- forming the procedure and with preparing office documents and coding information needed to complete the procedure. Most procedures covered can be done with a mi- mum investment in equipment and require minimal training.
Confidently perform the most common office procedures with Procedures for the Primary Care Provider, 3rd Edition. This practical, spiral-bound reference provides step-by-step illustrated guidelines for basic and advanced office procedures commonly performed by Nurse Practitioners and Physician's Assistants. Each procedure follows a consistent format including a brief description of the procedure, a review of relevant anatomy and physiology, indications and contraindications, precautions, assessment, patient preparation, treatment alternatives, a list of equipment needed, and a step-by-step illustrated procedure. This third edition features nine new procedures, new illustrations, a more user-friendly full-color design, and much more. - Need-to-know coverage of the most common office procedures performed by NPs, PAs, and other primary care providers makes this book an excellent guide for clinicians who may not perform these procedures regularly. - Consistent procedure format includes a brief description of the procedure, a review of relevant anatomy and physiology, indications and contraindications, precautions, assessment, patient preparation, treatment alternatives, a list of equipment needed, and a step-by-step illustrated procedure. - Detailed illustrations (nearly 400 drawings and photographs) clearly demonstrate the steps of each procedure. - Step-by-step numbered guidelines for each procedure allow for quick reference. - An introductory chapter covers legal, educational, and reimbursement factors related to performing common office procedures. - Appendixes, including the Sample Checklist for Certification and the Sample Consent Form for Procedure, provide you with commonly used forms in an easy to access location.
Featuring over 1,300 full-color illustrations, this atlas is a comprehensive, hands-on guide to more than 100 medical procedures most commonly performed in an office setting. The book presents step-by-step instructions and illustrations for each procedure and discusses strategies for avoiding common pitfalls. Each chapter includes ordering information for necessary equipment or supplies, CPT codes, ICD-9 codes, global periods, and average U.S. fees for each procedure. Some chapters also refer the practitioner to patient education handouts that will appear online. A companion Website will offer the fully searchable text, over 100 patient education handouts, and videos of ten common procedures.
Text provides comprehensive coverage of women's health information. Reflects the latest research and discusses pregnancy, hormone replacement therapy, and frequently encountered medical problems.
This book provides primary care physicians and their medical teams with the detailed information they need to offer a full range of women’s health procedures to their patients. Many primary care providers offer women’s health procedures in an office setting for a variety of reasons, from the value placed on continuity of care to the lack of access to specialty care that patients may experience in rural areas. Each chapter in this book is written by a primary care physician and outlines one women’s health procedure and its background information, indications, contraindications, complications, equipment, procedure steps, an office note, patient instructions and a patient handout. Tricks, helpful hints, key points, discussion questions, algorithms, and a wealth of illustrations are included through the book. This second edition is fully updated with the latest procedures and guidelines, ICD 10 coding information, and three new chapters on population health, contraceptive choice, and insertable contraceptive removal. Primary Care Procedures in Women’s Health, Second Edition, is an ideal reference for all providers—including family physicians, general internists, residents, nurse practitioners, nurse midwives and physicians assistants—to be competent and comfortable performing a spectrum of office-based, women’s health procedures.
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
This holiday themed release offers five religiously themed stories about Christmas, offering lessons about life and spirituality. Among the stories offered in the program are Oh Little Town of Bethlehem, Don't Forget the Baby Jesus, The Christmas Tree, Dear Santa, and The First Christmas. ~ Cammila Collar, Rovi
Helps readers understand the principles of health care and management for diverse types of delivery systems and the role of ob-gyns and other providers in hospital and office practice.
The delivery of high quality and equitable care for both mothers and newborns is complex and requires efforts across many sectors. The United States spends more on childbirth than any other country in the world, yet outcomes are worse than other high-resource countries, and even worse for Black and Native American women. There are a variety of factors that influence childbirth, including social determinants such as income, educational levels, access to care, financing, transportation, structural racism and geographic variability in birth settings. It is important to reevaluate the United States' approach to maternal and newborn care through the lens of these factors across multiple disciplines. Birth Settings in America: Outcomes, Quality, Access, and Choice reviews and evaluates maternal and newborn care in the United States, the epidemiology of social and clinical risks in pregnancy and childbirth, birth settings research, and access to and choice of birth settings.
This is the only truly comprehensive advanced text for the assessment of women's health, written for such primary care providers as nurse practitioners, physician assistants, and certified nurses;midwives. It encompasses both foundational and cutting-edge physical and psychosocial information in a clear and concise outline format, and is unique in its presentation of more advanced techniques and procedures not addressed in standard graduate assessment texts. Keeping pace with the expanding scope of advanced practice, the third edition provides several completely new chapters authored by renowned specialists, expanded chapters, and updates. This includes new information on contraception, domestic violence, health history of special populations, lesbian health, evaluation of the pelvic floor, aging and menopause, bleeding irregularities, infertility, skin aesthetics, pelvic pain, and health guidelines. With an integrated approach to treatment, the authors delineate the expanded roles of advanced health care providers, including guidance for situations when a practitioner must decide whether to act independently, co-manage, consult, or refer. The authors provide in-depth descriptions enhanced by plentiful tables and figures of each assessment skill and technique along with its underlying rationale. Basic techniques are augmented by the inclusion of possible alterations for a particular procedure. On a continuum from simple to complex, the text is divided into 11 units that cover basic women's health assessment down to the cellular level, health history, prenatal assessment, investigative procedures including sonohysteroscopy and simple cystometrogram, and several chapters on specific women's health concerns. A special chapter on urinary incontinence includes diagnosis of bladder dysfunction. Sample assessment forms are integrated throughout, as are comprehensive lists of equipment required for each procedure along with information on patient preparation and follow-up. New to the Third Edition: Updated assessment guidelines New chapters on lesbian health, dysfunctional uterine bleeding, polycystic ovarian syndrome, skin aesthetics, and pelvic pain Information on new contraception devices New information on domestic violence, health history of special populations, and vaginal microscopy Cervical cancer screening, menopause assessment, and osteoporosis screening Expanded information on evaluation of the pelvic floor Expanded information on aging and menopause Updates on infertility and information on BRCA gene testing Key Features: Provides detailed descriptions of advanced assessment techniques enhanced with plentiful tables and figures Presents the rationale for all assessments and procedures Delineates clinical procedures on the leading edge of the expanded role of the advanced practice clinician Includes unique chapters about selection and insertion of the vaginal pessary, intrauterine insemination procedure, and donor insemination Covers such advanced skills as vulvar exam and biopsy, endometrial biopsy, acrochordonectomy, polypectomy, and colposcopy
