This accessible text expands on the recommendations of the American College of Obstetricians and Gynecologists' Well Woman Task Force (WWTF) to provide a practical guide to conducting a successful well-woman visit. Background chapters summarize the history of the WWTF and rationale and evidence supporting periodic health visits, explain the principles of early diagnosis and prevention, and offer advice on the practical side of conducting a visit, including considerations for special populations. Chapters detail each component of the visit, first explaining the scope of a problem, the rationale for screening or prevention, and the factors that alter a screening. The WWTF recommendations are then summarized and advice is offered on how to apply them. Case studies and advice on how to identify and assess new guidelines are also provided, ensuring providers are well-equipped to offer efficient and effective care.
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A practical guide to conducting a successful well-woman visit, based on the American College of Obstetricians and Gynecologists Well Woman Task Force recommendations.
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viii | |
| Introduction |
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1 | (4) |
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Section 1 General Principles |
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1 The Well-Woman Task Force |
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5 | (7) |
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2 Rationale for the Well-Woman Visit |
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12 | (6) |
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3 Principles of Early Diagnosis and Prevention |
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18 | (13) |
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4 Guidelines: Deciding What Belongs in the Well-Woman Visit |
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31 | (10) |
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5 Promoting Lifestyle Modification and Behavior Change in the Context of Shared Decision-Making |
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41 | (10) |
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6 Practical Aspects of the Well-Woman Visit |
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51 | (12) |
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7 Considerations for Medically Underserved Populations |
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63 | (19) |
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8 Paying for the Well-Woman Visit |
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82 | (13) |
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Section 2 Components of the Well-Woman Visit |
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Introduction -- Components of the Well-Woman Visit at Different Life Stages |
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95 | (1) |
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Section 2.1 Health Maintenance |
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95 | (32) |
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99 | (5) |
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10 Visual Acuity and Glaucoma |
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104 | (3) |
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11 Hearing Screening for the Well-Woman Visit |
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107 | (3) |
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12 Oral Hygiene and Oral Cavity Examination |
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110 | (5) |
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115 | (3) |
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14 Piercing and Tattooing |
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118 | (4) |
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15 Abdominal and Pelvic Examinations |
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122 | (5) |
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Section 2.2 Cardiovascular Health |
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127 | (5) |
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132 | (5) |
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Section 2.3 Metabolic and Nutritional Health |
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137 | (4) |
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141 | (4) |
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145 | (5) |
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21 The Metabolic Syndrome |
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150 | (5) |
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22 Iron Deficiency Anemia |
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155 | (3) |
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158 | (3) |
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161 | (6) |
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25 Hypothyroidism Screening |
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167 | (4) |
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Section 2.4 Urinary Tract Assessment |
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171 | (3) |
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174 | (3) |
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28 Pelvic Floor Disorders |
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177 | (4) |
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Section 2.5 Contraception and Reproductive Health |
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181 | (5) |
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186 | (4) |
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Section 2.6 Infectious Diseases |
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31 Hepatitis B and C Screening |
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190 | (5) |
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195 | (5) |
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33 Sexually Transmitted Infections |
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200 | (4) |
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Section 2.7 Cancer Screening and Prevention |
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204 | (4) |
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208 | (6) |
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214 | (5) |
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219 | (5) |
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224 | (8) |
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39 Genetic Screening for Cancer |
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232 | (7) |
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Section 2.8 Neurologic, Behavioral, and Psychosocial Health |
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239 | (8) |
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41 Domestic and Intimate Partner Violence |
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247 | (4) |
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251 | (3) |
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43 Screening for Tobacco or Nicotine Use |
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254 | (6) |
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260 | (6) |
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266 | (3) |
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46 Mental Health and Psychosocial Issues: Suicide and Behavioral Assessment |
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269 | (5) |
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274 | (6) |
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48 Neural Tube Defect Prevention |
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280 | (6) |
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286 | (3) |
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50 Preconception/Interconception Care |
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289 | (5) |
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| Index |
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294 | |
David Chelmow is Professor and Chair of Obstetrics and Gynecology (Ob/Gyn) at Virginia Commonwealth University and chairs the American College of Obstetricians and Gynecologists (ACOG) Practice Bulletins-Gynecology Committee. He is a past president of the Society for Academic Specialists in General Obstetrics and Gynecology and served on the ACOG Well Woman Task Force. He serves on the board of directors for the American Board of Ob/Gyn, the Council of University Chairs in Ob/Gyn, and the American Society for Colposcopy and Cervical Pathology. He is the editor-in-chief of the Medscape Ob/Gyn Reference and the SASGOG/Foundation for Exxcellence in Women's Health Pearls of Exxcellence. Anita Blanchard is a Professor of Obstetrics and Gynecology (Ob/Gyn) at the University of Chicago Medical Center. She has served as the residency program director since 2004 and is committed to educating our next generation of outstanding health care providers. She serves on the board of directors for the American Board of Ob/Gyn and the Foundation for Exxcellence in Women's Health. She is on the residency review committee for Ob/Gyn for the Accreditation Council for Graduate Medical Education. Lee Learman is Professor and Senior Associate Dean for Graduate Medical Education and Academic Affairs and Florida Atlantic University. He is a former chair of the Council on Resident Education in Obstetrics and Gynecology, and a former member of the Accreditation Council for Graduate Medical Education Ob/Gyn residency review committee. He is currently president of the Society for Academic Specialists in General Obstetrics and Gynecology, and co-leader of the Association of Professors of Gynecology and Obstetrics (APGO) Academic Scholars and Leaders Program. He was lead and senior author of two clinical research publications in Obstetrics and Gynecology winning the American Congress of Obstetricians and Gynecologists' Roy M. Pitkin Award (2004, 2009) and in 2007 received the Established Investigator Award from the American Educational Research Association. He has a career-long interest in medical education, doctor-patient communication and epidemiology, and his clinical niche is chronic pelvic pain.
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