Guidelines for Nurse Practitioners in Gynecologic Settings, Twelfth Edition

by Heidi Collins Fantasia PhD, RN, WHNP-BC, Allyssa L. Harris PhD, RN, WHNP-BC, Holly B. Fontenot PhD, RN, WHNP-BC, FAAN

Overview

Delivers the latest evidence-based guidelines you need to ensure excellence in clinical practice!

Now in its 12th edition, this authoritative resource continues to represent the gold standard for nursing management of common gynecological conditions for women throughout the life span. It includes contributions from prominent specialists focusing on specific areas of gynecological health, in addition to the vanguard contributions of three new lead Editors with decades of experience in varied health care settings.

The 12th edition is substantially updated with pivotal topics, current evidence-based practice guidelines, real-life case studies, and improved patient teaching materials that foster translation of information to practice. Clinical guidelines, appendices, and bibliographies are extensively revised to reflect the most current evidence-based information, research, and consensus from national health organizations. For qualified instructor’s, new PowerPoint slides and a transition guide for the 12th edition are included for ease of use in educational programs.

New and Revised Chapters:
• New section on women’s health: adolescents, sexual and gender minority persons, and individuals with mental health considerations
• Updated breast and cervical cancer screening guidelines
• Acute and chronic gynecologic conditions
• STIs and prevention and management of HPV-associated cancers
• Perimenopause and postmenopausal care

Key Features:
• Evidence-based guidelines, empirically proven to improve patient outcomes
• Outline format ensures quick and easy access to essential information
• Updated bibliography for each guideline, including relevant websites with additional resources
• Online access to seven appendices presenting updated clinical resources, assessments, and screening tools
• Two expanded chapters include online access to case studies and EMR education templates to facilitate student learning
• New PowerPoint slides for ease of use by qualified instructors
• Transition guide to assist instructors in incorporating new edition content into their courses

Product Details

ISBN-13:	9780826173270
Publisher:	Springer Publishing Company
Publication date:	03/01/2020
Sold by:	Barnes & Noble
Format:	eBook
Pages:	535
File size:	8 MB

About the Author

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 women's 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 women's 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, women's 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 Women's Health from 2019-2021 and is the current editor of the journal Nursing for Women's 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 master's 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 Women's Health Nurse Practitioner program at the William F. Connell School of Nursing at Boston College. Dr. Harris has been a board-certified women's 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 Women's Health award from the National Association of Nurse Practitioners in Women's Health. She is a member of the Honor Society of Nursing, Sigma Theta Tau International, the National Association of Nurse Practitioners in Women's Health, the Association of Women's 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 Women's Health and is a member of the Editorial Advisory Board and a column editor for the journal Nursing for Women's Health. Dr. Harris received her associate degree in nursing from Gardner-Webb College, Boiling Springs, North Carolina, and her bachelor's, master's, 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 Women's Health at the School of Nursing at the University of Hawaii at Manoa. She has been a board-certified women's 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 Women's 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 Women's Health. Dr. Fontenot received her bachelor of science from the Georgia Baptist College of Nursing at Mercer University and her master's and doctoral degrees from Boston College.

Table of Contents

Printed in the United States of America.

Contents

Contributors

Preface

Acknowledgment

PART I: WOMEN’S HEALTH: SPECIAL TOPICS

1. Well-Woman Initial/Annual Gynecologic Exam

2. Safe Practices for Clinicians

3. Complementary and Alternative Therapies

4. Substance Use and Abuse

5. Weight Management

6. Guidelines for Assessing Women Who Have Experienced Abuse and Violence

7. Care of Sexual and Gender Minority Individuals

8. Adolescent Sexual and Gynecologic Health

9. Women’s Emotional and Mental Health

PART II: GUIDELINES FOR CONTRACEPTION AND PRECONCEPTION CARE

10. Methods of Contraception and Family Planning

11. Preconception Care

PART III: GUIDELINES FOR MANAGING WOMEN’S HEALTH CONDITIONS

12. Breast Conditions

13. Human Papillomavirus (HPV) and Management of Cervical Abnormalities

14. Genitourinary Tract Conditions

15. Infertility

17. Medical Abortion

18. Menstrual Disorders

19. Gynecologic and Pelvic Conditions

20. Perimenopause and Postmenopause

21. Polycystic Ovary Syndrome

22. Sexual Dysfunction

23. Sexually Transmitted Infections

24. Vaginitis and Vaginosis

PART IV: CASE STUDIES AND EDUCATION TEMPLATES

25. Case Studies

26. “For Your Information”: Education Templates for Electronic Records

APPENDIX A: Abuse Assessment Screen

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

APPENDIX C: HIV Risk Assessment

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

Bibliographies

Index

Editorial Reviews

Reviewer: Rachel S Simmons, PhD, DNP, WHNP, ANP, PMHNP, IBCLC (WellMed at Dr. Phillips Outpatient Psychiatry Group)
Description: This book, now in its 12th edition, serves as an evidenced-based, quick reference for a diverse panel of healthcare clinicians seeking to provide comprehensive, holistic care to women. It presents a plethora of evidence-based, women-centered examples as written by experienced women's health nurse practitioners. Readers will find a compilation of common disease processes with defining criteria, etiologies, historical and physical findings, differential diagnoses, treatments, consultation guidelines, and follow up.
Purpose: Modern literature postulates that women are the gateway to the family. The family benefits when the lives of women are positively changed, particularly through improved health. Women's health continues to evolve to consider the diverse physical, psychological, and biopsychosocial health needs of females across the lifespan. All providers, especially women's health clinicians, must be prepared to address the wide-ranging and unique health needs of women in a variety of settings. Women deserve comprehensive, evidence-based gynecological, primary health, and mental health services based on the best evidence and practice standards, in accordance with patient and family values. Therefore, education, knowledge, and skill are needed to address the health needs of modern women in the 21st century. It is pertinent for providers to comprehend how disease uniquely presents and progresses in women, so clinical decision making can occur based on established knowledge, research results, and informed judgments. With that knowledge, providers may tailor unique treatment plans for women across the lifespan to deliver high-quality care. The purpose of this book is to provide core concepts of evidence-based and culturally relevant information to provide gynecological care for women. The authors wrote the book to offer creative, analytical, and nuanced approaches for delivering quality and compassionate care for patients identifying as female. Further, the authors prefaced the book by informing readers of the women-centered language included throughout the book. By prefacing gynecology as the language of women, the authors acknowledge the uniqueness of health-related problems specific to this gender. The authors meet the objectives of the book with the organization of content focused on a gamut of evidence-based and best practices for developing treatment plans for women's health in the clinical setting. Clinical research is complemented by several case studies ranging from contraception to vaginitis and vaginosis to enhance the critical thinking skills of the readers.
Audience: The authors purport this book is written for advanced practice registered nurses such as nurse practitioners, nurse midwives, clinical nurse specialists, physician assistants, or for role preparation of students. As a women's health and adult nurse practitioner with more than a decade of practice and teaching experience, I found this book particularly resourceful. When reviewing the literary talents of others, I consider whether the book was written from diverse perspectives and for erudite insight. This book contains diversity as it relates to diagnoses and treatment plans for a variety of patients. I learned new information regarding lesbian, gay, bisexual, transgender, and queer (LGBTQ) health, as members of this dynamic population identifying as female deserve access to women's health services. This book contains various manners to enhance communication with these clients, which may lead to improved clinical decision making and better outcomes for this vulnerable group. The authors' diverse recommendations are summarized from national organizations and leading authorities and are cited at the end of each section.
Features: The book is presented in an easy-to-read format that providers may utilize in the practice setting as a refresher or guide when providing comprehensive health services to patients who identify as female. It is succinctly and logically written and is the ultimate quick reference. It summarizes the standards, rules, and best practices for gynecological care. The best aspect is the specificity to women's health and gynecology. The writing is clear without subject matter ambiguity. The subtitles are further broken down to disease-specific processes. One shortcoming of the book is the inclusion of only one type of clinician—nurse practitioners—when the intended audience is nurse practitioners, clinical nurse specialists, nurse midwifes, physician assistants, and students. The authors could have changed the phrase "nurse practitioners" to "clinicians" or "providers" as this would encompass a diverse panel of women's health caregivers and is more inclusive.
Assessment: The evidence-based, diverse, and gender-specific content makes this a good reference book for medical providers caring for female-identifying patients. Educators tasked with providing women's health resources for students will find a compilation of best practices and women-centered information for women across the lifespan. The information in the book is compiled from national organizations and leading authorities in women's health. Medical professionals, educators, preceptors, and/or students will find an easily navigable book with clear objectives and examples of physical, psychological, social, cultural, and health-related problems for women. Women's health is outcomes-focused and time-sensitive. Up-to-date knowledge of women's health issues is required since best practices are continuously developing. Therefore, new editions of women-centered books will generate new knowledge, which will help to advance women's health and keep the focus on improving health outcomes for women. Nuanced women's health knowledge promotes equitable care for all identifying as female. As a women's health provider for more than a decade, actively practicing and teaching, I plan to add this book to my clinical resources for women. This book is relevant and advances women's health. The 12th edition includes new authors, which contributes to new perspectives. In addition, the updated 12th edition includes up-to-date and endemic challenges facing women such as substance abuse, gender identity, updated sexually transmitted disease guidelines and treatments, and nuanced contraception methods, which have changed since the previous edition. The newest edition is pertinent for up-to-date women's health. The book is compatible to other quick reference manuals with women's health information such as SOAP for Obstetrics and Gynecology, Uzelac (Wolters Kluwer, 2005). However, this current book is not as easily navigable or illustrative as another favorite quick reference titled Clinical Coach for Nurse Practitioners, Hensley and Williams (F.A. Davis Company, 2009), which offers quick tabs, color variances, alerts, and tables.

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