Reference no: EM132219963
Question: Comprehensive exams in women's health need to
As with any assessment, the chief complain is often what drives what our questions are and what clinical pathways we explore. With women's health that approach is not any different, as we need to explore the "what was", "what is" and "what will be" for the patient. The comprehensive assessment is one that is longer in nature and normally saved for the first visit, as if this patient will be a returning patient a more focused examine comes during their following appointments. The follow is a "blanket" comprehensive assessment that can be tweaked for any patient (Elson, 2008);
1. Chief complaint (is this a focused complaint or a first meeting or annual meeting)
2. History of present illness
3. Menstrual History
i. Age at menarche
ii. Last menstrual period
iii. Menstrual characteristics
• Length
• How long is flow
• Amount of flow
4. Other symptoms? (breast tenderness, pelvic pain, etc)5
5. Pain?
6. Intermenstrual bleeding
7. Perimenopause/menopause
i. Bleeding pattern
ii. Vasomotor symptoms
8. Contraception
i. Current method; is it working?
ii. Previous method; any complications and reason for change
9. Cervical and vaginal cytology
i. Results and date of most recent pap
ii. Hx of abnormal paps? Why? Treatment?
10. Infections
i. Hx of STD?
ii. Hx of vaginitis (types, frequency and treatment)
iii. Hx of PID
11. Fertility/infertility
i. Any desire for future?
ii. Difficulty conceiving? Treatments in past?
12. Sexual hx
i. Type
ii. Concerns about libido, orgasm, dyspareunia
iii. Any hx of abuse? Assault?
13. Obstetric hx
i. Describe each pregnancy and outcome
ii. Any maternal, fetal or neonatal complications?
14. Past medical history
i. Current and past illnesses
ii. Hospital admissions
iii. Surgical hx
• GYN and Non-gyn
iv. Medications/allergies
• OTC, prescribed, herbal
• Allergies to meds, food, environment and reactions?
15. Family hx
i. Significant illnesses of family
ii. Hereditary concerns
16. Social hx
i. Relationship status
ii. Level of education
iii. Occupation
17. R.O.S.
18. Abdomino-pelvic
i. GYN
ii. GI
iii. GU
19. Breast
20. Others
Health Maintenance
1. Smoking, alcohol use, drug use
2. Diet
3. Supplement intake
4. Exercise
5. Regular screenings (mammo, pap, colonoscopy)
6. Immunizations and dates
Health maintenance is very important for all ages when related to women's health. The following are some ideas of health maintenance for each age group (Well-Woman Recommendations, 2018);
1. Adolescents
• If sexually active the patient should have discussion with provider on sexually transmitted diseases and contraceptive use
• Drugs and alcohol use
• Peer pressure with sexual situations
2. Childbearing
• Annual blood work to identify challenges in anemia, TSH, Cholesterol and minerals.
• Breast self-awareness
• Reproductive health plan
• Imitate partner violence
3. Peri-menopausal
• Hormone therapy
• Mammograms
• Advance directives
• Problems with sexual encounters (pain, dry, etc)
1. Menopausal
• Sleep patterns
• Changes of the body (hair growth, hormonal changes, sexual changes)
• Breast self-awareness
2. Geriatric Women
• Sexual function
• Injury prevention
• Neglect/abuse