6551 Midterm Study Guide #1 Alcohol Abuse Among Women
7 views 0 purchase
Course
6551 Midterm Study Guide
Institution
Chamberlain College Of Nursing
6551 Midterm Study Guide
#1 Alcohol Abuse Among Women
• The USPSTF (2014a) assigns a “B” recommendation to screening all adults age 18 and older (including pregnant women) for alcohol misuse; screening adolescents younger than age 18 has been assigned an “I statement”.
• Most of al...
6551 midterm study guide 1 alcohol abuse among women
Written for
Chamberlain College Of Nursing
6551 Midterm Study Guide
All documents for this subject (1)
Seller
Follow
GradeProfessor
Reviews received
Content preview
6551 Midterm Study Guide
6551 Midterm Study
Guide
#1 Alcohol Abuse Among Women
• The USPSTF (2014a) assigns a “B” recommendation to screening all adults age 18 and
older (including pregnant women) for alcohol misuse; screening adolescents younger
than age 18 has been assigned an “I statement”.
• Most of all recent research regarding effects of alcohol has been conducted on males
• Smaller amounts of alcohol is associated with more severe damage to a women
• Alcohol consumption is considered hazardous for a women who has either more
than seven drinks per week or more than three drinks per day.
• Women who consume more than seven drinks per day are considered at risk for
developing AUD
• Alcohol misuse screening tools include the AUDIT or Abbreviated AUDIT-C instrument or
asking single questions.
• Ask patient, how many times in the past year have you had four or more drinks in a day?
#2 Feminist Perspective
• Feminist is a model of care that works with women as opposed to for women.
• Uses heterogeneity as an assumption, not homogeneity.
• Minimizes or exposes power imbalance.
• Rejects androcentric models as normative
• Challenges the medicalization and pathologizing of normal physiologic processes.
• Seeks social and political change to address women’s health issues.
• A feminist model supports egalitarian relationships and identifies the women as the
expert on her own body.
• The women is the center of this healthcare model
• Acknowledges the broader context in which women live their lives and the subsequent
challenges to their health as a result of living within a patriarchal society.
#3 Cultural Perspectives of Women
• Adolescents- Using a relational approach when providing care to adolescent females,
which is how adolescent females often define themselves. By asking questions such as
“Tell me about your friends or who you hang out with”.
• Early adulthood- Women at this age are facing childbirth and contraceptive issues,
intimate partner violence, substance abuse and stress.
• Midlife- Clinicians providing care for women in midlife need to promote healthy sexual
functioning and assess changes that may negatively impact desire.
• Older women- Some women become isolated. Elderly women contend with ageism and
sexism.
• Problems faced by Mexican and Central American women include feeding their families,
accessing formal health care.
• Undocumented migrant women also face problems with obtaining assistance with food
and health care due to the inability to seek assistance
• Veterans have increased risk for having been sexually assaulted, have post-traumatic
stress disorder and traumatic brain injury
• People who are assigned female sex at birth are natal females, those who are assigned
as males are considered natal males.
• Transgender woman is a natal male who has a female gender identity.
• A transgender man is a natal female who has a male gender identity
• Cisgender refers to someone whose gender identity matches their natal sex
• LBQ women and TGNC (Transgender and gender non-confirming) experience
1
,6551 Midterm Study Guide
interpersonal and institutional discrimination.
2
,6551 Midterm Study Guide
• LBQ and TGNC people face rejection of their families, their communities and spiritual
levels.
• LBQ and TGNC face the risk of not being involved with their partners in times of health
crises, or able to participate in medical decisions of their partners when incapacitated.
• LBQ and TGNC people are less likely to have insurance or be able to afford healthcare.
• TGNC persons are at higher risk for suicide and are 5 times at greater risk for depression
• Clinicians must create environments that are welcoming and nonthreatening to patients
of all gender identities and sexual orientations
• EMR must be able to identify the patient with their physical sex as well as their identified
sex
• Use open-ended and gender-neutral language
• Examinations must be based on anatomy and organs present, not the perceived
gender of the patient
• For Transgender men taking testosterone- provide a short course of vaginal estradiol
prior to vaginal examinations, as well as topical anesthetic to reduce pain.
• LBQ and TGNC youth are at an increased risk for violence, homelessness and substance
abuse than others of their age.
• Older adults of the LBQ and TGNC population are particularly vulnerable to abuse,
neglect and poverty.
• Some religions and restrictive family upbringings may alter a woman’s ideas
about sexuality and their ability to enjoy their sexuality.
• Black women experience menopause earlier than other women, an average age of
approximately 50 years.
• Caucasian and hispanic women have reported greatest number of
psychosomatic symptoms of menopause (moodiness, headaches, palpitations),
• African American women reported highest severity of vasomotor symptoms of
menopause
• Asian women reported problems with joint pain and stiffness, especially in the neck,
shoulders and back.
• Women who are migrant workers may not report IPV for fear of deportation.
• Migrant workers commonly have the belief that the woman is subordinate to the man
and not be aware of support services
• Domestic Violence is the leading cause of homicide in women globally
• Contraceptive considerations for couples that are part of cultural groups that prohibit
contraceptives:
a. A. Cervical mucus monitoring
b. B. Basal body temperature monitoring
c. C. Menstrual cycle charting
d. D. Ovulation sensations
e. E. Electronic hormonal fertility monitoring
• Native American women have the highest rates of rape and assault in the U.S. (Leik)
• Muslim women may refuse to undress and cannot be examined by a male practitioner
without her husband or another male of her family present.
#4 Tanner Stages
• A commonly used scale for assessing sexual maturity and pubertal development is
the Tanner scale, which for girls, relies on development of the breast and growth of
pubic hair. It divides sexual physical maturity into five stages that extend from
preadolescence to adulthood.
o Tanner Stage 1 (Prepubertal)
▪ Breast
• Papilla elevation only
3
, 6551 Midterm Study Guide
▪ Pubic Hair
• Villus hair only
• No coarse, pigmented hair
o Tanner Stage 2
▪ Breast
• Breast buds palpable and areolae enlarge
▪ Pubic Hair
• Minimal coarse, pigmented hair mainly on labia
o Tanner Stage 3
▪ Breast
• Elevation of Breast contour; areolae enlarge
▪ Pubic Hair
• Dark, coarse, curly hair spreads over mons pubis
▪ Other changes
• Axillary hair develops
• Acne Vulgaris develops
o Tanner Stage 4:
▪ Breast
• Areolae forms secondary mound on the Breast
▪ Pubic Hair
• Hair of adult quality
• No spread to junction of medial thigh with perineum
o Tanner Stage 5:
▪ Breast
• Adult breast contour
• Areola recesses to general contour of breast
▪ Pubic Hair
• Adult distribution of hair
• Pubic hair spreads to medial thigh
• Pubic hair does not extend up linea alba
#5 Primary prevention versus secondary prevention
• Primary Prevention: These services focus on preventing disease in susceptible populations.
Examples of primary preventive efforts include health education and counseling, and
targeted immunizations.
• Secondary Prevention: These services focus on early detection of disease states and
subsequent prompt treatment that will reduce the severity and limit the short- and long-
term sequelae of the disease. Routine laboratory screening is an example of secondary
prevention.
• Tertiary Prevention: These services limit disability and promote rehabilitation form clinical
disease states.
4
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller GradeProfessor. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.99. You're not tied to anything after your purchase.
