1. Women’s Health Developed by D. Ann Currie, R.N.,M.S.N.

2. WOMEN’S HEALTH Health Promotion Prevention of Health problems Assessment of women Health Concerns of women Reproductive concerns Contraception Infertility Sexuality

3. WOMEN’S HEALTH Cont. STI’s Violence against women

4. HEALTH PROMOTION EARLY HEALTH CARE HEALTHY LIFESTYLE PRECONCEPTION CARE PRENATAL CARE WELL-WOMAN CARE FERTILITY CONTROL EDUCATION

5. Barriers to seeking health care Financial issues Cultural issues Gender issues

6. Conditions And Characteristics that increase health risks in women Age Social/cultural Health behaviors Smoking Substance use and abuse Nutrition Stress Sexual practices

7. Anticipatory Guidance for Health Promotion and Illness Prevention Nutrition Exercise Stress Management Substance Use Cessation Safer Sexual Practices Health Screening Health risk Prevention

8. Goal Maintaining Optimum Health is a goal for all Women

9. Knowlegde alone is not enough to bring about healthy behaviors

10. Essential components of health maintenance are identification of unrecognized problems and potential risks and the education and health promotion needed to reduce them.

11. Health Promotion Pender describes health promotion as the motivation to increase well-being and actualize health potential

12. Prevention Pender describes prevention as the desire to avoid illness, detect it early, or maintain optimal functioning when illness is present

13. Nutrition Nutritional deficiencies Obesity Eating Disorders other considerations

14. Physical Fitness and Exercise Exercise contributes to good health by lowering risks for a variety of conditions that are influenced by obesity and a sedentary lifestyle Exercise contributes to stress reduction and weight maintaince

15. Physical Fitness and Exercise Aerobic exercise produces cardiovascular involvement. Anaerobic exercise, such as weight training, improves individual muscle mass without stress on cardiovascular system. Weight- bearing aerobic exercises such as walking, running, dancing, or racket ball are need for cardiovascular and bone health

16. Physical fitness and exercise Breathing weight-bearing weight lifting alternative to weight lifting ***Kegel exercise*****

17. Physical Clinical Manifestation of Stress Headache Dizziness or faint feeling muscle tension Backache Grinding teeth Skin rash or hives Sweaty palms Indigestion Nausea, vomiting Diarrhea Constipation Loss of appetite Shortness ot breath Pounding heart Frequent colds Chest pain

18. Risks For Cancer Cervical Cancer Endometrial cancer Ovarian cancer Breast cancer Lung cancer Colon cancer Skin cancer

19. Risks for Cervical Cancer Early age of first sexual intercourse Cigarette smoking HPV Multiple sexual partners

20. Risks for Endometrial Cancer Nulliparity Unopposed estrogen therapy infertility diabetes mellitus early menarche late menopause Others

21. Risks for Ovarian Cancer Family history Having no children having children late in life

22. Risks for other gynecologic cancers Cancers of vulva and vagina have been link to HPV and HSV

23. Risks for Breast Cancer Family history Early Menarche Late menopause Nulliparity Having children late in life Estrogen therapy

24. Environmental and Workplace Hazards Pathogenic agents (viruses,bacteria,fungi,parasites) Natural and synthetic chemicals Natural toxins from animals, insects, and plants. Pesticides,hydrocarbons,tobacco,fuels,a nd drugs

25. Environmental and Workplace Hazards Cont. Radiation Food substances Physical objects Noise Temperature extremes Physical energy

26. STRESS MANAGEMENT Causes of stress: Work Family Health Finical problems Surroundings School- Nursing other

27. Substance Use Cessation Tobacco Alcohol Drugs Caffiene

28. Tobacco Use Cessation The Four A’s ASK ASSESS ADVISE ASSIST

29. National Groups Providing Information and Support for Chemical dependency Alcoholics Anonymous COCAINE hotline-1-800-cocaine Narcotics Anonymous National Alcohol and Drug Abuse Hotline- 1-800-2526465

30. Safer Sexual Practices Correct use of condoms Select sexual partners with extreme care. Ask partner about history of STI’s or Testing No exchange of body fluids- oral,genital,or rectal Use of spermicides containing nonoxynol-9 with condoms

31. Health Screening Physical Examination Diagnostic Tests/Laboratory Tests

32. Physical Examination Blood pressure Height and Weight Pelvic examination Breast examination Skin Examination Oral cavity examination Complete Physical examination

33. Diagnostic Tests Blood cholesterol level Papanicolacou smear Mammography Fecal occult blood test Sigmoidoscopy Colonoscopy Fasting Blood sugar Hearing screening eye examinatio STD screening TB skin test Endometrial biopsy Ultrasound of abdomen

34. Health Risk Prevention Prevention of injuries Prevention of diseases Education Implementing safety guidelines Immunizations

35. Prevention of injuries Common sense Wear seat belts in cars Wear Helmets when riding bikes, motorcycles or skating Drive safely Water safety Protection from sun Handle and store firearms appropriately Avoid dangerous situations Smoke alarms in houses Keep stairways clear

36. Prevention of disease WASH HANDS Immunizations Decrease Risk factors Healthy lifesytle Nutritional diet Exercise Reduce stress Safe sexual practices Annual physical examination Wash Hands