Women's Health and Violence Flashcards
Mood
client’s perspective and enduring emotional state
Sexuality
A critical component of human identity and well-being, sexuality encompasses biological sex, sexual activity (including pleasure, intimacy, and reproduction), gender identities and roles, and sexual orientation
Affect
The outward expression of the client’s emotional state
Vulva
- covering of female reproductive organs
- purpose: Protect urethral and vaginal openings, Sensitive to touch during intercourse
Vagina
- Canal that connects the cervix to the vulva
- menstruation comes out here
Uterus
- Thick Walled
- Fetus is held in here till birth
Fallopian Tube
- hollow tubes
- egg and sperm meet
- fertilized egg moves down to uterus with help of cilia
Ovaries
- Female sex hormones are produced here
- two glands create eggs here
Breast
- two mammary glands
- Purpose: Secrete milk following pregnancy & for sexual stimulation and Composed of glands (alveolar) and ducts (lactiferous)
Mammary glands develop during puberty for women T or F
True, males stay dormant
Aerola gets lighter during pregnancy so baby can see the breast T or F
False, areolas get darker
Subjective data of assessment of breasts
- History of present health concern
- personal health history
- family history
- lifestyle and health practices
Objective data of assessment of breasts
- inspect size, symmetry, areolas, nipples, retraction, dimpling
- Palpate texture, elasticity, tenderness, temp, masses
Most common spot for breast cancer
- axillary tail of Spence
- towards the armpit area
How many times should you self-check your breast
once a month, or more
Patient teaching and prevention methods: breasts
- mammography and thermography
- health disparities? Ask more questions
Premenopause
- 2 to 8 years prior to menopause
- vasomotor symptoms> hot flashes, night sweats
- several therapies can help
- symptoms: hot flashes, night sweats, headaches, irregular period
Menopause
- universal and irreversible part of aging
- 1 year without a menstrual cycle
- average onset 50y.o
- ends the childbearing period
- effect on emotional welling, educate patients
- atrophy of female reproductive organs
Genitourinary assessment and teaching
- First get history intake> ask questions!!
- Assessment> usually done by provider, nurses help out
- teaching and screenings
- Pap smears, start 21+, every 3 years
Focused history questions
- any problems urinating?
- noticed any new smells or discharge?
- are you sexually active?
- frequency of menstrual period
- Ever had a misscarriage?
- When was your last menstraul period?
- How many partners do you have?
Common Vasomotor symptoms for pre/menopause
Night sweats and hot flashes
Common curable STI’s
- Syphilis
- Gonorrhea
- Chlamydia
- Trichomoniasis
Common incurable STI’s
- Hep B
- Herpes Simplex Virus(HSV)
- HIV
- HPV
Syphilis
- if left untreated can lead to disability and death
Gonorrhea
- second most common sti
- bacterial infection
- highly contagious
- increases risk for infertility, ectopic pregnancy, HIV
Chlamydia
- Most common STI in US
- highest rate in 15-19 y.o.
Herpes Simplex Virus(HSV)
- Recurrent, lifelong viral infection
- No cure
- May be on long-term antiviral
Human Papilloma virus(HPV)
- most common viral infection in the US
- preventable with a vaccine
The anatomy of females puts women at more risk T or F
TRUE
Possible complications of STI’s
-Pelvic inflammatory disease
- infertility
- cervical cancer
- ectopic pregnancy
- chronic pelvic pain
- death
Pelvic Inflammatory disease
- an infection-induced inflammation of the female upper reproductive tract
- frequently caused by untreated chlamydia or gonorrhea
- can cause pelvic abscesses, ectopic pregnancy, depression, subfertility, chronic abdominal pain
Detection, prevention, and treatment of STI’s
- Assess sexual behavior, assess risk for STI
- Screen for symptomatic and asymptomatic
- use barrier methods, limit the number of partners, abstinence, safe sex
- teach how to prevent STI’s> make sure they know how to
- create safe enviroment
Common signs of STI’s
- odorous or abnormal disharge
- itching
- pain with sex
- urinary frequency
- dysuria
Victims
- rarely describe selves as abused, battered women syndrome
- may feel they have a personality flaw
- many abused as children
Abuser
- feelings of insecurity, powerless, and helplessness
- refusal to share power, violence to control victim
Violence against women definition
any act of gender-based violence that results in or is likely to result in physical, sexual, or mental harm or suffering to women
Cycle of violence
Phase 1: tension-building> arguing begins
Phase 2: Acute battering> physical abuse take place
Phase 3: Honeymoon> calm/sorry/won’t do again
Types of abuse
- Emotional abuse
- Physical abuse
- Financial abuse
- Sexual abuse
IPV
Intimate partner violence
Intimate Partner violence
- Actual or threatened physical or sexual violence, or psychological-emotional abuse
- includes threatened physical or sexual violence when the threat is used to control a persons actions
- Women are very vulnerable to IPV during pregnancy
Types of sexual violence
- Intimate partner violence(IPV)
- Human trafficking
- incest
- female genital cutting
- prostitution
- sexual assault
- exploitation
rape
penetration of the vagina or anus with any body part or object, or oral penetration by a sex organ of another person without the consent of the victim
Acquaintance rape
Forced sex by a person the victim knows
Date rape
assault occurs within a dating or marriage situation
Statutory rape
sexual activity between an adult and person under 18 years
Nursing Management of rape victims
- early intervention and immediate counseling
- supportive care
- evidence collection and documentation
- STI assessment
- pregnancy prevention
- PTSD assessment
Human trafficking
- the recruitment, transportation, harboring, or receipt of persons
- global and domestic problem
- victims primarily women and children
Nursing management of abused victim
ASSESSMENT:
routine screening for indicators of abuse, isolation if suspected of abuse, direct/ indirect questions, safety assessments
Nursing management of abused victim
INTERVENTION:
- goal to enable victim to gain control of life
- educate the woman about community services
- offer a safety plan
- provide emotional support
- DOCUMENT EVERYTHING
