2.50
Hdl Handle:
http://hdl.handle.net/10755/308202
Category:
Abstract
Type:
Presentation
Title:
Re-designing the annual wellness visit
Author(s):
Cappiello, Joyce
Lead Author STTI Affiliation:
Eta Iota
Author Details:
Joyce Cappiello, PhD, FNP, joycec@unh.edu
Abstract:

Session presented on: Tuesday, November 19, 2013

Background: Recent changes with the Affordable Care Act defined essential preventive health measures.  Based on scientific evidence, screening intervals for certain cancers can be extended.  Both of these changes have contributed to the discussion regarding the lack of evidence for the annual pelvic exam in low risk, asymptomatic women.  This presentation presents options for re-designing the annual gynecological exam to a wellness visit better suited to meeting national health care benchmarks.

Purpose: The annual gynecological exam has focused on screening, evaluation, counseling, immunization review and healthy lifestyle recommendations.  To expand this visit to an even greater focus on wellness, a public health framework of primary prevention is utilized to re-design this visit.

Methods: To implement primary prevention, the Centers for Disease Control model of reproductive life planning (RLP) provides specific tools for patient use with attention to pregnancy prevention or preconception care.   The tools of RLP are built on the concepts of health coaching and motivational interviewing, which when used incorporated into care, have the potential to improve contraceptive use, preconception health and health care decision-making.   For postmenopausal women, the focus of the wellness visit expands to include a renewed or continued focus on sexual wellness, breast health, screening for intimate partner violence and overall health and wellness.  The prevention of heart disease and stroke using the modifiable risks factors identified by the million health initiative are stressed.

Case studies of service delivery models from countries where annual gynecological visits and routine pelvic exam are not the norm will be presented. These models suggest outcomes for women’s health at least equal to those in the U.S.

Conclusion: A redesign of the annual gynecological exam to that of an expanded prevention-oriented wellness visit, occurring either in a women’s health or primary care setting, offers the potential to meet Healthy People Goals.

Keywords:
reproductive life planning; primary prevention unintended pregnancy; annual wellness visit
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleRe-designing the annual wellness visiten_GB
dc.contributor.authorCappiello, Joyceen_GB
dc.contributor.departmentEta Iotaen_GB
dc.author.detailsJoyce Cappiello, PhD, FNP, joycec@unh.eduen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308202-
dc.description.abstract<p>Session presented on: Tuesday, November 19, 2013</p>Background: Recent changes with the Affordable Care Act defined essential preventive health measures.  Based on scientific evidence, screening intervals for certain cancers can be extended.  Both of these changes have contributed to the discussion regarding the lack of evidence for the annual pelvic exam in low risk, asymptomatic women.  This presentation presents options for re-designing the annual gynecological exam to a wellness visit better suited to meeting national health care benchmarks. <p>Purpose: The annual gynecological exam has focused on screening, evaluation, counseling, immunization review and healthy lifestyle recommendations.  To expand this visit to an even greater focus on wellness, a public health framework of primary prevention is utilized to re-design this visit. <p>Methods: To implement primary prevention, the Centers for Disease Control model of reproductive life planning (RLP) provides specific tools for patient use with attention to pregnancy prevention or preconception care.   The tools of RLP are built on the concepts of health coaching and motivational interviewing, which when used incorporated into care, have the potential to improve contraceptive use, preconception health and health care decision-making.   For postmenopausal women, the focus of the wellness visit expands to include a renewed or continued focus on sexual wellness, breast health, screening for intimate partner violence and overall health and wellness.  The prevention of heart disease and stroke using the modifiable risks factors identified by the million health initiative are stressed. <p>Case studies of service delivery models from countries where annual gynecological visits and routine pelvic exam are not the norm will be presented. These models suggest outcomes for women’s health at least equal to those in the U.S. <p>Conclusion: A redesign of the annual gynecological exam to that of an expanded prevention-oriented wellness visit, occurring either in a women’s health or primary care setting, offers the potential to meet Healthy People Goals.en_GB
dc.subjectreproductive life planningen_GB
dc.subjectprimary prevention unintended pregnancyen_GB
dc.subjectannual wellness visiten_GB
dc.date.available2013-12-19T17:28:13Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:28:13Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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