2.50
Hdl Handle:
http://hdl.handle.net/10755/308741
Category:
Full-text
Type:
Presentation
Title:
Is the annual gynecological exam necessary?
Author(s):
Cappiello, Joyce
Author Details:
Joyce Cappiello PhD, FNP joycec@unh.edu
Abstract:

Session presented on: Tuesday, November 19, 2013

Background: The concept of an annual gynecological screening visit to identify disease at an early stage at which an intervention is more effective is an established component of women’s health care. Both patients and providers have accepted this schedule of visits as important and the gynecological exam as integral to the visit. However, there is little evidence to support the benefits of routine annual pelvic exams in low risk women. The components of the wellness visit can be better aligned with health improvement priorities of Healthy People and the IOM report on Clinical Preventive Services for Women. Purpose: The purpose of this presentation is to identify evidenced-based research to guide the nurse in critically appraising approaches to providing cost effective, safe, evidenced-based care in the context of the women’s annual wellness exam. Methods/Results: The first presentation will review current recommendations from professional organizations for screening during the well woman visit. In addition, the presentation will review what is known about the extent to which physicians and advanced practice nurses have adopted such changes into their practice. The second presentation will focus on the evidence or lack thereof of specific components of the gynecological screening pelvic exam. The third presentation articulates components of an evidence-based, revised wellness visit exam using primary prevention of unintended pregnancy and reproductive life planning. To illustrate, case studies from other countries of a redesigned annual wellness visit both within women’s health specialty care and primary care visits are discussed. Conclusion: The nursing profession has a long history of incorporating evidenced-based science into daily practice and of challenging long accepted patterns of providing care. A critical appraisal and re-design of the structure of the annual gynecological wellness exam can potentially strengthen efforts to promote the overall health of women.
Keywords:
women's preventive screening; annual wellness exam; annual pelvic exam
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

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryFull-texten_GB
dc.typePresentationen_GB
dc.titleIs the annual gynecological exam necessary?en_GB
dc.contributor.authorCappiello, Joyceen_GB
dc.author.detailsJoyce Cappiello PhD, FNP joycec@unh.eduen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308741-
dc.description.abstract<p>Session presented on: Tuesday, November 19, 2013</p>Background: The concept of an annual gynecological screening visit to identify disease at an early stage at which an intervention is more effective is an established component of women’s health care. Both patients and providers have accepted this schedule of visits as important and the gynecological exam as integral to the visit. However, there is little evidence to support the benefits of routine annual pelvic exams in low risk women. The components of the wellness visit can be better aligned with health improvement priorities of Healthy People and the IOM report on Clinical Preventive Services for Women. Purpose: The purpose of this presentation is to identify evidenced-based research to guide the nurse in critically appraising approaches to providing cost effective, safe, evidenced-based care in the context of the women’s annual wellness exam. Methods/Results: The first presentation will review current recommendations from professional organizations for screening during the well woman visit. In addition, the presentation will review what is known about the extent to which physicians and advanced practice nurses have adopted such changes into their practice. The second presentation will focus on the evidence or lack thereof of specific components of the gynecological screening pelvic exam. The third presentation articulates components of an evidence-based, revised wellness visit exam using primary prevention of unintended pregnancy and reproductive life planning. To illustrate, case studies from other countries of a redesigned annual wellness visit both within women’s health specialty care and primary care visits are discussed. Conclusion: The nursing profession has a long history of incorporating evidenced-based science into daily practice and of challenging long accepted patterns of providing care. A critical appraisal and re-design of the structure of the annual gynecological wellness exam can potentially strengthen efforts to promote the overall health of women.en_GB
dc.subjectwomen's preventive screeningen_GB
dc.subjectannual wellness examen_GB
dc.subjectannual pelvic examen_GB
dc.date.available2013-12-19T17:38:47Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:38:47Z-
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
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