Customized Ob/Gyn Management for Diverse Populations
- 1st Edition - October 25, 2024
- Imprint: Academic Press
- Editors: Gloria Bachmann, Juana Hutchinson-Colas
- Language: English
- Paperback ISBN:9 7 8 - 0 - 3 2 3 - 9 0 2 6 3 - 2
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 9 0 5 6 1 - 9
Customized Ob/Gyn Management for Diverse Populations provides tailored options of management for optimal clinical care of the major preventive and interventive Ob/Gyn issues… Read more
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Request a sales quoteCustomized Ob/Gyn Management for Diverse Populations provides tailored options of management for optimal clinical care of the major preventive and interventive Ob/Gyn issues. Case scenarios highlight and discuss the need for customized care and inclusive protocols that depend on each woman's race, gender, sexual orientation, culture and socio-economic factors. As health disparities adversely affect groups of people who have systematically experienced greater social and economic obstacles to health based on their racial or ethnic group, socioeconomic status, gender, sexual orientation or other characteristics historically linked to discrimination or exclusion, this book provides a welcomed resource.
The book highlights the fact that in order to change the current scenario the health care community needs more information and awareness of health care data regarding diverse groups, population health and well-being.
The book highlights the fact that in order to change the current scenario the health care community needs more information and awareness of health care data regarding diverse groups, population health and well-being.
- Provides a framework for patient care based on the Robert Wood Johnson Foundation’s Culture of Care, moving cultural aspects of medical care into health delivery
- Discusses tailored options of management for the optimal clinical care of diverse populations
- Presents case studies that discuss the same problem in various women from different races, backgrounds, cultures and sexual orientation
Gynecologists, obstetricians, medical students, residents and clinicians who care for Ob/Gyn patients, Researchers interested on inclusive health with focus on Ob/Gyn care
- Title of Book
- Cover image
- Title page
- Table of Contents
- Copyright
- Contributors
- Chapter 1. Addressing racism and bias in the clinical setting
- Introduction: Racism as a public health issue
- The role of public health
- Race and types of racism
- Definitions: Diversity, inclusion, equity, belonging, justice, micro- and macroaggressions
- Diversity in the health care workforce (Black males in medicine, Natives in medicine)
- Subjective—Background and experiences of Black and Indigenous people of color (BIPOC) communities with racism, bias, and discrimination
- Black/African Americans, members of the African and Caribbean diaspora
- Latinx, Afro-Latinx experiences
- Indigenous populations
- Asian American and Pacific Islander experiences
- Dealing with racism as a physician or health care provider
- Objective—Racial and cultural determinants of care
- The levels of racism
- Bias and power dynamics
- Cultural racism and xenophobia
- Examples of impact on health and health care
- Assessment—Making the invisible visible: recognizing racism and bias
- How to identify racism, bias, and discrimination in the health care setting
- Outcome metrics, e.g., MMRBs, MMRCs, Texas experience
- Plan—Mitigating racism and bias in clinical care
- Role of structural and cultural competency
- Dismantling racism in health care, e.g., Coalition to Dismantle Racism in NYC health care
- Shared decision making
- Trauma informed care
- Respectful standards of care
- Health equity lens for patient safety bundles, e.g., Safe Motherhood Initiative, AIM bundle on racial and ethnic disparities
- Diversity, equity, and inclusion
- Chapter 2. The adolescent visit
- Background
- Introduction to gynecologic care for the adolescent
- Social and racial considerations
- Creating an optimal environment
- Beginning the patient interview
- Initial approach
- Creating an optimal environment
- Establishing rapport
- Safety, confidentiality, and electronic health records
- Breeches to confidentiality
- State mandatory reporting
- Establishing trust
- Beginning the patient interview
- Approaching the pelvic exam
- Special topics in the patient interview—Preventive health
- Sexual history and sexually transmitted infections
- HPV and vaccination
- Contraception options
- Body image and eating disorders
- Sexting
- Special topics in the patient interview—Menstrual disorders
- Abnormal uterine bleeding
- Background and etiology
- Work-up
- Management
- Endometriosis
- Physical examination
- Routine examination
- Techniques in pelvic examination
- Assessment and plan
- Chapter 3. The adult annual visit, the well-woman exam: Customizing care for diverse populations
- Background
- Exam and screening current recommendations and evidence
- General health
- Infectious disease
- Cancer screening and prevention
- Why customization of care?
- Components of the annual exam: The history and physical
- History of present illness
- The review of systems
- Physical exam
- The pelvic exam
- Mental health screening
- The reproductive life plan
- The well-woman exam—Customization for diverse populations
- Women of color
- The LGBTQA+community
- Adolescents
- Menopause and the transition
- Disabled persons
- The elderly population
- Customization of preventative care and practice systems
- Team approach
- Summary
- Recommendations
- The argument for customization
- Appendix A: Women's preventative services initiative well-woman chart (WSPI, 2018)
- Appendix B: Breast cancer screening recommendations
- Appendix C: US Medical Eligibility Criteria
- Appendix D: The American Academy of Professional Coders: Review of Systems, 2024
- Chapter 4. Menopause: An overview and guide to clinical care of the menopausal woman
- Menopause: An overview and introduction
- Mood
- Sleep
- Vulvovaginal atrophy
- Cognition
- Bone
- Metabolic changes
- Libido
- The menopausal visit
- Chapter 5. Routine prenatal and postpartum care
- Prenatal and postnatal care
- Subjective
- Screening for substance use disorder/brief intervention/referral
- Objective findings
- Physical exam
- Assessment
- Supportive enhancements to medical care
- Postpartum care for birthing persons with substance use disorder
- Chapter 6. The high-risk prenatal/postnatal visit
- Background
- Introduction to prenatal care/follow-up for postnatal care
- Social, racial, cultural considerations
- Beginning of the patient interview
- Initial approach—solicitation of any complaints
- Evaluation of obstetrics/gynecology/medical/surgical/family history (for prenatal visit)
- Education and counseling
- Confidentiality
- Special topics in patient interview
- Evaluation of sexual history, sexually transmitted diseases, and sexuality
- Evaluation for domestic violence
- Vaccinations
- Pregnancy counseling/contraception (for postpartum visit)
- Healthy eating habits in pregnancy (for prenatal visit)
- Tobacco, alcohol, and drug screening
- Physical examination
- Routine examination
- Approach to transgender patients
- Assessment and plan
- Follow-up and referrals
- Chapter 7. Vulvovaginal pathologies
- Vulvovaginal health: Disorders and discrepancies
- Introduction
- Social/racial/cultural determinants in vulvovaginal health
- Subjective (history taking)
- Objective (physical exam findings)
- Assessment
- Plan
- Case presentation #1: Vulvodynia
- Social/racial/cultural determinants
- Subjective
- Objective
- Assessment
- Plan
- Summary
- Case presentation #2: Recurrent bacterial vaginosis
- Social/racial/cultural determinants
- Subjective
- Assessment
- Plan
- Summary
- Conclusion
- Chapter 8. Chronic pelvic pain
- Introduction
- Social, racial, and cultural determinants of pain
- What we know related to chronic pain?
- What we know related to chronic pelvic pain?
- Endometriosis
- Vulvodynia
- Bladder pain syndrome/Interstitial cystitis
- History taking
- Physical exam
- Gait and posture
- Lumbar spine and pelvic joint
- Abdominal exam
- Pelvic exam
- Establishing the diagnosis and general approach
- Initial diagnostic testing
- General treatment modalities
- Dysmenorrhea
- Endometriosis
- Irritable bowel syndrome
- Interstitial cystitis/bladder pain syndrome
- Myofascial syndromes
- Vulvodynia
- Conclusions
- Chapter 9. Caring for gender and sexually diverse populations: LGBTQIA+patients
- Introduction
- Subjective
- Sexual orientation
- Sexual history
- Hormonal use and gender-affirming surgeries
- Objective
- Obesity
- Pelvic exam
- Exam findings for transgender men on hormonal therapy
- Cervical cancer screening
- Breast cancer screening
- Sexually transmitted infection screening
- Other screenings
- Assessment and plan
- Barriers to care
- Mental health
- Gender-affirming surgeries
- Family building
- Chapter 10. Screening for gynecologic malignancies
- Introduction
- Role of the health care system
- Accuracy of reporting
- Gender nonconforming
- Endometrial cancer
- Ovarian cancer
- Clinical trial disparities
- Chapter 11. Common Pelvic Floor Disorders
- Urinary incontinence
- Overactive bladder/Urgency incontinence
- Subjective information
- Objective information
- Assessment
- Treatment plan
- Stress urinary incontinence
- Subjective information
- Objective information
- Assessment
- Treatment plan
- Mixed Urinary Incontinence
- Subjective information
- Objective information
- Assessment
- Treatment plan
- Interstitial cystitis/bladder pain syndrome
- Subjective information
- Objective information
- Assessment
- Treatment plan
- Pelvic organ prolapse
- Subjective
- Objective
- Assessment
- Treatment plan
- Defecatory dysfunction
- Chronic constipation
- Subjective
- Objective
- Assessment
- Treatment plan
- Fecal incontinence
- Subjective
- Objective
- Assessment
- Treatment plan
- Chapter 12. Sexually transmitted infections
- Introduction
- Goals and learning objectives
- Background
- Epidemiology
- Prevention and control of sexually transmitted infections
- STI treatment Guidelines for special populations
- Pregnancy
- Human immunodeficiency virus
- Syphilis
- Hepatitis B (HBV)
- Chlamydia/gonorrhea
- Hepatitis C (HCV)
- Bacterial vaginosis, herpes simplex virus, trichomoniasis
- Survivors of sexual assault
- WSW, WSWM (women who have sex with women, women who have sex with women and men)
- Transgender individuals
- Presentation and management of common STIs
- Chlamydia
- Gonorrhea
- Trichomonas
- Human immunodeficiency virus
- Syphilis
- Herpes simplex virus
- Human papilloma virus-condyloma acuminatum
- Human papilloma virus-cervical dysplasia
- Monkeypox
- Conclusion
- Chapter 13. Healing spaces: Trauma-informed care for women survivors of abuse
- Introduction
- Psychological trauma, adverse childhood experiences, and toxic stress
- Subjective: What do women who are in physically and/or sexually violent and traumatic relationships share with medical providers?
- Objective: What are some strategies for gathering accurate information about the experience of trauma?
- Assessment: How can providers use their current practices to ascertain the extent of how trauma is impacting the patient and their current gynecological or reproductive health?
- Plan: What are some best practices for providing trauma-informed OB/GYN care?
- Conclusion
- Chapter 14. Uncovering female sexual dysfunction
- Epidemiology of female sexual dysfunction
- Female sexual dysfunction subclassifications
- Female sexual interest and arousal disorder
- Female orgasmic disorder
- Genitopelvic pain/penetration disorder
- Sexual function before and after gynecologic pelvic surgery
- Chapter 15. Conducting a telehealth visit
- Definition and history
- Methods of delivery
- Standards
- Benefits and challenges
- Cost-effectiveness
- Future implications
- Chapter 16. Addressing the parameters of being a participant in a clinical trial
- Introduction
- Pregnancy
- Minorities
- Subjective
- Objective
- Assessment
- Plan
- Conclusion
- Chapter 17. Collaborative care within the healthcare team
- Background
- A modern approach
- Evidence of benefits of collaborative care
- Diversity of the healthcare team
- Technical limitations in collaborative care: the patient handoff and EMR
- Implementing collaborative care within OB/GYN
- Patient as a member of the team
- Culture of health
- Index
- Edition: 1
- Published: October 25, 2024
- No. of pages (Paperback): 326
- No. of pages (eBook): 280
- Imprint: Academic Press
- Language: English
- Paperback ISBN: 9780323902632
- eBook ISBN: 9780323905619
GB
Gloria Bachmann
Gloria Bachmann is a Professor and Associate Dean of Women's Health at Rutgers Robert Wood Johnson Medical School, USA. She has moved women’s health to the next level in many areas that include menopause, perinatal issues and obstetrical safety, sexual health, gynecologic pain syndromes, and LGBT wellness. For recognition of her expertise in mentoring and teaching, she was inducted into the Rutgers Biomedical and Health Sciences Master Educators’ Guild.
Dr. Bachmann has been instrumental in commencing the One Health Initiative in New Jersey, which looks at a global approach to species preservation and wellness including human health, animal health, and the environment. She also has been a leader in organizing the regional One Health Initiative with Delaware, Maryland, and Pennsylvania. She has published over 200 articles in many journals including The Lancet Diabetes & Endocrinology and the American Journal of Obstetrics and Gynecology.
Affiliations and expertise
Professor and Associate Dean of Women's Health at Rutgers Robert Wood Johnson Medical School, USA.JH
Juana Hutchinson-Colas
Juana Hutchinson-Colas, MD, is an Associate Professor and Division Chief of Female Pelvic Medicine & Reconstructive Surgery at Rutgers Robert Wood Johnson Medical School, USA. She has over 30 years of experience in the medical field and is certified in Female Pelvic Medicine and Reconstructive Surgery. She graduated from New York State University, College of Medicine - Downstate medical school in 1990. She is affiliated with medical facilities such as Robert Wood Johnson University Hospital and Centrastate Medical Center.
Affiliations and expertise
Associate Professor and Division Chief of Female Pelvic Medicine & Reconstructive Surgery at Rutgers Robert Wood Johnson Medical School, USA.Read Customized Ob/Gyn Management for Diverse Populations on ScienceDirect