Lincoln Memorial UniversityCaylor School of NursingNursing 246Fall 2007Lesson Plan: Caring for Women’s Health Needs Across the Life SpanDates and Times: See SyllabusObjectives: Upon completion of this unit, the student will demonstrate in the clinical/classroom setting, in individual and group conferences, and on written material an understanding of the following:1. Define the key terms found in each assigned chapter.2. Identify the structures and functions of the female reproductive system and related hormones.3. Outline the physical, psychological, and emotional changes associated with puberty.4. Describe the phases of the menstrual cycle, dominant hormones, and the changes that occur in each phase.5. Describe the physiologic and psychological aspects of menopause.6. Explain the purpose of nursing responsibilities associated with gynecological examination and diagnostic studies of the female reproductive tract.7. Identify fertility control/contraceptive methods and the nurse’s role when counseling and teaching about fertility control/contraception.8. Discuss common problems of menstruation.9. Differentiate the modes of transmission, diagnosis, course, prevention, and treatment of sexually transmitted infections.10. Differentiate and describe the management of infections of the female reproductive tract.11. Define the clinical manifestations and treatment of alterations in pelvic support.12. Develop a nursing care plan for a patient with an alteration in pelvic support.13. Develop a teaching plan for breast self-examination, including rationale, techniques, and reasons for referral.14. Define benign breast disorders, related them to usual age of onset and describe diagnostic procedures used to rule out breast cancer.15. Describe the incidence, risk pathophysiology, management, and nursing considerations for the patient with breast cancer.16. Identify medications utilized in the care of women with reproductive concerns, including the trade or brand name, generic name, classification, action, use, usual dosage, route of administration, side effects, and nursing implications.17. Define the family.18. Discuss changes occurring that affect the structure of families and women’s health care as a whole.19. Discuss health promotion for women and differentiate and discuss the risk factors which specifically affect women’s health.120. Define and describe ethically and evidentially based nursing practice.21. Discuss critical thinking and how critical thinking is involved in caring for women and families.22. Describe and discuss the rights of all childbearing women.23. Define “women’s health” and discuss what this definition means to the provision of care to women.24. Describe and discuss complementary techniques of health care which may be applicable to the provision of health care to women.25. Describe and discuss various models of health care which may be utilized in the care of women and families.26. Describe and discuss important screening tools utilized in the care of women.27. Discuss teaching tips for nutrition and weight management.28. Discuss factors which may affect mental health in women.29. Describe screening tools which may be utilized in the psychosocial care of women.30. List the major risk factors for heart disease in women, as well as describing which risk factors are modifiable and which are not.REQUIRED READINGS:Orshan, Susan A. (2008). Maternity, newborn, & women’s health nursing:Comprehensive care across the life span. Philadelphia: Lippincott Williams& Wilkins. Chapters 1, 2, 4, 5, 6, 7, 8, 9, 10, 23, 24.TOPICAL OUTLINE:I. The FamilyA. Theories of Family SystemsB. Family StructureC. Cultural Perspective of FamiliesD. Families and AdoptionII. Current Issues Affecting Health & Nursing Care of Women TodayA. Changes in Family StructureB. Changes in Sociocultural InfluencesC. Health Promotion1. Health Themes & Models2. Health Assessment & Screening3. Risk Factors4. Cultural Beliefs Regarding Health Promotion5. Healthy People 20106. Critical Thinking/Ethically & Evidentially Based PracticeIII. Sexuality & ReproductionA. Puberty & AdolescenceB. Female & Male A & P Review2C. Menstrual CycleD. Ovarian CycleIV. Care of Women Desiring Fertility Control/ContraceptionA. Behavioral MethodsB. Barrier MethodsC. IUDD. Surgical MethodsE. Emergency ContraceptionF. Pregnancy TerminationV. Care of Women Experiencing Disorders Specific to Women’s HealthA. Menstrual DisordersB. Sexually Transmitted InfectionsC. Reproductive Tract AlterationsD. Pelvic Relaxation AlterationsE. Urinary Tract InfectionsF. Benign Breast DisordersG. Malignant Breast DisordersVI. MenopauseA. Caring for Women Experiencing Change Related to Perimenopause/Menopause1. Menstrual Cycle2. Vasomotor Symptoms3. Genitourinary Symptoms4. Fertility5. Mental Health Changes6. Cardiovascular Changes7. Bone Loss8. Breast CancerB. Interventions for Menopausal Women1. Hormone Replacement Therapy2. SERMS3. Biophosphonates4. Complementary Therapies5. Infection Management/Sexual Comfort6. Stress Management & Coping7. Cardiovascular Health8. Osteoporosis PreventionVII. Beyond MenopauseA. Psychosocial Aspects and ScreeningsB. Age Associated Physical ChangesC. Caring for Postmenopausal Women Experiencing Common Conditions of Aging1. urinary incontinence2. falls and fractures33. delirium and dementia (Alzheimers)4. depression5. painVIII. Care of the Couple Experiencing InfertilityA. Myths and Facts Related to InfertilityB. Causes of Infertility1. biologic2. environmental/occupational3. lifestyle4. physicala. maleb. femalec. combination 5. Unknown Causes C. Assessment of the Woman D. Treatment 1. Artificial Insemination 2. Donor Sperm 3. Assisted Reproductive Technologies a. in vitro fertilizationb. GIFTc. ZIFTd. ICSIe. Surrogate CarrierSkills: The following skills would be appropriate for N246 studentsin the clinical or community setting.1. Observe/assist with a pelvic exam/pap smear.2. Observe/perform a clinical breast exam.3. Observe/assist with patients having yearly exams & appointments for fertility control/contraception.4. Observe/assist in the care of patients undergoing treatment for STIs, reproductive tract disorders, UTIs, pelvic relaxation and benign or malignant breast disorders.5. Observe/assist in the care of women undergoing interventions for menopause