299 Nursing Care of the Postmenopausal Woman, 3rd Edition
Contraception
Recommend that women have full access to all types of female contraception to prevent pregnancy and improve birth outcomes. Recommended that healthcare providers use a woman’s sexual history and risk factors to help identify those at increased risk for STDs and provide counseling and testing. Prevention education and risk assessment for HIV in women at least annually; all women should be tested at least once in their lifetime. Recommend that women receive at least one preventive care visit each year across the life span.
Recommend women have full access to all types of female contraception to prevent pregnancy and improve birth outcomes. Direct behavioral counseling by a healthcare clinician or other appropriately trained individual for sexually active adolescent and adult women at increased risk for STDs. Recommend all women be tested for HIV at least once in their lifetime.
Counseling for sexually transmitted infections
Screening for HIV
Well woman preventive visits
Recommend all women receive at least one preventive care visit per year continuing across the life span to receive preventive services.
Note : Adapted from Health Resources & Services Administration. (2022). Women’s Preventive Services Guidelines . https://www. hrsa.gov/womens-guidelines CHRONIC ILLNESS
nutrition, physical inactivity, and exces- sive alcohol use (CDC, 2022). Many of the limitations that are often regarded as part of normal aging are due to the progres- sion of chronic health problems. Regular healthcare visits with screening for chron- ic conditions such as high blood pressure, type 2 diabetes, cancer, and others will help to prevent disease or find it early when treatment is more effective (CDC, 2022). Common chronic problems include hearing and sight impairments, arthritis, hypertension, heart disease, diabetes, orthopedic problems, and chronic lung
As a woman ages, her risk for chronic illnesses increases. Sixty percent of adults in the U.S. have at least one chronic dis- ease. Forty percent of adults have two or more (CDC, 2022). A chronic condition is one that has persisted for longer than a year and has required ongoing medical attention. A chronic disease also tends to limit a person’s activities of daily living, or ADLs (CDC, 2022). Frequently, a chronic disease can be brought on because of risk factors from a woman’s lifestyle or be- havior. These can include tobacco use or secondhand exposure to tobacco, poor
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