DescriptionMN577 NP II
CLINICAL
WOMEN’S
HEALTH FOCUS
Unit 2
Seminar
Overview
◦ This Seminar is to prepare you to recognize the health
care barriers for vulnerable population of women.
VULNERABLE POPULATIONS:
WHO ARE THEY?
PHYSICAL, PSYCHOLOGICAL, SOCIAL
CONSIDERATIONS
Physical
◦ High risk mothers and infants
◦ Existing health conditions, the mother’s age, lifestyle, and health issues that
happen before or during pregnancy
◦ Chronically ill and disabled
◦ Women and HIV
◦ One in four people living with HIV in the United States is a woman ( U.S.
Department of Health & Human Services, Office of Women’s Health,
2021)
Psychological
◦ Chronic mental health conditions (National Institute of Mental health, 2019)
◦ Mental disorders can affect women and men differently.
◦ Depression and anxiety more common in women
◦ There are also certain types of disorders that are unique to women.
◦ Women may experience symptoms of mental disorders at times of
hormone change, such as perinatal depression, premenstrual dysphoric
disorder, and perimenopause-related depression.
Psychological
◦ History of ETOH/substance abuse (Centers for Disease Control and
Prevention [CDC], 2022)
◦ Men are more likely to drink alcohol and consume larger amounts
however, biological differences in body structure and chemistry lead most
women to absorb more alcohol and take longer to metabolize it.
◦ After drinking the same amount of alcohol,
◦ Women tend to have higher blood alcohol levels than men, and the
immediate effects of alcohol usually occur more quickly and last longer
in women than men.
◦ These differences make women more susceptible to the long-term
negative health effects of alcohol compared with men.
◦ There is no known safe amount of alcohol use during pregnancy
Social
◦ LGBTQ community
◦ LGBTQ adolescents are especially at risk for being bullied, thinking about and
dying from suicide, and using illegal drugs.
◦ Intimate Partner Violence
◦ Homelessness
◦ Immigrants
◦ Refugees
◦ Military (ACOG, Committee on Healthcare for Underserved Women, 2022)
◦ Ask about women’s military service and Veteran status
◦ Be aware of high prevalence problems such as PTSD and military sexual trauma
◦ Threaten the health and well-being of these women.
Healthy People
2030 Goals
◦ Attain healthy, thriving lives and well-being free of
preventable disease, disability, injury, and
premature death.
◦ Eliminate health disparities, achieve health equity,
and attain health literacy to improve the health
and well-being of all.
Healthy People 2030, U.S. Department of Health and Human Services,
Office of Disease Prevention and Health Promotion.
Textbook Readings and Resources
Women’s Health: A Primary Care Clinical Guide
◦ Chapter 7: “Women and Sexuality”
◦ Chapter 8: “Health Needs of Lesbians, Bisexual, and Transgender Populations”
◦ Chapter 9: “Health Needs of Women with Disabilities”
◦ Chapter 10: “Integrating Wellness: Complementary Health Approaches and Women’s Health”
◦ Chapter 25: “Psychosocial Health Concerns for Women”
◦ Office of Women’s Health U.S. Department of Health and Human Services. Active Duty and Veteran Women’s Health. (2019). Retrieved from
https://www.womenshealth.gov/about-us/what-we-do/programs-and-activities/active-duty-and-veteran-womens-health
◦ Office of Women’s Health U. S. Department of Health and Human Services. (2019). Recognizing the Needs of Lesbian, Bisexual, and
Transgender Women. Retrieved from: https://www.womenshealth.gov/30-achievements/29
◦ The American College of Obstetricians and Gynecologists. (2020). Promoting Healthy Relationships in Adolescents. Retrieved from
https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2018/11/promoting-healthy-relationships-in-adolescents
◦ American College of Obstetricians and Gynecologists (2012). Committee Opinion: Healthcare of Lesbian and Bisexual Women. UpToDate.
Retrieved February 19, 2020 from http://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Health-Care-forUnderserved-Women/Health-Care-for-Lesbians-and-Bisexual-Women
◦ U.S. Department of Veterans Affairs (2019). Overview of VA Research on Women’s Health. Retrieved from
https://www.research.va.gov/topics/womens_health.cfm reaffirmed 2018
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