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The Psychologist's Perspective
Managing patients with gynaecological difficulties requires a great deal of sensitivity as well as an understanding of female sexuality, psychosocial and cultural issues. The genitals have many social..., religious, emotional and moral connotations and, along with sexual behaviour, still carry many taboos. As such, working in this area requires discretion, a sound knowledge base, patience and superior interview skills. This eChapter aims address that need and clarify some of the nonmedical factors associated with chronic vulvar symptoms. The author begins this eChapter by stressing the the contribution made by human behavior and emotions to the outcomes of many conditions, and an excellent diagrammatic representation of this claim is provided to illustrate the concept. Subsequently, the concept of damaging self care is explained, as are the psychological and behavioral motivations behind pathological behavior such as repeated unnecessary washing, the insertion of cleaning equipment into the vaginal cavity, and the excess or inappropriate use of cleaning fluids and liquids that ultimately result in conditions such as topical dermatitis. The author then describes the range of sexual behaviors that can result in disease of the vulva and vagina, including the use of lubricants, untreated dyspareunia, and repeatedly submitting to sexual advances from partners when the recipient is not sexually aroused. The eChapter then describes in detail the psychological contribution to treatment of chronic vulvar disease, and suggests a range of strategies for effective patient management, including educational approaches and techniques based on cognitive and dynamic psychotherapy. The chapter ends with an exemplar of an instructional pamphlet that can be used in practice for patient education. This eChapter forms part of the Ausmed publication The Vulva and Vaginal Manual, edited by Graeme Dennerstein, James Scurry, John Brenan, David Allen and Maria-Grazia Marin. A richly illustrated and comprehensive guide to the identification and treatment of over 275 vulvovaginal diseases The Vulva and Vaginal Manual is an invaluable resource especially suitable for: Gynecologists Dermatologists General Practitioners Obstetricians Midwives General nurses Practice nurses Nurse Practitioners There are also 14 additional eChapters from The Vulva and Vaginal Manual available for members to download from the Ausmed website. Subscription also entitles members to access the full range of resources that compliment and build upon the material described within The Vulva and Vaginal Manual, including a richly populated catalogue of Audio Lectures, Fast Facts and Video Learning Activities on the topics of gynecology, obstetrics, oncology, women’s health and a wide range of other healthcare topics. Both members and non-subscribers alike may also purchase a hard copy of this book of from the Ausmed Education Online Bookstore, along with hard copies of the complimentary publication Gynecological Cancer Care: A Guide to Practice.
Trauma to the female genital tract is unfortunately relatively common, and often occurs during childbirth. However, serious genital trauma may also occur during consensual or non-consensual sex or be ...self-induced or accidental in origin, with all injuries requiring significant skills to identify and treat appropriately. This eChapter is from the eBook The Vulva and Vaginal Manual, and describes the most common forms of trauma to female genitalia, including an extended discussion on the topic of female circumcision. The author begins by emphasising that the commonest cause of moderate or severe physical trauma to the vulva and vagina is childbirth, with most primigravidas and many parous women delivering vaginally at or near term experiencing tearing of the lower vagina or vulva around the introitus, unless an episiotomy of the perineum is performed. Injuries associated with sexual trauma are then described, including tearing of the hymen, and injuries resulting from rape. The eChapter then considers the topic of accidental trauma, which, although relatively rare, is often the result of being thrown again the handlebars of a bicycle or motorcycle. Following this, self-induced injuries are discussed, and photographs are used to illustrate the descriptions. The second part of the eChapter is concerned with iatrogenic trauma, and focuses upon injuries occurring as a result of surgical interventions, excessive use of harmful chemicals in the treatment of certain diseases of the vulva and vagina and damage that may arise from radiotherapy used for the treatment of uterine cancer. An extended discussion on female circumcision dominates the latter half of this section, which concludes with a description of approaches to removal of foreign bodies from within the vagina. This eChapter forms part of the Ausmed publication The Vulva and Vaginal Manual, edited by Graeme Dennerstein, James Scurry, John Brenan, David Allen and Maria-Grazia Marin. A richly illustrated and comprehensive guide to the identification and treatment of over 275 vulvovaginal diseases The Vulva and Vaginal Manual is an invaluable resource especially suitable for: Gynecologists Dermatologists General Practitioners Obstetricians Midwives General nurses Practice nurses Nurse Practitioners There are also 14 additional eChapters from The Vulva and Vaginal Manual available for members to download from the Ausmed website. Subscription also entitles members to access the full range of resources that compliment and build upon the material described within The Vulva and Vaginal Manual, including a richly populated catalogue of Audio Lectures, Fast Facts and Video Learning Activities on the topics of gynecology, obstetrics, oncology, women’s health and a wide range of other healthcare topics. Both members and non-subscribers alike may also purchase a hard copy of this book from the Ausmed Education Online Bookstore, along with hard copies of the complimentary publication Gynecological Cancer Care: A Guide to Practice.
The Midwife and the Bereaved Family
This book is based on women’s experiences and has been written for midwives, by a midwife. The chapters follow a chronological pattern from early pregnancy loss through to late pregnancy loss. The c...hapter on subsequent pregnancy is useful as a guide for the midwife who will be caring for that woman and her family. Nothing is overlooked in this book as the appendices give helpful hints and strategies for looking after yourself, men partners, children and grandparents. So often these groups are forgotten in texts and the focus is always on the woman. The cultural section provides an overview of some of the mores and rules of particular cultural and religious groups and will be very helpful to guide care in a sensitive way. The inclusion of research articles and recommended reading will give midwives the opportunity to read in more depth areas that appeal and are prominent in their practice. The checklists provide an easy reference to ensure best practice while maintaining an empathy for the woman and her family. There are some arguable points in the text that will challenge midwives’ thinking and practice. This book is an extension of the work already begun by Jane and builds on her first two books Pregnancy After Loss and Our Baby Died. Jane is to be congratulated for putting her thoughts, the experiences of others, and research together to produce a book that is easy to read and full of hints to care for the woman and her family who birth a dead baby. Contributing to the literature on this difficult topic is commendable.
Psychosocial Care of Cancer Patients: A ...Health Professional's Guide to What to Say and Do
The diagnosis of cancer brings an immediate threat of death, profound grief at illness, the challenge of coping with this predicament and eventual transition to new experiences. For many, the related ...treatment program is arduous. Often unstated assumptions about life can be shattered. Any consequent distress reverberates among family and friends. Cancer is a key turning point in life’s narrative, thus presenting a special opportunity for the psycho-oncologist to intervene.This book extends psychosocial care guidelines by providing numerous practical strategies for assessing and managing common concerns. Health professionals’ existing skills will be identified and extended, new skills will be developed and useful resources shared. Key resources for health professionals are identified for each topic covered. Clinical case examples throughout the book highlight learning objectives. Handouts, in the form of Resource sheets, can be quickly photocopied and support the practical application of the content for daily practice. The book focuses on the psychosocial care of adults, however, some content will be appropriate to the care of parents, carers and loved ones of paediatric cancer patients and survivors. Concerns that arise most frequently in clinical practice are addressed. Detailed information on less common concerns or interventions that tend to be delivered by specialist services (such as the treatment of post-traumatic stress disorder or sexual dysfunctions) are beyond the scope of this book, although suggestions for further reading materials are provided. eBook help: eBooks come as .mobi and .epub files and can be viewed on an eReader (Kindle, iPad, iPhone.etc) if you have one. If you don't own an eReader, you can view these files on your Mac or PC with Adobe Digital Editions, free software that lets you manage and read eBooks. To download it free, click here.
Spirituality: The Heart of Nursing
Modern medicine has bought the marvels of cure to infections and has certainly been responsible for linking technology and cure to life-threatening conditions. At the same time, technology’s very su...ccess has also been its major failure: scientific medicine finds it difficult to answer important questions put forward by our patients- namely, the questions about the meaning of illness, for healing is dependent upon ‘seeing wholes’ not parts or systems of a human being. True healing views a person as body, mind and spirit, and whilst the body receives unprecedented attention from our empirically-driven healthcare system, the mind has a much lower priority, and the spirit is given only the most cursory of considerations. Spirituality - The Heart of Nursing seeks to redress this imbalance, and draws upon the knowledge and experience of 10 distinguished nurse authors to describe and explore the essential role of spirituality in modern healthcare. Each author contributing to Spirituality - The Heart of Nursing presents a different perspective on the topic of spirituality, and explores of the topic from both the viewpoint of the nurse as a spiritual person, and spirituality as a core attribute of nursing care. Authors review the history of spirituality in healthcare, the nuances of communication, and the role of ‘the patient nurse’. There is a particularly interesting chapter where the author draws upon Jungian and mythological literature to present the concept of the nurse as ‘The Wounded Healer’, and excellent chapters on the incorporation of spirituality into nursing practice, especially into specific areas such as palliative care, dementia care, and aged care. As a whole, the book is designed to be delved into, rather than read from end to end, and will prove to be an excellent resource for any nurse who is concerned with healing the whole person, rather than just the disease. The eBook Spirituality - The Heart of Nursing is compatible with most eReader devices and software and is now available for members to download. Subscription also entitles members to access the full range of resources that compliment and build upon the material described within Spirituality - The Heart of Nursing including a richly populated catalogue of Audio Lectures, Fast Facts and Video Learning Activities on the topics of spirituality, pastoral care, ethics, mental health and a wide range of other nursing issues. Both members and non-subscribers alike may also purchase a hard copy of this book of from the Ausmed Education Online Bookstore, along with hard copies of the complimentary publication Why the World Needs Nurses - An Anthology of Perspectives.
Nursing the Person with Cancer: A Book f...or all Nurses
Two in every three Australians will be touched by cancer in their lifetimes, either personally or through a close family member. Cancer has a historical reputation for being a killer disease, a death ...sentence. This is reflected in the colloquial meanings attributed to the word ‘cancer’. Although most types of cancer have eluded a medical cure, more than 50 per cent of people diagnosed with cancer today go on to live for five years or more. This has meant a partial shift in nursing practice, to including rehabilitation along with acute care and palliation as a care delivery model. Cancer is a chronic illness managed by multidisciplinary teams in the same way as diabetes and arthritis. Although it has continued to hold its terrifying power, a cancer diagnosis can be managed by patients and their families with the support of the nurse. On first glance, the chapters of this book appear to have no clear connection. There is no reference to the systems of the body, the stages of disease, the types of medical treatment, or the technical care of the person with cancer. Rather, each chapter discloses information that cannot be readily found in standard cancer nursing textbooks. This books reflects the widely held view that cancer nursing is more than medically related care. It focuses on the person, what the experience of cancer means to that person, and how the nurse can help. Communication is the continuous thread that links each chapter. The communication skills of the nurse are invaluable in guiding individuals and families along their journey through the cancer experience. The communication skills required in caring for those experiencing cancer are not specialist skills; they are the simple skills of listening, reflecting, and providing accurate information. All registered nurses possess these skills. By reading the chapters in this book, the nurse will be exposed to refreshing perspectives on the cancer experience. The ideas raised in the book can be reflected on and discussed with colleagues for further development. The practical suggestions from many authors can be integrated into the practice of specialist and generalist alike, to improve the quality of nursing care for the person with cancer. Cancer nursing is a fully fledged specialty in Australia as evidenced by the steady development of a unified national cancer nursing association, known as the Cancer Nurses Society of Australia. The appearance of this book is a sign that cancer nurses are confident to document and share their specialist experiences and knowledge. The authors in this book challenge each of us to expand our knowledge of the cancer experience and, through the application of basic communication skills, support persons and families throughout the cancer experience.eBook help: eBooks come as .mobi and .epub files and can be viewed on an eReader (Kindle, iPad, iPhone.etc) if you have one. If you don't own an eReader, you can view these files on your Mac or PC with Adobe Digital Editions, free software that lets you manage and read eBooks. To download it free, click here.