health promotion and maintence.docx

Build trust acknowledging cultural and religious

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determine understanding, educate the client and her partner, and reinforce information. Build trust, acknowledging cultural and religious factors Assess client's comfort level with her own body Ask about prior use and knowledge about birth control methods Address lifestyle and desire for more children Provide information about safe-sex practices Make referrals o to the physician, certified nurse midwife (or other nurse practitioner) or other health care provider for methods that require a prescription or fitting, e.g., IUD, diaphragm o to the physician for sterilization Methods of Contraception Fertility awareness methods o Three common methods used include Calendar method: estimates date of ovulation based on length of cycle; also called "rhythm method" or "natural family planning" Basal body temperature charting
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identifies ovulation by a rise in temperature the woman takes her temperature in the morning every day before getting out of bed Cervical mucous method: identifies ovulation by the increase in mucous amount and stretchability o Symptothermal method: a name for the combination all three of the above methods Chemical agents or spermicides o Prevent pregnancy by keeping sperm from joining with an egg by blocking the cervix or by keeping the sperm from moving o Inserted deep into the vagina shortly before intercourse o Products include creams, foams, jellies, or suppositories Mechanical barrier methods o Diaphragm a shallow latex cup inserted into the vagina to prevent pregnancy prevents sperm from joining with an egg should be used with spermicide cream or jelly to be as effective as possible o Cervical cap a silicone cup inserted into the vagina to cover the cervix FemCap is the only brand available in the U.S. should be used with spermicide cream or jelly to be as effective as possible o Birth Control Sponge foam sponge inserted into the vagina to prevent pregnancy it covers the cervix and blocks sperm from entering the uterus while continuously releasing a spermicide o Condoms
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Female a plastic pouch with flexible rings at each end it covers the inside of the vagina and will collect semen, preventing sperm from joining with an egg Male thin latex or plastic sheath worn on the penis during intercourse collects semen, preventing sperm from joining with an egg Hormonal contraceptives o The hormones work by keeping a woman's ovaries from releasing eggs thickening a woman's cervical mucus thinning the lining of the uterus o Birth control pills certain medications and supplements may make the pill less effective, including rifampin, St. John's wort, some anti-seizure medications single-hormone contraceptive pills progestin-only must be taken at the same time every day combined-hormone therapy contain estrogen and progestin most common side effects, which usually clear up afer two to three months, may include bleeding between periods; breast tenderness; nausea and vomiting (take at bedtime to help control this) contraindicated with family history of stroke, migraines, hypertension, diabetes, chronic renal disease, thrombophlebitis, tobacco use
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