Health Maintenance: Ages 19–39 Years

Published on 30/05/2015 by admin

Filed under Obstetrics & Gynecology

Last modified 30/05/2015

Print this page

This article have been viewed 1110 times

Chapter 3 Health Maintenance: Ages 19–39 Years

IMPORTANT CONSIDERATIONS (PHYSIOLOGIC CHANGES)

The 19- to 39-years group is notable for more established menstrual function, punctuated for many by one or more pregnancies. Sexuality and sexual expression patterns have generally become well established and comfortable. Health care is directed toward prevention and health promotion because health is generally good in patients during these years.

Leading Causes of Morbidity

• Diabetes mellitus

• Nose, throat, and upper respiratory conditions

• Menstrual disorders

• Musculoskeletal and soft tissue including back and upper and lower extremities

• Sexual assault/domestic abuse

SCREENING

History

• Reason for visit

• Health status: medical, surgical, family

• Dietary/nutritional assessment

• Physical activity

• Tobacco, alcohol, other drugs (including complementary and alternative medicines)

• Abuse/neglect

• Sexual practices

Physical

• Weight (body mass index)

• Blood pressure

• Neck: adenopathy, thyroid

• Pelvic examination

Laboratory

Periodic

• Pap test (physician and patient discretion after three consecutive normal test results if low risk)

• Cholesterol, high-density lipoprotein cholesterol (every 5 years)

As Indicated by Risk Factors

• Bacteriuria testing

• Fasting glucose test

• Genetic testing/counseling

Buy Membership for Obstetrics & Gynecology Category to continue reading. Learn more here

Related

Netters Obstetrics and Gynecology