By Sue Jolley

This e-book addresses the truth of offering gynaecological care within the twenty first century, and appears on the advancements which are at present happening within the box. It presents an outline of a few universal gynaecological difficulties and appears at new companies and alternative ways of offering care. It additionally exhibits how gynaecological companies are constructing based on women's wishes. in particular the publication isn't medically oriented yet indicates how nurses and execs allied to medication are creating a difference.* Covers the most recent advancements within the gynaecological box* Written soecifically from a nursing and allied future health pros point of view

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Extra info for Gynaecology: Changing Services for Changing Needs (Wiley Series in Nursing)

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Since then the UK has devolved into four separate administrations, each developing their own 26 GYNAECOLOGY: CHANGING SERVICES FOR CHANGING NEEDS policies. In England, the Teenage Pregnancy Strategy and the Sexual Health and HIV Strategy (Department of Health 2001a) provide the framework for developing sexual services and recommend that nurses should expand their role as specialists. Unfortunately, the impact of the steadily increasing rate of STIs on sexual health services has been huge. There has been a 57 % increase in the total number of STIs diagnosed over the past decade ‘giving rise to concerns of the ability of the services to cope’ (Health Protection Agency 2004).

Treatment options depend to some extent on the pregnancy gestation, with medical termination usually offered up to 9 weeks gestation and surgical termination from 8 to 12 weeks. Medical termi- 36 GYNAECOLOGY: CHANGING SERVICES FOR CHANGING NEEDS nation may be offered after 9 weeks, but efficacy is reduced and it is less suitable for day care. Women need a detailed verbal explanation of each treatment, including information about risks and benefits, and written information, describing their chosen treatment, to take away.

Nursing Times, 100(3), 38–41. White E (2004) Where medicine left off. Nursing Standard, 18(37), 20. uk 2 Promoting Sexual Health SUE JOLLEY, SUE GRIFFITHS and HELEN WHITE ‘Sex’ is a short but powerful word, which instantly attracts attention. Sex can mean different things to different people. It can amuse or shock, satisfy or frustrate and bring happiness or misery. Sex also creates a variety of employment; consider midwives, therapists, prostitutes, designers, filmmakers, counsellors and advertisers to name just a few.

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