Role of the nurse in infertility

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Sprache:English
Veröffentlicht: Philadelphia [u.a.] Saunders 1996
Schriftenreihe:Infertility and reproductive medicine clinics of North America 7,3
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adam_text ROLE OF THE NURSE IN INFERTILITY CONTENTS Foreword xi Michael P. Diamond and Alan H. DeCherney Preface xiii Andrea Mechanick Braverman Monitoring Menstrual Cycles and Patient Preparation for Diagnostic Procedures 417 Rebekah Albrecht Carey Although much of the endocrine system is understood, many ques¬ tions still remain. The nurse s understanding of reproductive endo¬ crinology is essential to the provision of care. Based on this knowl¬ edge, the nurse directs the patient evaluation. The patient will benefit from a patient oriented overview of her endocrine system. The Role of Ovulation Induction and Ultrasonography: A Practical Assessment 427 Karen R. Hammond In addition to the evolution of ovarian stimulants, perhaps the greatest stride in ovulation induction has been the development of transvaginal sonography and its use for monitoring ovulatory function. Ovulation induction, sonographic examinations, and the role of the nurse are discussed. Treatment of Male Infertility and the Role of the Nurse in Intrauterine Insemination 443 Gayle A. Norbryhn The incidence of male factor involvement in cases of treated infertil¬ ity is approximately 50%. A standard work up for diagnosing male INFERTILITY AND REPRODUCTIVE MEDICINE CLINICS OF NORTH AMERICA VOLUME 7 • NUMBER 3 • JULY 1996 V infertility is outlined. Treating male factor infertility involves vari¬ ous medical and surgical options, but intrauterine insemination has become a fundamental treatment for its relative efficiency at sperm delivery. Aspects of intrauterine insemination, the nurse s evolving role, procedures, precautions, screening, and issues of male partner or donor sperm are addressed. Female Fertility Over 40 467 Cathy A. James An increasing number of women over the age of 40 years are seeking information about the possibility of a pregnancy. Tests to assess ovarian reserve offer predictive value for treatments for infertility. Treatment options then can be individualized, including those for risks of genetic abnormalities. Obstetric complication rates are increased in older women, but perinatal mortality rates are un¬ changed. The Nurse as Patient Advocate and Counselor 483 Michelle I. McCullom The key role of the nurse within the team of infertility specialists is evolving. As infertile couples needs for education about treatment, options, and emotional and physical risks grow, couples are taking a more active role in their own care. Infertility nurses must act as patient advocates to ensure the protection of patient rights by empowering them with education, representing them in team meet¬ ings, and participating in health care reform debates, thereby ensur¬ ing a voice for infertility patients in the legislative process. Nurses also actively participate in the communication process, identify couples who are having problems, institute proper intervention, and know when to refer to a professional. Infertility nurses can prepare for these demanding challenges through continuous edu¬ cation and networking with experienced nurse managers. Recurrent Pregnancy Loss 495 Nona Morgan Swank Recurrent pregnancy loss affects approximately 0.5% of women. Although many factors associated with recurrent pregancy loss have been investigated, the effectiveness of the recommended diag¬ nostic techniques and proposed therapies remains controversial. Studies frequently show that successful outcomes occur without medical intervention. Additional research is needed. Pregnancy After Infertility 503 Linda Hammer Burns Because all too often the goal of infertility treatment is pregnancy, it can be disconcerting to both the patient and care giver when VI CONTENTS the pregnancy following infertility treatment is difficult and physi¬ cally and psychologically challenging. Disbelief, denial, or hypervig ilance in response to pregnancy may impact prenatal care and adjustment to pregnancy and parenthood. Factors contributing to the uniqueness of the pregnancy following infertility include preg¬ nancy complications requiring bedrest, hospitalization, multiple fetuses, fetal reduction, pregnancy created as a result of donor gametes, pregnancy in a gestational carrier, or pregnancy in an older mother. These factors can impact psychological adjustment to and obstetric care of the pregnancy. The Impact of Sexually Transmitted Diseases on Fertility: A Review of the Literature and Nursing Opportunities 521 Kelly A. Fugate and Margaret M. McCluskey Because advanced or untreated cases of sexually transmitted dis¬ eases account for so much tubal sterility and ectopic pregnancy in the United States, significant nursing opportunities exist in patient partner education, prevention, early diagnosis, and treatment. This discussion features brief overviews of some common sexually trans¬ mitted diseases, their clinical presentations, current treatment ap¬ proaches, and the impact of each on infertility, according to contem¬ porary literature. Emphasis is placed on the nurse s role in helping patients deal with the costly consequences of these preventable re¬ productive limitations from clinical and psychological standpoints. Cancer and Infertility: Nursing Implications 535 Jacqueline N. Gutmann This article reviews the effects of cancer treatment on male and female fertility and describes ways to minimize the impact of such treatment. In addition, the existing data regarding the impact of nulliparity, infertility, and the use of fertility drugs on the risk of subsequent malignancy are discussed. Infertility Insurance: Status, Myths, and Strategies for Change 553 Kenneth A. Ginsburg The diagnosis and treatment of infertility is an expensive proposi¬ tion. This article reviews the representative costs of these services and the status of third party payment for this care. The impact of these services on insurance premiums is addressed. Beyond state mandates, successful inclusion of infertility under the Americans with Disabilities Act may provide additional future avenues for insurance coverage and reimbursement. Infertility and Sexual Dysfunction 565 Andrea S. Boxer The impact of infertility and its treatment extends to all areas of a couple s lives. One aspect that is most significantly affected is CONTENTS Vii sexual function. A biopsychosocial perspective is used to examine the relationship between infertility and sexuality. Advances in Human Genetics: Implications for Infertility Nursing Practice 577 Shirley L. Jones Before the year 2005, it is anticipated that the entire human genome will be mapped. This information will expand both the nature and understanding of services that can be provided to the health care consumer. Couples seeking routine infertility services are in need of education about health issues for which they may have a genetic risk. In addition, individuals at risk for a genetic disorder are using donor gametes and embryos, sperm separation, and preimplanta tion genetic testing services that are now available through select infertility programs. Infertility nurses will need to integrate new knowledge and skills into professional practice. Third Party Reproduction: Nursing Issues 587 Mary E. English Nurses in assisted reproductive technology programs have a colle gial role with physicians and a multidisciplinary team and have taken on new and significant patient care responsibilities. The role of the assisted reproductive technology program coordinator is a specialized and challenging position requiring a technologically complex knowledge base, comprehensive patient care delivery, co¬ ordination of complex services, good assessment and case management skills, and follow up and identification of ongoing patient needs. His or her ability to balance and practice authority, accountability, and collegiality while appropriately using the ex¬ pertise and resources of many disciplines further defines the poten¬ tial to share the joint responsibility and accountability for the level of care delivered by the team to infertile couples. Ethical Issues in Infertility Nursing Practice 611 Linda D. Applegarth The rapid development and advances in infertility treatment and the assisted reproductive technologies have unpredictably ex¬ panded the possibilities of conception, pregnancy, and parenthood worldwide. As a result, there has been a continuous debate about the ethical implications of these procedures and their consequences on society. Although it is essential that attention be given to these bioethical discussions, nurses working in infertility programs must also deal with the ethical issues related to patient management, psychosocial factors, and informed consent in daily practice. Viii CONTENTS Nurses must become aware of their (and others ) ethical positions and concerns to feel comfortable with and to meaningfully discuss ethical issues with patients, physicians, and scientists with whom they work. Providing Care for the Caregiver 623 Deidra T. Rausch The experience of infertility nursing offers many challenges and rewards, yet the potential for burnout is great. This article presents a review of current research studies evaluating work stress and burnout in the nursing profession. The multiplicity of the infertility nurse s role is evaluated in light of these findings to identify risk factors for burnout. The importance of a nonheirarchical and collab¬ orative team approach is emphasized. Suggested interventions for caring for the infertility care giver are presented together with recommendations for future research. Index 637 Subscription Information Inside back cover CONTENTS ix
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series2 Infertility and reproductive medicine clinics of North America
spellingShingle Role of the nurse in infertility
Infertility and reproductive medicine clinics of North America
Infertilité - Soins infirmiers
Infertility Nursing
Sterilität (DE-588)4057338-2 gnd
Krankenpflege (DE-588)4032813-2 gnd
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title Role of the nurse in infertility
title_auth Role of the nurse in infertility
title_exact_search Role of the nurse in infertility
title_full Role of the nurse in infertility Andrea Mechanick Braverman, guest ed.
title_fullStr Role of the nurse in infertility Andrea Mechanick Braverman, guest ed.
title_full_unstemmed Role of the nurse in infertility Andrea Mechanick Braverman, guest ed.
title_short Role of the nurse in infertility
title_sort role of the nurse in infertility
topic Infertilité - Soins infirmiers
Infertility Nursing
Sterilität (DE-588)4057338-2 gnd
Krankenpflege (DE-588)4032813-2 gnd
topic_facet Infertilité - Soins infirmiers
Infertility Nursing
Sterilität
Krankenpflege
Aufsatzsammlung
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