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WHNP | Women Health Nurse Practitioner

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WHNP - Women Health Nurse Practitioner - braindump

Vendor Medical
Exam Number WHNP
Exam Name Women Health Nurse Practitioner
Questions 50 Q & A
Recent Update November 9, 2018
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WHNP exam Dumps Source : Women Health Nurse Practitioner

Test Code : WHNP
Test Name : Women Health Nurse Practitioner
Vendor Name : Medical
Q&A : 50 Real Questions

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Medical Medical Women Health Nurse

there's a brand new Crop of wellness brands Bringing girls's fitness Care Into the Digital area | killexams.com Real Questions and Pass4sure dumps

Photo: Mayan Toledano (styled by Zara Mirkin)/Hers

picture: Mayan Toledano (styled by way of Zara Mirkin)/Hers

Conversations about fitness care in 2018 are — for a lot of reasons — quite fraught. On a person stage, between the all-too-average struggles with assurance, a ways-off appointment dates, excessive wait instances, lack of communique and readability with a number of providers and access to medicines (with fluctuating expenses), there is no denying that there is a lot of work to be accomplished to make certain americans, and girls particularly, have entry to the choicest care viable.

As fitness care becomes an even greater abruptly expanding business, a slew of businesses within the tech house have sought to re-think about the manner sufferers entry medical services — with an goal toward catering to millennial and generation Z buyers, of path. however more than just offering Instagrammable nutrients and superfoods, there's additionally a comparatively new wave of groups focusing on widening the attain, accessibility and effectiveness of telemedicine. Their intention is to disrupt the device as we realize it and fix buyers with precise scientific services, precise docs and prescriptions at budget friendly expenses — without requiring patients to even to go away the residence. 

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One manufacturer main the cost within the ladies's space comes from the same team that brought the realm Hims, a direct-to-client fitness, grooming and wellness website for men, which provides simple skin care in addition to options for clinical concerns like hair loss and erectile disfunction. Thursday marks the official launch of its counterpart specializing in women's health, known as, somewhat predictably, Hers.

"One interesting thing concerning the Hims group is that the majority of our executive and director degree groups are girls," says Hilary Coles, a founding Hims crew member and the current brand lead of Hers. "As we have been building this men's brand, it became fairly obvious that girls did not have entry to the identical streamlined strategy to care. We believe women have a appropriate to make counseled selections about their wellbeing and have handy access to products which are scientifically proven to work. or not it's anything we have now been engaged on for pretty much a yr now, so we're excited to launch on the one-12 months anniversary of Hims."

With Hers, Coles — along with her group and the company's network of greater than one hundred twenty medical doctors — is hoping to present women the same approachable, streamlined access to care that Hims has afforded to men around the nation, featuring each over-the-counter and prescription medicines at as much as 80 percent off usual retail prices, ranging from $15 to $seventy five. The preliminary focus will span three categories: sexual wellbeing, dermis and hair.

"We basically thought it turned into critical to launch a parity product as a result of ladies have been dealing with loads of the equal considerations, but they're extra closely stigmatized," says Cole. "look at hair loss, as an example: forty % of women adventure hair loss or thinning earlier than the age of 40, which is just crazy as a result of no one talks about it. And when we dive into those numbers extra, 75 % of women who had skilled hair loss or thinning were extremely distressed by using that." Coles adds that a majority of the girls in that particular analyze hadn't spoken to a physician about it, despite the condition taking a big toll on their lives.

The Hers product lineup contains a strengthening shampoo and conditioner, dietary supplements to promote hair boom, more desirable nails and skin health and Minoxidil treatment formulated for girls. (The gadgets in this category can all be purchased over-the-counter, with out the want for corresponding with a physician.)

For any items that do require a prescription — like the company's contraception tablets or clinical-electricity pimples treatment (which depends on a mixture of tretinoin, clindamycin and niacinamide) — a session with a physician is mandatory, simply as it can be through average avenues. however Hers has streamlined that system.

clients comfortably go to the company's website and fill out a questionnaire, which is then submitted to one of the most clinical suppliers within the Hers network via its comfy portal. "If applicable, the doctor will prescribe you the connected solution, and bring it to you directly at your door," explains Coles.

Photo:  Stephanie Dinkel/ Hers

image:  Stephanie Dinkel/ Hers

"You understand, you seem on the time [it takes] to go discover a dermatologist to get a referral, which is probably going now not covered, or has a really excessive copay," says Coles. "after which once you see a dermatologist and get entry to those marvelous products like retinol that work, you're out yet another $200. We idea was simply unacceptable."

within the sexual wellbeing category, Hers connects women directly with docs for consultation and counsel, as well as providing access to usual types of the birth control pill. Coles cites this offering as a large pillar for the company, sharing the miraculous statistic that greater than 19 million ladies shouldn't have entry to a public fitness sanatorium in the united states. "or not it's everything from the time it takes, to the potential to have a biased or judgmental conversation, or taking day without work work and like lack of transportation alternatives," says Coles. "We desired to offer extra a efficient technique to get those items into the arms of women who desired them."

Hers is also the exclusive on-line wellbeing platform to deliver Addyi, the most effective FDA-accepted medicine for hypoactive sexual desire disorder, with the intention to even be purchasable in the course of the site, doled out on a prescription foundation. "on the market nowadays, there are 26 products attainable for guys to raise their intercourse power or essentially to get them complicated. this is the first option out there for ladies," says Coles.

This specific product speaks to the enterprise's commitment to assembly women where their health concerns are most often disregarded, discounted or are so stigmatized that they don't are searching for suitable treatment, if any in any respect. After conducting numerous focus businesses and surveys, Hers discovered that one out of each 10 girls is suffering from low sex pressure ailment. 

"These women were instructed to take a shower or relax, and basically it became a dysfunction disease going on of their brain," explains Coles. "So we believe or not it's in reality vital to be offering a large choice of products off the get-go, since it's a crucial time to be taking note of women, to be offering the ultimate options for them, after which helping to e-book them to the gold standard process for their answer or for their concerns."

paying attention to and presenting extra reputable alternate options for women is additionally the mission of fellow telemedicine startup Binto, a Pennsylvania-based mostly company headquartered by way of Suzie Welsh in 2016. The monthly subscription service goals to connect girls with on-demand fitness professionals and customized over-the-counter products — like prenatal nutrients, probiotics and biological feminine care products — addressing everything from period help and hormonal health to fertility and prenatal care and symptoms experienced all through menopause.

When Welsh, whose history is as an IVF and fertility nurse, became working at a fertility sanatorium, she changed into given a firsthand examine simply broken the USA healthcare system in reality is, exceptionally for girls.

"There become only a regular lack of entry to care," explains Welsh. "Most ladies are ready well over six weeks, if no longer over three month, to get in to look an OBGYN, and it be simply as a result of we're seeing a lack of individuals specializing out of medical school as a countrywide trend." because of the severe lack of access, Welsh also observed an accompanying wave of confusion for a lot of ladies who weren't granted timely access to care for what most instances could be a basic fitness question. "ladies would flip to Google for everything," she says. Binto became conceived of because the accessbile option to that.

Personalization is a tentpole of Binto's company; the person technique starts by means of finishing a fitness survey, which kicks off through asking what they're looking for out of the service. From there, users choose from four categories, including help with period symptoms, assist for trying to get pregnant, assist for pregnancy and help for menopause or submit-menopause. After a sequence of observe-up questions ranging from weight-reduction plan to daily very own struggles, the algorithm (powered with the aid of Binto scientific gurus) recommends loads of dietary supplements specific to the user's issues and desires. A monthly deliver of complement packets — which are vegetarian, biological the place viable, non-GMO and freed from gluten and preservatives — is then be sent without delay to the consumer's door for $50 and can be adjusted at any time without any added costs.

unlike Hers, all Binto products are over-the-counter and therefore don't require a prescription or medical professional session. although, on precise of entry to secure and beneficial products and supplements, Binto's subscribers also acquire 24/7 entry to an authorized nurse, whether to speak about their present regimen or to ask fundamental fitness questions.

Photo: Courtesy of Binto

photo: Courtesy of Binto

"that you would be able to time table a 15-minute nursing talk to earlier than you subscribe, and 100 percent of the time, individuals who schedule a call before subscribing become subscribing, so it's a really effective tool," says Welsh. "some of the greatest things it truly is missing in the health category these days that people are weary of with direct-to-purchaser is a stage of have faith, and so the fact that we're situated through a licensed health professional, and that we've licensed fitness care specialists on workforce alongside our scientific advisory board, units us aside."

a 3rd business on the horizon of joining the ranks with Hers and Binto is epidermis Laundry, which these days launched dermis Laundry Rx, a prescription-focused extension of its laser medicine-middle and product line. The application is at present operating in beta totally in California, though or not it's slated to launch in ny, Illinois, Texas, Florida, Arizona and Colorado in Q1 of 2019, with plans to extend to 22 states by mid-yr.

"Our goal is to provide least expensive prescription skin-care medicines formulated and customised via our crew of scientific gurus to match each and every individual's wonderful considerations and sensitivities," says Elyse Shelger, who is a registered nurse and skin Laundry's director of clinical operations. "just as we made the thought of laser facials more accessible, we intention to do the equal with prescription-grade skincare. get rid of the barriers, simplify the technique, preserve the precision, vigor and add customization.”

With providers specializing in zits, rosacea, hyperpigmentation and getting old, the enterprise enables users to speak with practitioners from the convenience and privateness of their own buildings and have personalized medicine shipped at once to their front doors — no waiting room debacles or prescriptions to choose up.

The manner, a lot like with Binto's, starts with a thorough questionnaire created by means of Dr. Adam Geyer, epidermis Laundry's global medicine director and a brand new York metropolis dermatologist, that delves into each element of what you would experience with a visit to the dermatologist. "it's been tweaked and re-tweaked to fully be sure all possible scenarios are covered," explains Shelger. "We additionally require photos to be submitted so providers can visually investigate for themselves the situation of the epidermis earlier than any prescriptions are written."

as soon as shoppers are install inside the system, they've the capacity to message their issuer directly, 24/7. in contrast to either Hers or Binto, once skin Laundry Rx fits a consumer with a provider, that might be their identical supply all through their entire experience with the provider. "each time you've got a question, they could be your point of contact so that you can directly message, and they will be the one checking in on you periodically, above all early on as you modify to your new prescription," provides Shelger.

or not it's elements like this that permit epidermis Laundry valued clientele to have faith the service, and why Shelger believers more and more consumers are in a position for telemedicine.

"every thing is moving faster, and people just would not have time or the endurance to attend two months for an appointment with an overbooked dermatologist, to then wait in a waiting room, follow up the seek advice from with a pressure to the pharmacy, search once again for parking, wait in line on the pharmacy for their prescription that can also or may additionally no longer be covered," says Shelger.

in keeping with a 2017 report via HIMSS Analytics, the adoption of telemedicine options and functions had surged considering the examine turned into first conducted in 2014, from roughly fifty four p.c to seventy one p.c in 2017, noting that 9 percent of that increase had come from 2016 on my own. or not it's such impressive growth that, when digested with the 2016 survey by Deloitte's client items forum highlighting the ways that consumers are prioritizing and valuing health, wellness and agencies headquartered on transparency and records now greater than ever, it puts these young agencies in a position to vastly revolutionize the healthcare industry.

If americans, and girls in specific, are searching for more streamlined, concise, handy and accessible fitness care that they could believe, Hers, Binto and skin Laundry are able to give a their piece of the total graphic — all with appealing design and relatable messaging in addition.

"I feel for a lot of people, telemedicine provides them with the chance to take their healthcare into their personal palms," says Coles. "through featuring this area and handy and low cost analysis technique, we will help make it less demanding than ever to assist girls access depended on providers and discover reliable solution when they need one, and after they need one."

Please word: every so often, we use affiliate links on our web site. This by no means influences our editorial decision-making.

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Nurse Compensation Remained Flat throughout Most Care Settings | killexams.com Real Questions and Pass4sure dumps

Nurse compensation

source: Thinkstock

November 01, 2018 - Nurses didn't see a significant enhance in average annual compensation in 2017, a recent survey of over 10,200 registered nurses (RNs), and licensed purposeful nurses (LPNs) revealed.

The normal profits of a full-time RN had been $eighty one,000 in 2017, up just $1,000 in two years, and LPNs noticed no tremendous alternate in normal annual compensation right through the equal period, Medscape reported.

“These findings indicate a knocking down of RN and LPN wages typical from the previous 12 months and very little alternate from two years in the past,” the report stated. “This trend may be partly regarding increasing retirements of older (and higher-paid) nurses. Their replacement by using younger, early-career nurses might have the effect of lowering usual nurse wages.”

Retirement has had the contrary affect on the salaries of other healthcare suppliers, notwithstanding.

Physicians retirement is a tremendous driver of the fresh doctor shortage. The association of yank medical colleges (AAMC) initiatives the business to face a scarcity of as much as 120,000 medical doctors with the aid of 2030. The projected physician shortage is getting worse, expanding from the 2017 estimate of 104,000 physicians with the aid of 2030.

read more: Falling productiveness Stifles doctor Compensation boost in 2017

The extensive component of working towards docs at or nearing retirement age partially drove the increased health practitioner shortage estimate this yr, AAMC cited. Physicians aged sixty five years or older represented 13.5 percent of the active group of workers, and those between fifty five and 64 years ancient accounted for just about 27.2 p.c.

medical doctors may additionally also delivery to retire sooner in light of the persistent and frequent health care provider burnout problem, AAMC cited.

facing a physician shortage, doctor compensation has increased. as an instance, the regular annual profits of a major care health care provider multiplied over 10 % over the last five years as a result of a severe shortage of fundamental care providers, the scientific community management association (MGMA) lately stated.

Nurse practitioner and health practitioner assistant compensation also lately saw large growth. About one-half of the advanced practice clinicians suggested a boost in income from 2015 to 2016, with 12 percent seeing their compensation develop eight p.c or greater all over that point, PracticeMatch suggested.

Researchers hypothesize that advanced follow clinician salaries can be expanding as healthcare groups try to fill the gaps left by the doctor shortage.

study more: doctor Shortages force raises in issuer Compensation

Nurse compensation, despite the fact, doesn't seem to be following the trend followed by way of other healthcare providers. The Medscape study’s authors even cited that RNs and LPNs would have seen a discount in compensation in 2017 if the report adjusted for inflation.

The examine showed that apply setting concerns when it comes to nurse compensation. The highest-paying setting continues to be the health facility, with RNs making a typical of $84,000 per yr for delivering inpatient care and $82,000 for delivering clinic-primarily based outpatient or clinic care.

better salaries can be pulling extra nurses to follow in the medical institution atmosphere, the survey delivered. The clinic endured to be the fundamental employment setting for RNs, with 39 percent working in inpatient settings and 13 p.c practicing in health center-primarily based outpatient settings in 2017.

although, fitness plans may well be giving hospitals a run for his or her funds. besides the fact that children fewer nurses labored within the fitness plan atmosphere, fitness plans paid simply as a whole lot for RN work as hospitals ($eighty four,000 per year).

The average annual profits of a fitness plan RN also multiplied from $seventy eight,000 in 2016, while hospitals did not increase nurse salaries from 2016 to 2017, in accordance with the survey.

read greater: general practitioner Compensation models need value-based mostly compensation

Occupational health settings additionally paid simply as much as hospitals, researchers added.

RNs particularly made the least amount of cash in school/faculty fitness functions ($66,000), public health/neighborhood health ($sixty nine,000), non-sanatorium-based clinical office or urgent care clinic ($71,000), and hospice/palliative care ($seventy three,000).

Researchers additionally noted that common RN wages very modestly elevated in each major work atmosphere from 2016 to 2017 apart from hospice/palliative care. Nurse compensation for hospice/palliative care decreased greatly, falling $3,000 on typical.

For LPNs, the survey confirmed that professional nursing amenities and other lengthy-time period care companies paid probably the most.

The settings paid LPNs a typical of $48,000 per yr in 2017. despite the fact, wages for LPNs in knowledgeable nursing amenities and lengthy-time period care corporations slightly decreased compared to 2016.

Gender also played a part in nurse compensation rates, the survey uncovered. The gender wage gap persisted for the fourth consecutive year, with male nurses incomes $four,000 more than their feminine counterparts throughout the board.

“Ours is not the only profits survey to locate that men are paid bigger wages than women in nursing,” the record pointed out. “however in spite of this persistent and apparently general gender wage gap, we nevertheless lack enterprise statistics to notify us why this happens.”

“we're hampered by means of the undeniable fact that handiest eight percent to 10 p.c of nurses are guys, leading to a big imbalance in the measurement of the dataset,” the report persevered. “In our survey, handiest eight p.c of RN respondents have been men.”

In easy of stagnant compensation degrees, most nurses did not consider satisfied with their salaries in 2017. About 44 % of RNs and 54 % of LPNs didn't suppose pretty compensated, the survey confirmed.

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Brookwood Baptist names new chief nursing officer | killexams.com Real Questions and Pass4sure dumps

No result found, are trying new key phrase!Brookwood Baptist fitness has named Amy Beard as the new chief nursing officer of Brookwood Baptist medical core. Beard has served as ... In her work with women’s functions, she has held a couple of posit...


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WHNP exam Dumps Source : Women Health Nurse Practitioner

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Women Health Nurse Practitioner

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Women's Excellence Welcomes Shawna Cuda, Family Nurse Practitioner | killexams.com real questions and Pass4sure dumps

Women's Excellence in Obstetrics and Gynecology welcomes Shawna Cuda, NP, to our team of Nurse Practitioners.

LAKE ORION, Mich., Oct. 26, 2018 /PRNewswire-PRWeb/ -- Shawna Cuda is a family Nurse Practitioner passionate about women's healthcare. She received her Master of Science in Nursing from the University of Detroit Mercy and her Bachelor of Nursing from Oakland University. Shawna enjoys learning about complementary and alternative medicine and encourages women to practice self care at all stages of life.

Shawna is an integral part of launching the Women's Excellence Telemedicine program. In addition to regular in-office visits, Shawna will care for patients virtually for gynecologic concerns, initial consults, preoperative visits, and more. The Women's Excellence Telemedicine program is scheduled to launch November 2018.

"Being a health care provider is a true calling. I am thrilled to have a career where I can connect with patients, listen to their needs and encourage them to set their own goals for optimum wellness and fulfillment."- Shawna Cuda, Nurse Practitioner at Women's Excellence Obstetrics and Gynecology.

The Nurse Practitioners at Women's Excellence provide care to women of all ages. Our services include prenatal care, postpartum care, contraceptive (birth control) services, treatment of gynecologic infections, testing and treating for sexually transmitted diseases (STDs), annual gynecologic exams, breast exams, menopause services, health promotion services, weight management visits, acute and chronic women's health problems, and more.

For more information or to schedule an appointment at Women's Excellence, visit http://www.WomensExcellence.com. To better serve new and existing patients, Women's Excellence now offers real-time customer service through a new live chat feature on our website at https://www.womensexcellence.com/contact/. The online live chat feature is available every Monday-Friday from 8:00am-5pm. Website visitors can chat with a dedicated patient support specialist to schedule appointments, learn more about the services that Women's Excellence offers, and have their questions answered in a HIPPA-secured environment. Users requesting a diagnosis or a treatment prescription through the live chat will be scheduled an appointment in the office and directed to a medical professional.

In addition to the live chat service, users can still submit appointment request forms online or call the office directly at (248) 693-0543.

Women's Excellence is the most comprehensive obstetric and gynecologic office in Michigan. Additionally, we specialize in menopause, weight control, bladder control, endometriosis, robotic surgery, oncology, and midwifery services. Women's Excellence is committed to staying at the forefront of innovation with cutting edge technologies utilizing robotic surgery and minimally invasive surgical options when possible. The knowledgeable, compassionate physicians and healthcare providers of Women's Excellence focus on patient-centered processes to deliver the highest quality of care. They are affiliated with most insurances. They offer seamless medical record access via a state of the art patient portal and use the latest technology for record keeping and sharing, making the patient experience easier and more efficient. Women's Excellence is taking new patients and is conveniently located throughout southeastern Michigan in Birmingham, Lake Orion, Clarkston, Rochester, and West Bloomfield. For more information, visit http://www.WomensExcellence.com.

 


Gifford welcomes new physician assistant and nurse practitioner | killexams.com real questions and Pass4sure dumps

News Release — GiffordOct. 29, 2018

Contact:Maryellen Apelquist802-728-2284

Gifford Welcomes Clemente, Stephani to Primary Care

RANDOLPH, Vt.—Gifford Health Care’s Primary Care team continues to grow, with Physician Assistant Katherine Clemente starting this month in Randolph and Nurse Practitioner Pascale Stephani joining providers at Gifford’s Berlin location.

Clemente provides a wide range of care services and has clinical interests in women’s health and sports medicine. The Vermont native finds making connections with patients the most rewarding aspect of her work, and is drawn to Gifford’s sense of community.

“I am very tightly tied to my community—central Vermont is my home—and Gifford is small, intimate, warm and caring,” said Clemente, who knew from an early age that she wanted to work in health care, inspired in part by her mother, who has worked as a PA since the 1970s. “It has been a wonderful connection between us. We are very tied together by our profession. I think of medicine as my mother tongue.”

Clemente is a familiar face at Gifford, having started her PA career six years ago at Gifford’s Rochester Health Center. Since then, she has gained additional experience as a PA throughout Vermont: at Northern Counties Health Care in Concord, Green Mountain Orthopedic Surgery/Central Vermont Orthopedic and Sports Medicine in Berlin, and Associates in Orthopaedic Surgery in South Burlington. She earned a master’s degree in physician assistant studies from Franklin Pierce University in West Lebanon, N.H., and a bachelor’s degree from Vassar College in Poughkeepsie, N.Y. When not at work, she enjoys mountain biking, skiing, climbing, making stained glass, blacksmithing, woodworking, and spending time with her two dogs.

Stephani provides care to patients of all ages. She brings to Gifford more than 20 years of nursing experience, including 15 years as a dedicated family nurse practitioner. Her clinical interests include women’s health issues, and she takes a team approach to patient care.

“The more informed patients are, the better off they are,” Stephani said. “I am not here to dictate to them. We work as a team. I am here to help people—to teach and to help them get better.”

Stephani also is drawn to Gifford’s sense of community, and prefers “the family feel of a smaller hospital.” Originally from Montreal, Quebec, Canada, she moved to Vermont in 2010. Her professional experience includes, most recently, eight years as a family nurse practitioner at Central Vermont Primary Care in Berlin, as well as several years as a staff nurse at health-care facilities in New York, Utah and Canada. She is a registered nurse (RN) and nationally certified nurse-midwife (CNM), women’s health nurse practitioner (WHNP) and family nurse practitioner (FNP). She earned a bachelor’s degree in nursing from the University of Montreal, her CNM and WHNP from the University of Utah in Salt Lake City, and her FNP from Westminster College in Salt Lake City. When not at work, she stays active with her four children and enjoys snowboarding, biking, hiking, and visiting family in Montreal.

In addition to Stephani and Clemente, Gifford recently announced Dr. Emilija O. Florance joined the Primary Care team and sees patients in Randolph and Berlin. For more information about Primary Care, visit giffordhealthcare.org/service/primary-care.


Take charge of women's health with 3 must-have appointments | killexams.com real questions and Pass4sure dumps

Ladies, it’s no secret that October is pretty well-known for raising awareness about breast cancer detection and awareness. At St. Vincent Healthcare, we think that it’s also a great time to remind you about the importance of maintaining overall good health and wellness.

Now we know you’re busy — and we know that you have a tendency to put the needs of your family and friends ahead of your own. But by taking the time to undergo some basic tests, you can live a healthier life and avoid health problems like high blood pressure and heart disease. It also helps to make sure that problems are diagnosed and treated early.

We encourage every woman to have a primary care provider — someone who will get to know them and their health history. That primary care provider will help to ensure that basic screenings are done on a regular basis, such as blood tests to evaluate cholesterol and blood sugar levels. Tests will vary based on a woman’s age and risks for certain types of disease.

All women should also receive a pap smear beginning at age 21, with the frequency thereafter determined by their health care provider. The use of Pap testing to identify changes in a woman’s cervix, has led to a huge drop in the number of cervical cancer deaths in the U.S. It’s a must for all women.

And of course, women who are approaching age 40 should talk to their health care provider about when to schedule their mammogram. We recommend annual screening mammograms beginning at age 40, but a woman’s personal and family health history can mean earlier and more frequent testing. So talk with your provider.

So, if it’s been awhile since you last talked with your doctor about your overall health, it’s time to make an appointment. It’s never too late to begin focusing on wellness.

Jacob Mearse, CNM is nurse midwife at SCL Health Medical Group Midwifery & Women’s Health. As a dual certified nurse midwife and psychiatric nurse practitioner, Mearse has extensive experience in managing psychiatric disorders and substance abuse in pregnancy. To learn more or to schedule an appointment, please call 406-238-6010.



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Wonderlic [2 Certification Exam(s) ]
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