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Guidelines for Nurse Practitioners in Gynecological Settings, 9th ed.

Guidelines for Nurse Practitioners in Gynecological Settings, 9th ed. Joellen W. Hawkins, PhD, RNC, FAAN, FAANP, Diane M. Roberto-Nichols, BS, APRN-C, and J. Lynn Stanley-Haney, MA, APRN-C; New York: Springer Publishing, 2008; 439 pages, $60.00

I must confess that I am a biased reviewer of this edition of Guidelines for Nurse Practitioners in Gynecological Settings. The very first edition of this book came to my rescue in 1982 as I was commissioned to write clinical protocols for my scope of practice as the first OB/GYN nurse practitioner hired at the site. Needless to say, the first book "rescued" me from this daunting task when I was not quite sure exactly how to write protocols, nor clearly understood what my scope of practice was.

This continues to be a valuable, essential resource for clinical practice. It is a clear, concise, and complete guide for clinical management that meets the holistic needs of women. Each well-organized chapter outlines clinical topics with the following subheadings: definition, etiology, history, physical, laboratory, treatment, general measures, differential diagnosis, complications, consultation/referral, and follow-up. Extensive bibliographies are provided for each guideline, reflecting the latest literature. Throughout are pearls of wisdom to integrate into practice along with traditional medical and complementary inodalities. For example, detailed instructions are given on how to organize a system for follow-up of abnormal Papanicolaou test findings. Careful details for palliative perineal measures are given, "... dry carefully with cool air dryer making sure to hold it sufficiently away from the body" (p. 92). The many pearls of wisdom are not found consolidated in one source elsewhere.

Specific updates to this edition include guidelines for the management of abnormal cervical cytology and the treatment of sexually transmitted diseases, as well as several topics not covered in previous editions. An appendix contains excellent clinical forms, screening tools, and patient education information, revised and updated for this edition. The authors explicitly give permission to copy their succinct patient education materials. This classic book continues to be a must-have for all advanced practice nurse faculty and clinicians who provide health care to women.

reviewed by Joan Rosen Bloch, PhD, CPRN, assistant professor, College of Nursing and Health Professions, Drexel University, Philadelphia, PA.
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Author:Bloch, Joan Rosen
Publication:Nursing Education Perspectives
Article Type:Book review
Date:Nov 1, 2009
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