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Introduction to Women’s Health Laura LaPorta Krum PT, PhD What is women’s health to you? “Essential” or “Important” Content in Professional Education Essential Important Osteoporosis (61.1%) Obstetrics (54.2%) Spine/Extremity Musculoskeletal Dysfunction (54.8%) Sports Injuries (52.4%) Nutrition Issues (51.9%) Urogenital Concerns (50.4%) Wellness & Health Promotion (50.4%) LaPorta Krum & Smith, 2005. Educating physical therapists in women’s health: recommendations for professional (entrylevel) and post-professional curricula. Essential” or “Important” Content in Postprofessional Education Urogenital (67.7) Spine/Extremity (65.4) Pathology (64.0) Aging (62.5) External PFM (62.0) Classroom/Lab (61.4) Osteoporosis (61.1) Obstetrics (60.8 Clinical Residency (60.8) Internal PFM (59.7) Clinical Observation (58.8) PFM Exercise (58.5) Oncology (58.5) Gynecology (56.8) Research (55.6) Phys/Endocrine (53.9) Anatomy w/dissect. (51.0) Take Home Message… Educational infrastructure in woman’s health that is current with practice is lacking in most PT programs Few students and/or PTs are trained to differentially diagnose key women’s health issues Take Home Message… Graduates interested in specializing in women’s health must pursue advanced education to be qualified Certificate programs Continuing education MENTORSHIP Foundations of Women’s Health “Women’s Health” defined Women’s health movements General health efforts in late 1800’s – Early 20th century 1960’s-1980’s Woman centered care; drug and device safety Title IX for female athletes 1990s OB PT in early 1900’s in UK Women’s health research agenda Women’s Health and the APTA Where does WOMEN’S HEALTH begin??? Experiences in our bodies Societal influences Relationships with others Experiences in Bodies Growth and menstruation Pregnancy and breastfeeding Motherhood Menopause Aging Experiences in Bodies Obesity or fear of fat Unwanted attention from men Fear for one’s safety Social Role Expectations Family Friends Immediate family Extended family Significant others Achievement orientation Drive for popularity in adolescence Co-workers Bosses Societal Influences Past vs. present societal roles Misconstructed feminism Balance of working in home and workplace Discrimination Racism Views of beauty Physical appearance Body size, weight, and shape Aging Societal Influences Views on health Illness Disability Depression Threats Loss of relationship Violence and abuse Financial security; wages; economic survival Single parenthood Perfectionism What is the PT role? Educator Role Model Advocate Visualization Exercise Close your eyes and visualize your body. How do you feel about what you see? Why do you think you feel the way you do about your body? ADOLESCENCE Overview Body image issues Nutritional wellness and disease Nutrition and body image assessment Key orthopedic issues Case studies