Discuss the Imprtance of Nursing Assessment in Relation to the Delivery of Holistic Care for a Patient / Client from Your Current Practic / Experience

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COLLEGE OF OBSTETRICIANS & GYNAECOLOGISTS Academy of Medicine of Malaysia Clinical Practice Guidelines on “ Hormone Therapy during Menopause in Malaysian Women ” Collaborating agencies Ministry of Health Malaysia Malaysian Menopause Society Obstetrical & Gynaecological Society of Malaysia Academy of Family Physicians of Malaysia ( MOH/P/PAK/207.10(GU) ) CLINICAL PRACTICE GUIDELINES HORMONE THERAPY DURING MENOPAUSE IN MALAYSIAN WOMEN on A project of the College of Obstetricians & Gynaecologists Academy of Medicine of Malaysia CONTENTS Foreword Committee Members Title of CPG Basis for development of CPG Clinical questions addressed Target group Target population Process Appendix l - SIGN 50 criteria Objectives Definitions Diagnosis of menopause Clinical benefits of Hormone Therapy Hormone Therapy and other systems Patient perspectives Clinical Practice Guidelines Appendix ll Hormone therapy preparations available in Malaysia Appendix lll Algorithm for initiation of hormone therapy ( based on symptoms ) Appendix lV Algorithm for initiation of hormone therapy ( based on risk of osteoporosis ) References Page 1-2 3-6 7 7 8 8 8 8-10 11-12 13 13-14 14-15 15-22 22-27 28-30 30-37 38-39 40 41 42-56 FOREWORD Hormone Therapy (HT) remains the most effective option for menopausal symptoms. There are many good clinical data to indicate that the use of HT started in early menopause is effective and safe. Despite all this, both doctors and the public are still apprehensive and anxious about its continued use. Prevailing misconceptions and misinterpretations about HT may be contributed by several factors, including cultural practices, social mores, misinformation through media, and differing practices of medical personnel based on inconsistent scientific data. Access to information through unmonitored media and internet has to

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