Manual of Men’s Health: A Practice Guide for APRNs and PAs

Description

The only practical resource to focus solely on health issues specific to men Written by and for APRNs and PAs in the primary care setting, this is the first clinical reference to focus solely on managing health concerns that are specific to men. Filling a significant gap in knowledge about this patient group, the user-friendly reference delivers evidence-based guidelines for the day-to-day management of male patients. Designed for ease of use and quick access to information, the resource is divided into three sections: general men’s health, overview of special issues in men’s health, and urology and preventive cardiology. In addition to addressing the full gamut of urological and cardiac issues, the book discusses the basics of male physical assessment including sports assessment, male adolescent risk issues, musculoskeletal manifestations of stress in men, and health screening issues. Also covered are the aging male and physical activity, the health needs of male veterans, complementary and alternative health methods, chronic pain, high-risk MSM sexual health issues, and starting a men’s health clinic. Key Features: The only practical men’s health resource written specifically for APRNs and PAs by APRNs and PAs Organized to facilitate quick access to information Delivers evidence-based guidelines for men’s healthcare Written and edited by noted APRN and PA men’s health practitioners and faculty Addresses health issues in urology, cardiology treatment for men, and other health issues specific to men Cover......Page 1 Title......Page 4 Copyright......Page 5 Contents......Page 8 Contributors......Page 12 Foreword......Page 16 Preface......Page 18 Share Manual of Men’s Health: A Practice Guide for APRNs and PAs......Page 20 Section I: General Men’s Health......Page 21 Introduction......Page 23 The Impact of Gender on Men’s Health......Page 24 Healthcare Providers’ Attitudes Toward Men’s Health......Page 25 Healthcare-Seeking Behavior Differences Between Men and Women......Page 26 The Internet and Men’s Health-Seeking Behavior......Page 27 Men’s Health Reports......Page 28 Changing Attitudes and Perceptions of Men’s Health......Page 29 The Scope and Future of Men’s Health......Page 30 References......Page 31 Introduction: Disparities in Men’s Health......Page 33 Other Directions......Page 37 Conclusion......Page 38 References......Page 39 Achilles Tendon Rupture......Page 41 Groin Strain or Sports Hernia......Page 42 Transient Quadriparesis......Page 43 Acromioclavicular Joint Injuries......Page 44 Scaphoid Fracture......Page 45 Boxer’s Fracture: Fifth Metacarpal Neck Fracture......Page 46 Ankle Sprain......Page 47 Anterior Cruciate Ligament Tear......Page 48 Epicondylitis......Page 49 Concussion......Page 50 Clinical Pearls......Page 52 References......Page 53 History......Page 55 Investigating Specific Symptoms......Page 56 Physical Examination......Page 58 Conclusion......Page 60 Case Study......Page 61 References......Page 62 Definition of Adolescence......Page 65 Developmental Tasks and Their Effects When Interviewing and Examining an Adolescent Male in the Healthcare Setting......Page 66 Other Important Discussions to Have Whenever Possible......Page 68 Male Adolescent Immunizations......Page 73 References......Page 74 Introduction......Page 77 An Overview of Social Media and Risk Behaviors......Page 78 Popular Social Media Sites......Page 79 Social Media, Adolescents’ Access, and Time Spent Using Social Media......Page 80 African American Adolescents and Young Adults and Social Media......Page 81 Assessment of Risk Behaviors......Page 85 Clinical Recommendations for Providers......Page 87 Case Study......Page 88 References......Page 91 Breathing......Page 95 Vision and Postural Imbalances......Page 97 Inner Ear Function and Posture......Page 98 C1 Subluxation and Postural Dysfunction......Page 99 Assessment of Musculoskeletal Stress Summary......Page 100 References......Page 104 Abdominal Aortic Aneurysms......Page 107 Colorectal Cancer Screening......Page 108 Cholesterol Screening......Page 109 Hepatitis Screening......Page 110 Syphilis Screening......Page 111 Latent Tuberculosis Infection......Page 112 Immunizations in Adult Men......Page 113 Conclusion......Page 115 References......Page 116 Introduction......Page 119 Circumcision in the Adult Male......Page 120 Circumcision in Male Infants and Children......Page 121 Exploring the Controversy......Page 122 References......Page 124 Section II: Overview of Special Issues in Men’s Health......Page 127 Introduction......Page 129 Methods......Page 130 Results......Page 131 Discussion......Page 132 References......Page 134 Overview of Transgender Healthcare......Page 137 Creating a Gender-Affirming Clinical Environment......Page 138 Health Management of Transgender Clients......Page 140 Health Disparities and the Transgender Community......Page 143 Transition Treatment Guidelines......Page 144 Resources for Providers and Patients......Page 146 References......Page 147 Introduction......Page 149 Healthy People 2020......Page 150 Health-Seeking Behaviors......Page 152 Planning for the Health Needs of the Young Adult Male......Page 154 Health Promotion for the Young Adult Male......Page 156 Conclusion......Page 159 References......Page 160 Introduction: Forest over the Tree for Men’s Health......Page 163 Heart Healthy = Men’s Health......Page 164 Dietary Whole Diverse Fresh Fruits, Vegetables, and Other Fiber (Legumes . . . ) Options......Page 166 Nutrients Versus Supplements (Multivitamin: To Take or Not to Take Is the Question)......Page 168 Nutrient Testing Controversies......Page 171 Conclusion......Page 174 References......Page 177 Men’s Health-Seeking Behaviors......Page 183 Mental Health: Prevention......Page 188 Conclusion: Male-Friendly Clinical Environment......Page 189 References......Page 190 Introduction......Page 193 Pathophysiology of Pain......Page 194 Types of Pain......Page 196 Types of Chronic Pain......Page 198 Assessment of Pain......Page 200 Gender Gap Regarding Genital Chronic Pain Conditions......Page 205 Sexuality, Gender, and Pain......Page 207 Summary of Chronic Pain Comorbid Conditions in Men......Page 211 Barriers to Pain Management and Men’s Health......Page 212 Determining Future Directions......Page 213 References......Page 214 Introduction......Page 219 Provider’s Intrapersonal Assessment of Self......Page 222 Sexual Behavior and Practices......Page 225 Shared Decision Making in the Larger Context......Page 239 Conclusion......Page 241 References......Page 242 Physical Examination and Identification of Suspected STI......Page 251 PrEP......Page 258 Case Study......Page 259 References......Page 260 University of Utah Health......Page 263 Access to Clinic and Clinic Capacity......Page 265 Caring for the Men’s Health Patient......Page 269 Clinic Potential......Page 274 Conclusion......Page 275 References......Page 276 Urological Conditions and General Health......Page 281 Urological Conditions, General Health, and Lifestyle—A Common Pathophysiology......Page 286 References......Page 289 Section III: Urology and Preventative Cardiology......Page 293 Prevalence......Page 295 Worldview......Page 296 Physical Examination......Page 297 Expectations and Complications......Page 298 Procedure......Page 299 Conclusion......Page 300 References......Page 301 Overview and Incidence......Page 303 History......Page 304 Management......Page 305 Conclusion......Page 308 References......Page 309 Anatomy and Physiology......Page 311 Physical Examination......Page 312 Management and Treatment......Page 313 References......Page 314 Hydrocele......Page 317 Varicocele......Page 319 Spermatocele......Page 320 Testicular Torsion......Page 321 Cryptorchidism......Page 323 Hematospermia......Page 324 Phimosis......Page 326 Paraphimosis......Page 327 Clinical Pearls......Page 328 References......Page 329 Etiology of Erectile Dysfunction......Page 331 History......Page 333 Management of Erectile Dysfunction......Page 335 Clinical Pearls......Page 341 References......Page 342 Anatomy and Physiology......Page 345 History......Page 347 Physical Examination......Page 349 Management......Page 350 Conclusion......Page 354 Resources for the Patient......Page 355 References......Page 356 Screening Issues......Page 359 Big Data Studies That Evaluated Prostate Cancer Screening......Page 361 Discussing Screening With Your Patients......Page 362 Clinical Pearls......Page 364 References......Page 366 Introduction: Epidemiology and Access to Reproductive Care......Page 369 Classification of Male Infertility......Page 370 Risk Factors and Etiology of Male Infertility......Page 371 History......Page 373 Physical Examination......Page 375 Diagnostic Tests......Page 376 Management......Page 377 Treatment Options......Page 378 Semen Cryopreservation......Page 379 Clinical Pearls......Page 380 References......Page 381 Introduction......Page 385 Acute Prostatitis......Page 386 Chronic Bacterial Prostatitis......Page 389 Chronic Prostatitis/Urological Chronic Pelvic Pain Syndrome......Page 390 Chronic Unexplained Orchialgia......Page 392 Clinical Pearls......Page 393 References......Page 394 Evaluation of Hypogonadism......Page 397 Hypogonadism-Associated Comorbid Conditions......Page 399 Diagnosis......Page 403 Treatment......Page 405 Monitoring Treatment......Page 410 Societal Issues......Page 411 Conclusion......Page 412 References......Page 413 Penile Cancer in the United States......Page 417 Testicular Cancer in the United States......Page 420 Resources for the Patient......Page 423 References......Page 424 Introduction......Page 425 A Brief History of Cancer Survivorship......Page 426 The Effects of Cancer and Cancer Treatment......Page 427 Phases of Survivorship......Page 428 Components of Survivorship Care......Page 432 Common Survivorship Concerns for Male Genitourinary Cancer Survivors......Page 435 Healthy Lifestyle for the Male Genitourinary Cancer Survivor......Page 442 Complementary and Alternative Care......Page 444 Clinical Pearls......Page 445 References......Page 446 Introduction......Page 453 Male Anatomy and Physiology of the Lower Urinary Tract......Page 454 Evaluation of the Male Patient With Voiding Symptoms......Page 457 Physical Examination......Page 458 Diagnostic Tests......Page 459 Overactive Bladder......Page 460 Urinary Incontinence......Page 462 Constipation......Page 464 Resources......Page 465 References......Page 466 Pathophysiology......Page 469 History......Page 470 Diagnostic Tests......Page 472 Medical Management......Page 473 Pathophysiology......Page 476 Physical Examination......Page 478 Diagnostic Tests......Page 479 Medical Management......Page 480 Clinician Resources......Page 482 References......Page 483 Introduction......Page 485 Anatomy and Physiology......Page 486 Risk Factors......Page 488 Potential Cultural Considerations......Page 489 Physical Examination......Page 490 Abnormal Findings......Page 492 Diagnostics......Page 493 Medical Management......Page 494 Overview of Potential Invasive Procedures/Surgery......Page 495 Clinical Pearls......Page 496 References......Page 497 Men and Heart Health: Background......Page 499 Hallmark Studies: Changing the Mindset and Lifestyle Modifications......Page 500 Shift in Management of CAD to Prevention of CAD......Page 502 History: Presenting Symptoms......Page 503 Risk Factors......Page 504 Assessment of the Man With Possible CAD......Page 505 Diagnostic Tests......Page 506 Management Principles......Page 510 Stress Components of Myocardial Infarction, Atrial Fibrillation, and Male Coping......Page 515 Further Discussion of Stress Test Choices......Page 516 Conclusion......Page 518 Resources for the Patient......Page 519 References......Page 520 Index......Page 523