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Monday, June 10, 2013
  Clinical Accuracy Spoken Here  

Women's Health: Aging Issues

In the twenty-first century, women are surviving well into their ninth decade and it is projected that today's children will live nearly 20 years longer. In the year 2000, more than 33 million women were greater than 55 years of age and that number is expected to increase by nearly 40% (i.e., 46 million) over the ensuing 20 years.

Diseases of aging in general, and diseases of menopause specifically, will become essential issues in preventive medicine as part of the effort to contain a healthcare system that is already overburdened.

[Reference: Women's Health, Module A, Perimenopausal Years]
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  Excellence in Case Mgmt  

Women's Health:
Menopausal Changes

The case manager will encounter women with perimenopause, menopause and postmenopausal issues as a result of referral due to other disease processes. The physical and emotional changes that are part of the menopausal cycle could be underlying complicating factors in the co-morbidities presented.

The wax and wane of sex hormones that is associated with menopause increases the risk for certain diseases and can exacerbate existing disease states. Knowing the impact estrogen, progesterone and testosterone have on a variety of disease states is crucial to understanding the potential impact on risk and long-term health.

[Reference: Women's Health, Module D, CM Role]
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  Improving Patient Care...  

Women's Health: QoL Issues

Researchers have not identified the severity of symptoms a particular woman is likely to experience. The most important issue is the symptoms may impair a woman's quality of life.

Quality of LifeAt birth we enjoy a high QoL. With the exception of a few genetic disorders and tragic accidents, QoL remains high until the mid-30's, after which one's QoL can follow the normal progressive decline (shown in red), an accelerated pattern (shown in yellow), or a protracted course (shown in green). Clearly, the latter is most desirable. Therefore, one cannot be passive in their approach to healthcare or lifestyle matters.

[Reference: Women's Health, Module D, CM Role]
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