Table of Contents

Cover Page

Acknowledgements

Chapter 1 - Introduction
    A. The Need for Services
    B. Developmental Disabilities
    C .Menarche and Menopause

Chapter 2 - Assessment
    A. Assessing Accommodation
    B. Preparing The Patient For The Exam
    C. Communication and Education
    D. Reducing Stress and Anxiety
    E. Gynecological Health Care and Informed Consent


Chapter 3 - The Exam
    A. Tips for the Exam
    B. Tips for the Clinical Breast Exam and Breast Self Exam
    C. Equipment and Equipment Modifications
    D. Alternative Positions for the Pelvic Exam
    E. Getting on the Table
    F. If Your Patient Is Blind or Visually Impaired
    G. If Your Patient Is Deaf or Hearing Impaired
    H. Other Exam Related Issues

Chapter 4 - After the Exam
    A. The Uncompleted Exam
    B. Medical Records
    C. Follow-Up


Appendix I "I Would Like To"

Appendix II - Sample Questionnaire

Appendix III - Resources

Appendix IV - Birth Control ­ How Care Providers Can Help

Appendix V - Midlife Issues