Biomedical subjects
Publications and source records attributed to E Gangar.
Menopausal women face a variety of physical, social and psychological problems. The authors advocate the use of King's model of nursing as a framework to identify their problems and encourage client co-operation to overcome them. The adoption of this model would also support claims to clinical nurse specialist status for nurses working in menopause clinics.
The last decade has seen a dramatic increase in the use of, and interest in, hormone replacement therapy (HRT) in the United Kingdom, with its undoubted benefits in relieving distressing symptoms associated with the menopause, protecting the skeleton and preventing ischaemic heart disease. Recent studies, however, suggest that compliance with therapy tends to be poor. In this article, the author examines some of the reasons why the drop-out rate is so high in women who start hormone replacement therapy, and suggests there are three broad areas in which there is need for improvement: more counselling of patients, dispelling unrealistic expectations which some women may have of HRT and, most importantly, the need for the individualization of therapy to suit the woman's requirements.
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Thousands of women in the UK undergo hormone replacement therapy each year. Many of them experience side-effects and choose to discontinue treatment. In this article, the authors review some of the products currently available and the new approaches to therapy that are under investigation.
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