Colleen Keller received a BSN from Arizona State University, an MSN from Ohio State University, and a PhD from the University of New Mexico. She is currently professor in the Department of Family Health Care Nursing at the University of Texas Health Science Center, San Antonio. She is certified as a family nurse practitioner by the American Nurses Association.
PRIMARY AND SECONDARY PREVENTION STRATEGIES AMONG OLDER POSTMENOPAUSAL WOMEN
Article first published online: 31 DEC 2010
1998 American College of Nurse Midwives
Journal of Nurse-Midwifery
Volume 43, Issue 4, pages 262–272, July-August 1998
How to Cite
Keller, C., Fullerton, J. and Fleury, J. (1998), PRIMARY AND SECONDARY PREVENTION STRATEGIES AMONG OLDER POSTMENOPAUSAL WOMEN. Journal of Nurse-Midwifery, 43: 262–272. doi: 10.1016/S0091-2182(98)00014-7
- Issue published online: 31 DEC 2010
- Article first published online: 31 DEC 2010
Women may choose to initiate, reinitiate, or discontinue hormone replacement therapy (HRT) at any time beyond the perimenopausal period. HRT, exercise, and nutrition are reviewed in terms of their potential benefits as primary and secondary preventive therapies against coronary heart disease, osteoporosis, breast and genital cancers, and the maintenance of cognitive function among older postmenopausal women. Lifestyle alternatives involving nutrition and exercise that offer many of the same benefits as HRT are discussed. Since both pharmacologic and lifestyle interventions offer significant benefit for primary and secondary prevention of disease and disability, each should be offered to women for consideration as they enter the perimenopausal period. Additionally, each can be recommended for initiation even at much older ages and subsequent to adverse health occurrences, such as the experience of breast or genital cancer or a cardiac event. Each should be sustained over the long term. The decision whether to discontinue these interventions among the most elderly will be influenced by other quality of life considerations. © 1998 by the American College of Nurse-Midwives.