After viewing the Bickley video, explain how you will be most successful in approaching the genital exams with patients in a way that will keep your patient and yourself comfortable.
The genital examination can be uncomfortable for both the patient as well as for the healthcare professional. Therefore, for us as clinicians, it is crucial first to examine our personal biases as well as personal beliefs that make us feel unease before performing a genital exam. Being aware of our body language, is essential, as the patient could feel or sense of being judge, especially special populations such as those affected by obesity, mental, physical disability. Furthermore, it is crucial that as advanced clinicians understand that for most patients this experience may be a significant source of discomfort and anxiety. Consequently, as healthcare providers, it is important to make the patients feel as comfortable as possible to reduce their stress, while at the same time take this opportunity to educate them on sexual preventive measures and conditions that may affect them in the present and future.
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Making the patient aware that any information discusses during our interview and the genital examination will be completely confidential and will not be shared with anyone. Next, I will also make the patient aware that this is common and it is typically done on every patient. Following, this I will continue to ask the patient about things that make them feel uncomfortable and how I can help to change or reduce this (Bickley & Szilagyi,
In the article, Gawande shares a story from when he worked in a hospital as a resident. His first real procedure, placing a central line through a stout man’s heart to receive nutrition, would result in few problems if it were performed by experienced hands. However, knowing this is his first operation to be done alone, Gawande’s nervousness grew with every thought of what could go dramatically wrong. Before beginning, the author recollects studying all of the precise moves and cuts his superior named S. carried out on the same type of procedure on a person beforehand. After feeling informed and confident, Gawande begins by gathering all the necessary tools needed for the job. But as he thought he finished, S. chimes in reminding him of the multiple things he failed to remember to grab or setup. He uneasily shook off the mistakes, and began by locating the point on the man’...
The movie Dope, written and directed by Rick Famuyiwa, follows the story of Malcolm through his senior year of high school in the Inglewood California. He lives in a poor neighborhood, with only his mom, yet he still strives for greatness. He has a couple of friends, and they all love 90’s hip hop culture. They try to do their best to stay out of trouble and away from bullies. Malcolm sees a girl he likes and ends up following her to a drug dealer’s birthday party. When the cops bust the birthday party, he unknowingly goes home with all the drugs and the gun that the drug dealer owns. This sets off a wild chain reaction, as he now has to sell these drugs to payoff the supplier, who happens to be the Harvard Alumni that Malcolm’s needs approval
As Allen Funt explains in his interview with Philip Zimbardo, Candid Camera hinges on five central ideas: the first being the reversal of normal or anticipated procedures. For this keystone, Funt provides the amusing example, “You pull your car into a gas station for a routine tank of gas and a five-man pit crew emerges and acts like it’s an Indy 500 pit stop.” The second idea is the exposing of basic human weaknesses in scenarios where “people try to hide the fact that they don’t understand something”—like the never-ending oil dipstick or the vertically challenged elevator. The third idea the show caters to is granting people the opportunity to fulfill a fantasy. Says Funt in relation to this idea, “We show people talking back to a traffic
My aim is to provide more male personal care to increase my confidence. Having my mentor to guide me really helped, I listened effectively to the information given, and I intend to put it into practice in the future. Team work was also a very important aspect which ensured we delivered safe & high quality care (Leonard, M. et al.2004).
In her article “Should There Be Only Two Sexes,” Anne Fausto-Sterling discusses the implications of this genital surgery. She states that infantile genital surgery “causes extensive scarring, requires multiple surgeries, and often obliterates the possibility of orgasm” (80). Fausto-Sterling explains the consequences of these surgeries in order to argue against them. She instead says that intersex individuals should be allowed to make their own decisions regarding their bodies after being well-informed about the choices they have. The individuals interviewed in the documentary confirm the consequences Fausto-Sterling discusses and her conclusion. One person discusses how doctors had removed her clitoris and performed multiple surgeries to widen her vagina during her youth; however, these surgeries have caused sex to be painful and eliminated the possibility of orgasm. Another individual talks about how multiple childhood surgeries had led to significant pain and infections, resulting in scarring. These stories are not uncommon among the interviewed individuals, and all of them express the belief that genital surgery should be a choice made by the intersex individual later in life rather than by others early in life. While they concede that some intersex individuals may feel differently,
The film Let’s Be Cops is a 2014 comedy about two friends who decide to imposter cops. The movie stars Jake Johnson and Damon Wayans Jr, two interracial friends who pretend to be cops after realizing the attention and respect the position comes with when they dress up as cops for party one night. Artz studies such films that promote a new kind of racism and introduces interracial buddy films in his article, “Hegemony in Black and White: Interracial Buddy Films and the New Racism.” Let’s Be Cops falls into the biracial buddy film genre outlined by Artz to a high extent as it shows the biracial duo with either a stereotypical perspective or one that mocks their race.
The Medical Board constructs a new supplementary guidance on ‘Maintaining Boundaries’ during an intimate examination. The Medical Board states that ‘Maintaining Boundaries’ acquire doctors to be sensitive to what patients may perceive as ‘intimate’ (6). The Medical Board explains that intimate examinations can refer to an examination that involves female breasts, the genitalia, or the rectum of a patient. According to the Medical Board, there are situations that may cause embarrassment or stress to patients. In some religions, examination by a member of the opposite sex is prohibited and the removal of clothes makes patients feel distressing. Example includes when a patient may need to undress for a skin check; patients who may be uncomfortable to be alone with a member of the opposite sex, or the physical examination of a patient ...
It is also important to be aware and understand the modesty of the female gender. When giving a pelvic exam, they may prefer a female doctor or they may even refuse the exam. As is stated in Cu...
Doctor Avery spoke, “Now, this next part of the exam is a bit more invasive. I need to lie back on the exam table, on your side, facing towards the wall away from me, if you please.”
First I want to say that the same sexual precaution information I would give a younger adult is the same I would deliver to an older adult, because both face the same derailment for quality health when the necessary precautions are not taken to prevent disease. I would inform this population that according to statistics in place from the CDC since 2007 “more than 14,000 older adults are now diagnoised with HIV, “ (Tabloski, 2015) Even greater concern needs to be expressed in regards to their age and the preceived burden, that the increased elderly population is draining our economy, which equates to a double dose of discrimination. During my assessment which would include sexual health I would first ask what the patient knows about HIV this
Intersex surgery as a child is risky in the long-run. In a journal written by Haze Glenn Beh and Milton Diamond Ph.D., they analyzed how physicians have long conveyed a sense of medical...
I agree that the video is talking about the influences of heuristics and biases. I also agree that we should not based our decisions based on past outcomes. We can use past experiences and data predict or generate a solution based on past outcomes. However, we just need to avoid using it without noticing its disadvantages and biases. For example, when conducting an international negotiation, past experience and data of the culture, opponent company will be very helpful to generate strategies and decisions.
The website thefreedictionary.com defines sexual arousal as the arousal of sexual desires in preparation for sexual behaviour. Which is further explain in the website alleydog.com that it is the body’s involuntary reaction to sexual thoughts or stimuli, in both men and women, arousal involves increased blood flow to the genitals, increased heart rate, and dilation of the pupils. Males experience an erection (swelling of the penis); females experience genital swelling and lubrication. These reactions prepare the body for possible sexual intercourse. These preparations depend upon culture, religion, belief, values, perceptions, places, environment, and surroundings. The findings of the article “A cross cultural study of vaginal practices and
Media influences, especially pornography, have drastically changed the meaning of normal when it comes to vaginas. Women tend to believe that there is a standard vagina and that theirs must live up to it. “Exposure to images of the ‘perfect vagina’, for instance pornographic altered images, may lead to the development of unrealistic concepts of normal genitalia” (Barbara 5). Not only images, but also the growing popularity of increased shaving of pubic hair, which leaves the vulva exposed, may also lead to women over criticizing their genitalia. This belief of a standard vagina will push women towards female plastic surgery. This is especially true when cosmetic surgery industries use “beautifying the vulva, increased sexual responsiveness and she looks like a 16-year-old now” (Tiefer 5) to describe the results of their surgeries. Besides influences from the media, there are also cultural influences that push women to get these surgeries. An example of this is the hymenoplasty procedure, a surgical procedure that replaces a woman’s hymen. In some cultures or religions that condemn premarital sex, women may get this procedure to avoid ostracism after engaging in premarital sex. There is not just one particular influence on female genital plastic surgery, but one thing is for certain, it presents many ethical
Similarly, for the treatment to be done in the best and safest way possible there are certain duties expected from patients too. They include: patient’s intimacy with doctor so as to open his heart andaccept the medical procedures some of which might sound inherently undesirable. Razi put forth several real-life clinical instances of the hazards of inadequate patient-doctor intimacy. It could cause the concealment of patient’s secrets, increasing pain and even death. With this regard Razi narrated an