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Great post, I am also more comfortable asking the female patient about their sexual history than male. Which is no excuse because I will be caring for male as well as female, so I have to get beyond that. When I question my patients about their sexual history or any question that I believe they are uncomfortable with, I say the same thing you say, (I ask this question to all my patients) and that help them to feel more reflex. It is important as nurse practitioner we learn to develop a comfort level when questioning our male patients about their sexual history. For the wellbeing of patients, it is essential that practitioner learn the correct way of taking a patient sexual history in order to diagnose, manage and direct patients accordingly
Formerly known as Adolescent Reproductive Health Programs, the Sexual and Reproductive Health Unit (SRHU) has worked with youth-serving organizations for (xx) years. Through that time, they have developed a number of resources for usage by Teens in New York City. One of the most notable resources is their Clinic Guide, a wallet sized guide to clinics in New York City, in all five boroughs that provide low-cost and confidential services to teens as well as those of legal adult age. While they had been providing resources such as the clinic guide for a number of years, there was never a clear way for them to ensure their proper use and distribution. This past year, they developed the Teens in NYC: Getting Sexual Health Services Workshop Facilitation Guide. The workshop is designed for use with teens aged 13-19 and can be used by any person who is comfortable with the material, regardless of whether or not they have any prior health education history. Featuring a role-play and an activity, which explicitly requires use of either the Clinic Guide or the mobile app developed for use, the workshop would ensure that teens are properly instructed and exposed to the clinic guide and the possibilities for receiving services in New York City.
Medcohealth. Women and Aging: Our lives due change (2002). Retrieved November 18, 2002 from the World Wide Web: http://www.medcohealth.com
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.
When I was looking at the first sexual autobiography, Initially, I thought I had very little input in regards to sexuality. However, as a result of learning about sexuality through Sexing Shakespeare, I have learned that this is not the case. By learnings about Butler, Foucault, Bataile, and Freud, I have learned that my expression of sexuality is present in my being. An example of my sexuality being portrayed would be through the teachings of Judith Butler. Judith Butler states that an individual performs certain actions, then that person takes on a certain identity. Therefore, even though I have performed zero physical activity, as a result of not performing such an activity, I constitute the category of either a romantic or an asexual. Which category I belong to I am not sure of yet, and Judith Butler fails to clarify as to which category
Masters and Johnson were a pioneering team in the field of human sexuality, both in the domains of research and therapy. William Howell Masters, a gynecologist, was born in Cleveland, Ohio in 1915. Virginia Eshelman Johnson, a psychologist, was born in Springfield, Montana in 1925. To fully appreciate their contribution, it is necessary to see their work in historic context. In 1948, Alfred C. Kinsey and his co-workers, responding to a request by female students at Indiana University for more information on human sexual behavior, published the book Sexual Behavior in the Human Male. They followed this five years later with Sexual Behavior in the Human Female. These books began a revolution in social awareness of and public attention given to human sexuality. At the time, public morality severely restricted open discussion of sexuality as a human characteristic, and specific sexual practices, especially sexual behaviors that did not lead to procreation. Kinsey's books, which among other things reported findings on the frequency of various sexual practices including homosexuality, caused a furor. Some people felt that the study of sexual behavior would undermine the family structure and damage American society. It was in this climate - one of incipient efforts to break through the denial of human sexuality and considerable resistance to these efforts - that Masters and Johnson began their work. Their primary contribution has been to help define sexuality as a healthy human trait and the experience of great pleasure and deep intimacy during sex as socially acceptable goals. As a physician interested in the nature of sexuality and the sexual experience, William Masters wanted to conduct research that would lead to an objective understanding of these topics. In 1957, he hired Virgina Johnson as a research assistant to begin this research issue. Together they developed polygraph-like instruments that were designed to measure human sexual response. Using these tools, Masters and Johnson initiated a project that ultimately included direct laboratory observation and measurement of 700 men and women while they were having intercourse or masturbating. Based on the data collected in this study, they co-authored the book Human Sexual Response in 1966. In this book, they identify and describe four phases in the human sexual response cycle : excitement, plateau, orgasm, and resolution. By this point in time, the generally repressive attitude toward sexuality was beginning to lift and the book found a ready audience.
...stand the importance of constantly incorporating permission-giving questions when talking to a patient. I know if I had a sexual concern I would not feel comfortable addressing it to a nurse on my own, however if the nurse addressed the issue first, I would feel more confident voicing my concerns. I did not understand how important it is for nurses to consider the sexual health needs when assessing a patient. I believe there is not enough information provided on this topic. When on placement, I have never seen the sexual needs of a client being addressed or discussed. Before completing this assignment I did not consider the sexual health needs of a patient to be a priority, however my opinion on the matter has certainly changed. Studying this important topic has been an eye opener, and I hope to implement all that I have learned when I go out on placement.
I chose this topic because there is an issue of homophobia around the world. I find it interesting as to why people are homosexual, and if there is a gene responsible for this or if it can be developed later in life. This area of research directly relates to the age old question of “nature Vs. nurture”.
It is important we understand how words and actions affect others. When given a cue from a patient, acknowledging we may have offended them may be difficult, but it’s also necessary in order to repair the potential break in the relationship. These cues may present themselves in the manifestation of a confused look, physically withdrawing away from the nurse, crossed arms, looking away, and other expressions of retreat. Taking a moment to sit beside a patient, not being afraid to hold their hand when appropriate, making eye contact when culturally appropriate, creating a warm and comfortable environment where the patient feels free to speak openly about their concerns without fear of judgment are just a few examples of ways we help the patient understand we are not sitting in judgment. Be willing to ask questions, though mindful of our tone and chosen words so as not to negate their truth and reality of the situation. Understand not all questions will be answered and that by simply asking, one may feel offended, and we should be willing to acknowledge the offense. We all have thoughts about other people, good and bad, positive and negative. How we express those thoughts, how express ourselves physically and verbally, how we communicate with our patient helps sets the tone of what we get back. Entering a room with a personal bias
The medical Profession recognizes that patients have a number of basic rights. These include but are not limited to the following: the right to reasonable response to his or her requests and need and needs for treatment within the hospital's capacity. The right to considerate, respectful care focused on the patient's individual needs. The right of the patient to make health care decisions, including the right to refuse treatment. The right to formulate advance directives. The right to be provided with information regarding treatment that enables the patient to make treatment decisions that reflect his or her wishes. The right to be provided upon admission to a health care facility with information about the health care provider's policies regarding advance directives, patient rights, and patient complaints. The right to participate in ethical decision making that may arise in the course of treatment. The right to be notified of any medical research or educational projects that may affect the patient's care. The right to privacy and confid...
I believe that the reasoning behind our society’s strong need to maintain sexual dichotomy is the fact that if it changed it would contradict a long- established belief of what is considered normal. She cites Anne Fausto- Sterling saying “are genuinely humanitarian, reflecting the wish that people be able to ‘fit in’ both physically and psychologically” (183) as she stresses this it revels that doctors are making a decision to try and help children fit in to what is considered ordinary or usual as talked about in “The Five Sexes, Revisited” and now
For several years there has been much media attention and professional pressure regarding the use of mixed sex wards. Much of the controversy has been fuelled by the Labour government’s manifesto commitment to abolish mixed sex beds, which they finally conceded was an impossible task early in 2008. However, much of the available fiction, and most of the more inciting press coverage, actually relates to inpatient areas with overnight accommodation, especially the more vulnerable groups, such as those with mental health problems and the elderly. In 2009 the National Health Service (NHS) set a commitment to eliminate mixed accommodation in hospital as part of their commitment to improvement of privacy and dignity of patient (BBC health, 2009). Meanwhile, the report of department of health in 2009 shows that, 99% of trust says they are providing the same sex accommodation and 97% same sex toilet and washing area, but nearly a quarter of patient still complain of being in a mixed sex area when they where first admitted to hospital (BBC health, 2009). In the first quarter of the year 2010, the National Health Service organisation reported over 8,000 trusts that were unsuccessful in implementing single sex accommodation without clinical justification (Blackman, S. 2010). These new information has led the 2010 elected coalition government to take action to finally make mixed accommodations a thing of past in England. Form 2011 health trust which are not performing well and do not comply with the rule will be named public (Blackman, S. 2010). Additional to this, Andrew Lansley health secretary in his comment laid out the changes. ‘‘National Health Service will have clear standard in the future, spelling out when they should report a b...
"A Guide to Taking a Patient's History” is an article published in an August 24th, 2007 issue of Nursing Standard. Written by H. Lloyd and S. Craig, the process of taking a history from a patient is outlined. Many aspects pertinent to obtaining a sufficient health history are discussed. In addition to providing a framework for completing a thorough health history, guidelines and interview techniques are explored.
The situation being used is from a show called ER; when a nurse agrees to keep anything two girls tell her a secret. But when the secret turns out that they could be potentially spreading STD’s through their activities, the nurse tells their parents and their school. This results in the girls feeling betrayed and ostracized but everyone.
Doctor patient confidentiality, is a fundamental element of the practice of medicine. Patients can expect that doctors and their support staff will hold confidential information about them in confidence, unless the release of the information is required by law or for public interest reasons. Ensuring confidentiality is retained allows doctors to examine their patients and receive all relevant information about their condition without a worry of judgement or sharing of the information.
Men and women are very different, especially when it comes to sexuality. They have different feelings and emotions. Gender role expectations influence a huge impact on our sexuality. Gender roles refer to how a person behaves as male or female, we close to masculine or femine, which are chararestics that yourself or other notice. Boys and girls have always been treated differently. Males are treated more as the tough one, with no emotions, and females as the one’s whoe were emotional and needed to more attention.