CPI Flashcards
0
Q
How to overcome barriers in sexual consultation
A
- training
- providing patient info (enable patients to initiate)
- expand role of GP
1
Q
Barriers in talking about sexual issues with particular patient groups
A
- gender (opposite gender sexualize)
- ethnicity (difference in attitudes)
- age (esp older)
- non-heterosexual partner
2
Q
Issues after radical prostatectomy
A
- becoming a changed man
- striving to gain a sense of control in a new life situation
- managing a new life situation
- striving to become reconciled in a new life situation
3
Q
Reasons for not seeking help for ED
A
- lack of support
- fear/denial
- barriers they put in front of themselves
4
Q
How to decrease risk of ED
A
- low-fat, low-chol diet
- exercise regularly
- avoid tobacco and excessive alcohol
- avoid activities prone to penile pain
- ensure proper evaluation and management of other problems (diabetes/HT)
5
Q
Reasons to screen for depression
A
- reduced appetite and weight loss
- recent significant loss
- cognitive problems
- fatigue and reduced energy
- preoccupation with somatic complaints
6
Q
Importance of regular screening for mood disorders
A
- very prevalent in primary care level
- costly (distress, morbidity, direct and indirect medical costs)
- commonly neglected and missed (stigma)
- complex (multiple causation, no biochem marker)
- easily treated
- dramatically affects quality of life and co-morbid recovery
- can affect adherence
7
Q
Importance of considering patient’s sexuality when providing health care
A
- sexual behaviors contribute to well being
- contribute to possibility of illness
- discomfort about discussing can damage practitioners access to patient info
- weak knowledge leads to patients seeking dubious sources of assistance
- link between reproductive and sexual health (has medical and public health implications - HIV)
8
Q
Ethnographic approach
A
- how patients identify
- what is at stake
- illness narrative
- pschosocial support and stresses that could affect health
- recognition of health practitioners culture (stereotyping)
- problems of cultural competency
9
Q
Effects of ED
A
- changes in identity
- feelings of dissatisfaction
- emotional effect
- stress in intimate relationship
- occupational function
10
Q
Diagnosing depression
A
- depressed mood
- diminished interest or pleasure in activities
- significant weight loss or gain without explanation
- insomnia or hypersonic every day
- psychomotor agitation or retardation
- fatigue or loss of energy
- feelings of worthlessness
- dismissed ability to think or concencrate
- recurrent thoughts about death (suicidality)
11
Q
Risky drinking
A
More than 4 units a day, more than 5 days a week
12
Q
Questions to screen for alcohol abuse
A
- ever felt you should cut down?
- ever felt annoyed when others criticized
- ever felt guilty?
- ever had drink first thing in the morning to steady your nerves?
13
Q
Effects of alcohol consumption that lead to sexual risk taking behavior
A
- compromised reasoning skills
- increased sexual arousal
- increased sexual desire
- decreased inhibitions
- reduced judgement
- reduced sense of responsibility
14
Q
2 key components of the attachment process
A
- provision of nurturing environment of basic trust and security (allowing for development if secure base)
- development of individuation and autonomy
