Reproductive health assessment Flashcards
How does health litteracy (SDoH) affect sexuality and reproductive health?
May not know where to go for contraceptives, etc.
How do social, cultural and family factors affect sexual health?
May be taboo to talk about these things contributing to lack of information
What is the policy for PAP smears in Canada?
every 3 years starting at 21 if sexually active
What is an issue with overtreating HPV?
Can lead to interventions with unwanted sequelae when the body could clear out the issue normally.
Describe abortion laws in Canada.
Legalized.
Oral abortion pill is now free
What are some vaccination histories pertinent to female sexual health?
Hepatitis B and HPV vaccines
What is the acronym for obstetrical history? What does it mean?
TPAL Term pregnancies Pre-term pregnancies Abortions Living children
What is the purpose of asking about medication profiles?
interactions for contraceptives, teratogens
How does St. John’s Wort affect the birth control pill?
Reduces effectiveness
What are important things to consider to sensitively gather a sexual health history?
Be comfortable, to reduce patient discomfort
Know why you are asking the questions.
be non-judgemental
etc.
Should you promise you will never breach confidentiality?
No, because in some instances you may have to.
What are the 5 Ps of sexual risk assessment?
Partners Practices Past history of STDs Protection from STDs Pregnancy plans
Is the menstrual cycle always on a montly basis?
No, some people have longer menstrual cycles
What is an important supplement for women thinking about pregnancy?
Folic acid
What should yo do if you don’t know someones sexual orientation or gender identity?
Ask them and use the words they use to describe themselves
When assessing a patient, they have the right to what?
Do you also have that right?
Chaperone
yes
Why is the word relax perhaps not appropriate during a sexual health assessment, especially after sexual assault cases?
Predator may have used those same words
Since the term abuse can be misunderstood, what is best to ask?
Ask about specific behaviours (pt. may not identify behaviour as abuse)
What are some health promotion areas for sexual health?
Safer sex guidelines Immunizations (ex: HPV) Breast self examination Testicular self examination PAP smears PSA testing
Is the general population screened for breasts or testicular issues? (PSA too)
The guideline is to not bring it up unless the patient does (or if there is a potential risk)
