Reproductive & Sexual Health Hx Taking Flashcards
What is the purpose of building communication skills in reproductive and sexual health (RSH) histories?
To develop effective communication skills for sensitive RSH consultations
This includes reflecting on personal and professional attitudes toward RSH topics.
What are some barriers to discussing RSH history?
Time constraints, age/gender/cultural differences, embarrassment, fear of judgment
Patients may not see the relevance of sexual health to their current issues.
What common myths exist regarding sexual health?
Assumptions about sexual orientation, health literacy, and sexual activity
Example: The belief that elderly people don’t have sex.
What is a patient-centered approach in starting a consultation?
Ask the patient’s reasons for the visit and their concerns
Use open-ended questions and listen actively.
Why is it important to ask about preferred pronouns and sexual identity?
To respect the patient’s self-identified gender and sexual orientation.
How can trust be established in RSH consultations?
Normalize discussions about sexual health and use a non-judgmental approach.
What is cultural competency in the context of RSH consultations?
Being aware of cultural differences, especially with Aboriginal and Torres Strait Islander patients
Use professional interpreters if needed.
What are the key points in taking RSH history?
Start with general questions and progress to specific ones, ensure privacy and confidentiality, explain the purpose of the questions.
What should be included when discussing sexual activity and risk?
Ask about sexual activity, STI risk, contraception, past STIs, and sexual violence
Use non-technical language and avoid assumptions about health literacy.
What is informed consent in RSH history taking?
Ensure the patient understands the purpose of the history, examination, and tests.
What should be discussed regarding confidentiality?
How results will be shared and stored, such as in My Health Record.
What is cultural safety in RSH consultations?
Create a welcoming environment with posters/videos that reflect diversity.
How can patient comfort be improved during RSH consultations?
Normalize questions, use simple language, and address confidentiality concerns.
What specific considerations should be made for young people in RSH consultations?
See them alone to address their specific concerns.
What should be kept in mind when consulting Aboriginal and Torres Strait Islander patients?
Use culturally specific health programs and screenings.
What should healthcare providers be aware of when consulting LGBTQ+ patients?
Diverse sexual orientations and gender identities.
What is important to recognize about older patients in RSH consultations?
They may still be sexually active.
What guidelines should be followed for STI testing?
Follow Australian STI Management Guidelines for testing frequency based on risk factors.
Who are considered key populations for STI testing?
Young people, men who have sex with men (MSM), sex workers, and people who inject drugs.
What is the key message regarding sexual health?
Sexual health is an important part of overall health—take sexual histories and screen at-risk patients.
What resources are recommended for RSH consultations?
Australian STI Management Guidelines, RACGP Red Book, and Family Planning NSW resources.
