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Archive for April 7th, 2009

 

ANALYSIS OF THE FAMILY PLANNING CONSULTATION – SUMMARIZING

April 7th, 2009

This is a short but important phase of the consultation which only Neighbour (1987) has separated out. The doctor summarizes in the patient’s language what has been heard. This gives the patient an opportunity to check that the doctor has fully understood the problem and has taken into account her ideas, concerns, expectations and feelings. [...]

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PSYCHOSEXUAL PROBLEMS IN THE CONTRACEPTIVE CONSULTATION – BEGINNING SEXUAL ACTIVITY (CASE – 2)

April 7th, 2009

Suddenly the memory of the ‘fifth partner in six years’ flashed into the doctor’s mind. Tentatively she continued, ‘I noticed in your records that you have changed partners several times. Do you find it difficult to let them into how you are feeling as well?’ The girl muttered again and the doctor just caught, ‘One [...]

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CONTRACEPTIVE CARE OF THE OLDER PATIENT – DESIRE FOR PREGNANCY? (CASE)

April 7th, 2009

Mrs R. presented complaining that she felt slightly sick when taking her Pills, which she had been on for several years with no problems. She thought that now she was 40 she and her husband would use sheaths. The doctor agreed with what she wanted to do, saying the sheath was a good method, but [...]

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CULTURAL PERCEPTIONS AND MISCONCEPTIONS – CULTURE AS AN ISSUE FOR THE PATIENT (CASE – FOLOWING RELIGION)

April 7th, 2009

For some patients, the importance of following their religious precepts is strong enough to allow them to ask for concessions directly. Hamida Kamali had an IUCD fitted nine months ago. She had no problems with it but wished for it to be removed during Ramadan. When the period of fasting (and sexual abstinence) was over, [...]

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THE SEXUAL NEEDS OF PEOPLE WITH DISABILITIES – EMOTIONAL NEEDS (MENTAL HANDICAP)

April 7th, 2009

The doctor working with people with mental handicap may need to develop entirely new techniques. Interpretive therapy is more difficult. There is a need to be very clear and simple in the conversation. It may be that the doctor is in the role of sex educator (Fraser, 1991), and needs to explore what is really [...]

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