Questions On Sexual Health History And Sexual Needs

In contrast if the patient still insists on not telling the partner on their situation, even though I am going to still make the report but I will also try to make efforts to educate the client to notify the partners. There would be ways to strategies to encourage and ensure the patient to willingly notify their partner. Part of my strategy would be to; i) couple counselling, even if there is some reluctance to continue., ii) educating them on the benefits of disclosure, iii) seeking consent from the patients to directly inform their partners in the patients' presence in scenarios where patients lacked the courage to do so personally, and iv) I would try to contact the people involved in this situation that they are in the possibility of exposure to HIV without releasing the identity of my client (Njozing et al.2011)

Intervention. Ask how to be most helpful, then actively listen and be physically present with the client and client’s significant other. (Ackley, Ladwig & Makic, 2017). The rationale behind this intervention is found in a grounded theory study by Burkhart and Hogan (2008), “spiritual care included promoting client connectedness with self”. (Burkhart & Hogan, 2008). Promoting connectedness between the client and family by asking them what they need from you as a nurse contributes to openness, trust and it can

Health professionals are privileged because they are able to help and change people’s lives by the care they offer, but this can only happen if the staff is fully informed and has all the details on the patient’s health history. This information usually can be obtained without difficulty but for sensitive issues a trust based relationship needs to be established in order for the patient to provide all their medical history. This is known as confidentiality to patients and is extremely important in be kept. Many patients struggle to give information because it may either cause shame to them or they may feel rejected by the health care staff. Such is the case for a couple of teen girls who put their

The messages that I grew up with when talking about sexual issues were confusing and shameful. My father was a sexual person, having created on my mother, involved in chat rooms, exchanging of pictures, touching himself and grabbing other guys genitals, explaining that it was common for guys to do. I was always uncomfortable being around my father out of fear what he may do in front of me which would embarrass me. Honestly, I did not know what was normal when it came to sexual messages, all I knew was that it appeared to be natural but I was still ashamed of it.

From reading Walter’s case and using the St. Amant et al. (2012) reading and comparing the two written pieces, as a nurse I would approach Walter’s situation with a high level of sensitivity. As the nurse conducting the assessment, Walter is viewed as orientated, realistic and needs help with his personal hygiene. My technique in dealing with Walter’s scenario is by keeping Mr. Walter in his residence by hiring individuals who are educated about Walter’s condition to assist in housekeeping and personal hygiene practices, as well as trying to include his daughter in social activities with Walter as it can render their relationship as well assist Walter with his condition. Trying to place Mr. Walter in a long term care residence will be hard

This should reduce anxiety and may allow the patient to feel more comfortable in addressing any concerns surrounding the prognosis. This incident has made me think about the barriers to communication and the effects they can have on other staff members, patients and their families. “Understanding the potential problems allows us to better understand how something might be able to work more efficiently” (Ellis 2011:88). There are a number of barriers to communication for example; physical barriers such as a door being closed, perceptual barriers for example going into a conversation thinking that the person isn’t going to understand or be interested in what you are going to say. Emotions can also be barriers to communication as well as cultural, gender, interpersonal and intellectual (Kozier et al 2012:46). I believe my patient may have had emotional barriers to communication with the nurse and myself. She had already accepted her diagnosis and her decision not to converse with us about her condition may indicate that it was difficult for her to discuss it with others, despite being comfortable with it herself. The fact that the patient was comfortable with her illness made me think about the definition of health. My patient had said she felt healthy and therefore to her, despite having an illness, she didn’t consider herself as ‘unhealthy’. The World Health Organisation (WHO) describes

Susan Goold an MD and Mack Lipkin also an MD both state that this way of communication is the “keystone of care.” They both believe the crucial component between the patient and doctor is for the patient to trust their doctor to disclose private information. You can show trust through communication by assuring and communicating to the patient that their information is confidential. The relationship therefore honestly determines the quality and extensiveness of information obtained and understood by each the doctor and patient. This communication is a two-way transaction that is needed to be understood in both ways and situations.

When Mr. G.’s functional status was evaluated, the assessment rendered the following needs of assistance: bathing, bladder control, walking, mobility, meal preparation, housekeeping, laundry, transportation, shopping, and yard care. Most importantly, with the above comorbidities, the client resides only with the back den on his home, which is near the common areas of the home such as the kitchen and restroom.

Showers and baths are an essential part of cleanliness and emotional well-being. Sadly, the refreshing and invigorating thrill of a relaxing shower is something that often becomes more difficult to obtain as we age. From limited mobility to pain or even disability, many seniors need showering assistance. Home helpers can provide that assistance.

I met with N’Shira Gray this morning, and she disclosed an incident that has left her distressed. She initially had a consensual sexual encounter with another pt, Cory Clacken, at the New Phases this past Monday. However, in the middle of the act, the male pt removed the condom and ignored pt’s request to stop. Since the incident, pt has been increasingly distressed and felt unsafe in returning to the program. In the session, pt has disclosed several incidents where he tried to have sex with her in the program and the wooded area behind the program. She explicitly described his attempt to grope her breasts while sitting in the back of the van driven by a staff at one point.

Many times the counselor is the one person in the client’s life that does not offer judgement and gives them the space to think through the issues affecting them, and the counselor can help in creating a bigger picture with the connections between the emotional, psychological, and physical problems affecting their functioning. To gain a better understanding of the connections a counselor can ask questions and present challenges, and this experience confirmed that I still struggle with my confidence in that area. Something that I believe will strengthen my ability in this aspect is to consider my intention behind it and know that the client can handle my questions and challenges, and that I do not have that much power in the room. The client does not need my protection in the room, and my protection can make the situation worse for them. The biggest element of this experimental project was the reconfirmation of we are all humans and just want to be treated with respect. We all have different experiences and identities that have formed who we are, and that does not mean that we need to treat each other differently. Instead just be a fellow human being that is there to listen, provide respect and support, and empower them to find that support both in themselves and in outside relationships so they will no longer need our

Healthy sexual development, since everyone has their own personal experiences and influences throughout their life this would be different for each individual. Although, if the person was a victim of sexual abuse or had the ideas that sexual contact was considered dirty or a sin their beliefs may be skewed. This could be especially true for someone in the adolescent puberty developmental stage when the person is unsure of their sexual orientation, and finds themselves sexually aroused by someone of the same sex. Puberty can be a difficult time for adolescents and if the person is comes out as a gay male or a lesbian they often face biases and can be victimized by their peers, society, and even their family members (Strickland, 1995). Therefore,

Above all, it is vital for the practitioners to be careful about a client’s personal life because they may not want to share their impact. Instead they might want to relax. Moreover, they will have psychological security because if the practitioner is working in the hospital they will have security to ensure they are prioritised. For example, a colleague might come to visit them in the same room

• Take your cues from the cancer patients. Some people are very private while others will openly talk about their health condition. Respect the person’s need to share or their need for privacy.

Communication between the nurse and client is important. This helps to make sure there are no misunderstandings and helps to build rapport. Communication is a two-way stream and helps the nurse make correct diagnoses (Kozier, B. 2018, Chapter 14). It is important to understand what your personal values, assumptions, and feelings are towards certain topics that may be controversial in order to ensure the best client care possible. Before the initial interaction with my client, planning, how to ask the questions I was given for in-depth answers is important. It is also important to pick a central location for both the client and myself that would allow for her to be comfortable. We choose to meet at a local Starbucks which would allow for a sense of comfortable and inviting environment. Knowing the basics of the clients (age, name, and gender) allowed me to