Initial consultation

• First establish why the patient is presenting 'now' for the test.

• Explore the 'hidden component' of the patient's consultation.

• Take a full sexual, medical and drug-taking history. It is recognised that this can be embarrassing for both the doctor and the patient, but those experienced in this process advise the following approach:

o Establish a supportive, non-judgmental atmosphere. Encourage disclosure of history and patterns of partners and sexual practices in a gender-neutral situation. Make no assumptions about sexual preferences; they will be indicated by the patient as the history evolves, provided you allow this to happen; this will take time.

• Non-judgmental matter-of-fact questions such as 'Have you injected yourself with drugs?' and (to a male patient) 'Do you have sex with men?' may permit honest disclosure.

• Stress the importance of disclosure of prior, known infections with STDs. Assess the patient's risk for an STD.

• Assess the patient's coping strategies and social network.

Back Pain Relief

Back Pain Relief

This informational eBook will present you with the most recent research and findings available so that you can learn more about Back Pain relief, covering as many bases as possible from A to Z.

Get My Free Ebook


Post a comment