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Ähnlich wie Expedited Partner Therapy For Chlamydia Treatment Power Point Flagstaff July 2009 June 30 Version (6)
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Expedited Partner Therapy For Chlamydia Treatment Power Point Flagstaff July 2009 June 30 Version (6)
- 1. Expedited Partner Therapy for Chlamydia Treatment July 25, 2009 Flagstaff, Arizona Jo Ann Woodward WHNP-BC www.joannwoodward.com
- 2. Communicating with Patients about Sexuality www.joannwoodward.com Be a sympathetic listener Reassure the patient Make a referral
- 4. Assessing STI Risk www.joannwoodward.com “ Have you ever had a sexually transmitted infection?” “ What steps or precautions do you take during sexual activity to prevent transmission of diseases?”
- 5. Assessing Abuse www.joannwoodward.com “ Have you ever been forced to have sex against your will?” “ Did anyone ever touch you, or make you touch them, in a way that made you feel uncomfortable?” “ Has anyone ever battered you or hit you?” “ Do you live with anyone who verbally abuses you?”
- 6. The PLISSIT Model www.joannwoodward.com Annon JS. J Sex Ed & Ther. 1976. L imited I nformation S pecific S uggestions I ntensive T herapy P ermission
- 7. PLISSIT Level Two: Limited Information www.joannwoodward.com “… It is not at all uncommon for men and women in their 60s and 70s to have sexual intercourse on a regular basis.” Annon JS. J Sex Ed & Ther. 1976. Annon JS J Sex Ed & Ther. 1976
- 10. When One STI is present- Look and Ask for More www.joannwoodward.com
- 22. Check From Top to Bottom www.joannwoodward.com
- 23. A Nurse Practitioner, Nurse Midwife and Physician Collaboration www.joannwoodward.com
- 24. Let’s Work Together to Avoid Painful Neonatal Herpes www.joannwoodward.com
- 25. www.joannwoodward.com LOS ANGELES – By SHAYA TAYEFE MOHAJER, Associated Press Writer Los Angeles county health officials are offering a free, at-home program to test for sexually transmitted diseases. All women in the county can request free test kits that detect Chlamydia or gonorrhea infection by visiting a Web site or calling a toll-free number. The kits are then mailed to the women's homes. The program is intended to eliminate clinic waits or costs and targets young women of color. There will be 10,000 kits available immediately. According to the Centers for Disease Control and Prevention, Los Angeles County ranks first in the nation in the number of Chlamydia cases, and second in gonorrhea cases. LA County says it will pass out mail-in STD tests
- 26. www.joannwoodward.com Teenage girls are now a text message away from finding out whether they have sexually transmitted diseases (STD). Health officials in Los Angeles County unveiled a program that will target young women by offering home delivery of STD testing kits and a text message to alert them when the results are ready online. Health officials hope their program can curb the alarming spread of gonorrhea and Chlamydia. Offers Home Delivery Of Chlamydia, Gonorrhea Test Kits L.A. County, Calif.
Hinweis der Redaktion
- Talking Points: The intimate nature of sexuality poses special challenges to providers in discussing it with their patients. The skills required are not routinely included in the training of physicians or other primary care providers. Some clinicians will be more comfortable than others in offering counseling to patients and their partners, but most can develop sufficient skill to: Be a sympathetic listener, Reassure the patient with sexual concerns that strategies exist for addressing those concerns; Make an appropriate referral if needed. To find an American Association of Sexuality Educators, Counselors, and Therapists (AASECT) certified professional, go to www.aasect.org. - - - Original content for this slide submitted by the Clinical Advisory Committee for the Mature Sexuality Education Initiative in March 2004. Original funding received from GlaxoSmithKline Consumer Health, Pfizer Women’s Health, and Procter & Gamble Pharmaceuticals through unrestricted educational grants. Last reviewed/updated by Susan Kellogg-Spadt, PhD, CRNP, Sheryl A. Kingsberg, PhD, Kirtly Parker Jones, MD, and Beverly Whipple, PhD, RN, FAAN, in February 2007.
- Talking Points: It is essential to evaluate all patients for risks of sexually transmitted infections (STIs), including AIDS. Never assume that because patients are older that they are not sexually active or not at risk. Older adults embarking on new relationships following separation, divorce, or death of a long-term partner may be at particular risk. Never assume that older patients can negotiate condom use better than any other patients. How does a woman negotiate the issue of condom use? This issue is just as important in older couples as in younger. The presence of STI’s such as herpes or HPV has long-term implications for patient’s sexual behavior; they must face the need to tell future sexual partners. - - - Original content for this slide submitted by the Clinical Advisory Committee for the Mature Sexuality Education Initiative in March 2004. Original funding received from GlaxoSmithKline Consumer Health, Pfizer Women’s Health, and Procter & Gamble Pharmaceuticals through unrestricted educational grants. Last reviewed/updated by Susan Kellogg-Spadt, PhD, CRNP, Sheryl A. Kingsberg, PhD, Kirtly Parker Jones, MD, and Beverly Whipple, PhD, RN, FAAN, in February 2007.
- Talking Points: It is essential to determine if a patient has ever had a STI. (We know that having ever had a STI increases the risk of having another.) When asking this question, specify the various kinds of sexually transmitted infections, e.g.. gonorrhea, chlamydia, HIV, syphilis, hepatitis, bladder or urethral infection, rectal infection, herpes, warts; and for concrete behaviors if the patient is not informed enough to answer their risk potential for specific STIs. If the answer is affirmative, then ask the patient when she/he had the STI, where she/he was treated, and if the treatment regimen was completed. Ask whether partner's) were treated as well. Just because a patient is middle aged or older does not mean he or she is not at risk for HIV/AIDS. Approximately 10 percent of all AIDS cases in the U.S. are among those 50 years and older. Asking about HIV/AIDS is a good way to encourage patients to evaluate their own risk behaviors and assess whether they are adequately protecting themselves from other STIs as well. This also allows the clinician to assess the patient’s understanding of risks and protective measures. - - - Original content for this slide submitted by the Clinical Advisory Committee for the Mature Sexuality Education Initiative in March 2004. Original funding received from GlaxoSmithKline Consumer Health, Pfizer Women’s Health, and Procter & Gamble Pharmaceuticals through unrestricted educational grants. Last reviewed/updated by Susan Kellogg-Spadt, PhD, CRNP, Sheryl A. Kingsberg, PhD, Kirtly Parker Jones, MD, and Beverly Whipple, PhD, RN, FAAN, in February 2007.
- Talking Points: Avoid using the term “molested,” which may not be understood by some people. Don’t assume that only women are abused; always include history of sexual abuse and rape when taking a male patient’s sexual history. - - - Original content for this slide submitted by the Clinical Advisory Committee for the Mature Sexuality Education Initiative in March 2004. Original funding received from GlaxoSmithKline Consumer Health, Pfizer Women’s Health, and Procter & Gamble Pharmaceuticals through unrestricted educational grants. Last reviewed/updated by Susan Kellogg-Spadt, PhD, CRNP, Sheryl A. Kingsberg, PhD, Kirtly Parker Jones, MD, and Beverly Whipple, PhD, RN, FAAN, in February 2007.
- Talking Points: The PLISSIT model offers an approach to communicating with patients about sexual concerns that allows the individual clinician to gear this communication to their own level of comfort, or competence. Theoretically, each descending level of this approach requires increasing degrees of knowledge, training, and skill on the part of the clinician, who determines at what point referral elsewhere is appropriate. Source : Annon JS. The PLISSIT model: a proposed conceptual scheme for the behavioral treatment of sexual problems. J Sex Ed & Ther 1976;2(2):1-15. - - - Original content for this slide submitted by the Clinical Advisory Committee for the Mature Sexuality Education Initiative in March 2004. Original funding received from GlaxoSmithKline Consumer Health, Pfizer Women’s Health, and Procter & Gamble Pharmaceuticals through unrestricted educational grants. Last reviewed/updated by Susan Kellogg-Spadt, PhD, CRNP, Sheryl A. Kingsberg, PhD, Kirtly Parker Jones, MD, and Beverly Whipple, PhD, RN, FAAN, in February 2007.
- Talking Points: Giving information often goes hand in hand with giving permission. Frequently this information-giving can dispel myths or misconceptions, such as ones related to genital size. The information should be limited to specific facts directly relevant to the patient’s particular concern. The clinician’s ability to use this approach will depend on their knowledge, theoretical orientation, and value system. Source : Annon JS. The PLISSIT model: a proposed conceptual scheme for the behavioral treatment of sexual problems. J Sex Ed & Ther 1976;2(2):1-15. - - - Original content for this slide submitted by the Clinical Advisory Committee for the Mature Sexuality Education Initiative in March 2004. Original funding received from GlaxoSmithKline Consumer Health, Pfizer Women’s Health, and Procter & Gamble Pharmaceuticals through unrestricted educational grants. Last reviewed/updated by Susan Kellogg-Spadt, PhD, CRNP, Sheryl A. Kingsberg, PhD, Kirtly Parker Jones, MD, and Beverly Whipple, PhD, RN, FAAN, in February 2007.