The 15-Year-Old Patient Evaluation & Management Plan
Gynecological examinations, especially for starters, are usually characterized by nervousness and a feeling of embarrassment. The best way to alleviate this anxiety is to conduct a full introductory session with the girl and the mother. This involves clearly stating your role in the healthcare team, what the procedures entail, how long it takes, and its importance. The patient must get comfortable, as this will aid in the clarity of the patient’s interview.
It is vital to start the consultation by inquiring how the patient feels. In this case, the girl is nervous, and it is crucial to determine why she feels that way. This is her first-ever gynecological examination. To ensure the consultation runs smoothly, it is crucial to understand the patient’s anxiety level and make her comfortable and at ease before the procedure begins. This is specifically an integral approach in patients with whom they may have encountered sexual trauma or abuse in the past. Besides, it will be beneficial to ask the patient if she will be comfortable to share the required information on her own or prefers to be asked directly (Conducting the Interview and Taking a Gynecologic and Sexual History, 2017).
Besides, another important part before the examination entails a brief explanation of what the procedure is all about. Extensive consultation will cover an insight on the devices to be used, the reasons for the procedure, a detailed systematic walkthrough of what will transpire, and what the patient can anticipate in terms of comfort level and pain. Encouraging the patient to ask questions and be in control is also essential in managing anxiety and nervousness. All these measures will ensure that the patient will not be caught off guard by anything unanticipated. More practically, questions should be asked in a non-judgmental and open-ended manner (Conducting the Interview and Taking a Gynecologic and Sexual History, 2017).
Reviewing gynecological history is a crucial part of women’s health assessment. This includes a pelvic assessment to review the reproductive organs, cervical tests for any abnormal cells, and breast examination. The patient should understand that comprehensive gynecological review provides a basis for initial determination concerning diagnostic testing and management. The assessment will also yield insight into the patient on a gynecological condition’s signs and symptoms (Conducting the Interview and Taking a Gynecologic and Sexual History, 2017).
The use of contraceptives or birth control methods is diverse in the United States. Women aged 15-45 are sexually active, and they adopt the use of birth control methods to avoid unintended pregnancies. The standard birth control methods available in the United States include vaginal ring, intrauterine device, female and male condoms, emergency oral contraceptives, pills, and contraceptives injection. The success or failure of a birth control method is determined by the extensive, effective contraceptive use, correct use, strict adherence to the method’s requirements, and the type or method of birth control chosen. Failure or success is also influenced by the age and reproductive goals of an individual. Most women choose reversible birth control methods like IUD (Solinger, 2018).
Birth control contraceptives have a wide range of side effects, including weight gain. To address this concern, comprehensive counseling about the side effects and approaches that enhance contraceptive adherence and continuation can help maximize patient’s use of contraception. The patient should report any signs of weight gain to the doctor so that it can be assessed if the gain is connected to the birth control, and if so, the doctor can advise on an alternative method which has a lower dose of estrogen and does not affect her weight or appetite.
Finally, approaches to maximizing women’s birth control counseling experience entail working together closely, developing a rapport and trust, and having a shared decision-making strategy that focuses on responding and eliciting patient’s preferences. This means that the patient has the right to decide on her best birth control method based on the doctor’s consultations. In responding to the patient’s question on using a condom, this will be ideal if the patient decides to engage in sexual intercourse before she makes her final decision concerning a birth control method.
Conducting the Interview and Taking a Gynecologic and Sexual History. (, 2017). Fast Facts about the Gynecologic . doi:10.1891/9780826196095.0001
Solinger, R. (2018). Reproduction, Birth Control, and Motherhood in the United States. Oxford Handbooks Online. doi:10.1093/oxfordhb/9780190222628.013.20
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