Gender health care case study Y3 2020 2021 group C & D by Tong Seng Fah Tong https://padlet.com/tsf/7xxynhncflcg87sx Tell me what your answers are and share it with your friend. Do it in a video clip or power point, or simply a text file. Be creative! Remember to add your clip directly under the case you are working on. en-us 2020-10-30 09:55:57 UTC 2020-12-25 07:45:13 UTC hello@padlet.com tsf https://padlet.com/tsf/7xxynhncflcg87sx/wish/875888202 Aminah, A 24-year old woman presents with running nose and cough for 3 days. She is about to get married in 2 months’ time.  She is anxious about engaging in sexual intercourse because of the concern of sexually transmitted infection. 

What would be your response to her anxiety?
What would you counsel her for in offering sexually transmitted disease screening to her?
]]> 2020-10-30 09:56:24 UTC https://padlet.com/tsf/7xxynhncflcg87sx/wish/875888202 What would be your response to her anxiety? https://padlet.com/tsf/7xxynhncflcg87sx/wish/925644153
  • I would take her to a consultation room for privacy and calm her down before proceeding with the consultation. 
  • I will ask her about the chief complaints which are runny nose and cough that has been going on for 3 days.
  • After addressing her acute problems, I will ask about her concern as she told me that she is anxious about engaging in sexual intercourse due to STI. 
  • I will ask her whether she thinks that her acute problems are related to her anxiety to engage in sexual intercourse.
  • Finding out the reason why she is worried about contracting STI 
    • maybe she interpreted that anyone who engages in sexual intercourse has a high risk of contracting STI and is worried about getting HIV as her current symptoms like cough and running nose are related to STD if her immune system has already been affected
  • Ask her resources on information about STI to ensure she received trustworthy information.
  • I would explain to her about STD in terms of common symptoms, risk factors, transmission, the current statistics on STD in Malaysia and it’s prevention. I will also tell her that STDs can be treated and prevented.
  • I will also give reassurance to her about her recent condition.
  • I will ask for her expectation from this consultation. 
  • I will discuss with her and offer her premarital screening to solve her worries and make sure she or her fiancé does not have STD.
  • I would also like to offer her premarital counselling if needed.

]]> 2020-11-16 03:38:34 UTC https://padlet.com/tsf/7xxynhncflcg87sx/wish/925644153 What would you counsel her for in offering sexually transmitted disease screening to her? https://padlet.com/tsf/7xxynhncflcg87sx/wish/925644939
  •  Full sexual history
    1. Non judgemental approach and use appropriate body language during taking history. 
    2. Use open ended questions and with well-chosen words for sexual behaviour, practice and orientation. 
    3. History taking includes SOCRATES, menstrual history, past gynaecological history, obstetric history, last sexual contact and HIV risk assessment.
    4. Example of sexual history : 
    5. history of STD before
    6. multiple sex partner
    7. sexually active before
    8. have they been screened before
    9. what kind of contraception method they are considering to use or if they are not interested in contraception
    10. experienced any abnormal vaginal discharge.
    • Physical examination 
    1. Genital appearance, skin, breast examination, oropharynx, lymph nodes, abdomen, careful vaginal examination and other signs of STIs.
    • Investigation 
    1. Blood test (can confirm the diagnosis of HIV or later states of syphilis) 
    2. Urine sample : First-catch urine for NAAT (PCR)
    3. fluid sample (if the patient has open genital sores, the doctor may test fluid and samples from the sores to diagnose the type of infection)
    4. Pap test : 6-12 monthly
    5. Endocervical swabs for Chlamydia and gonorrhoea (1-3 monthly depending on risk)
    6. High vaginal swab and ‘wet film prep’ for vaginal pathogens 1-3 monthly
    7. HIV antibody test (with informed consent) - not ordered more often than every 3 months 
    8. Syphilis screening test
    9. Hepatitis B screening : if negative, organise hepatitis B vaccination
    10. Rubella IgG as baseline test : if negative, advise rubella vaccination
    11. Throat swabs for gonorrhoea (if oral sex without condoms)
    12. Urethral swab for gonorrhoea and chlamydia if urinary symptoms 
    13. Anorectal swab for gonorrhoea if sexual history indicates need

    • Pre test counseling 
    1. the meaning of a positive and a negative test results 
    2. a brief description of prevention options 
    3. the confidentiality of the test result, as well as any information shared by the client 
    4. the potential negative consequences of testing to the client in settings where certain sexual behaviour is stigmatized or even criminalised, where a positive test could result in discrimination. In addition, the practical implications of a positive test result should be explained, including when there’s no treatment currently available.

    ]]>     2020-11-16 03:39:13 UTC https://padlet.com/tsf/7xxynhncflcg87sx/wish/925644939     tsf https://padlet.com/tsf/7xxynhncflcg87sx/wish/1041753157 Aminah, A 24-year old woman presents with running nose and cough for 3 days. She is about to get married in 2 months’ time.  She is anxious about engaging in sexual intercourse because of the concern of sexually transmitted infection. 
     
    •       What would be your response to her anxiety?
     What would you counsel her for in offering sexually transmitted disease screening to her?
    ]]>     2020-12-25 07:45:13 UTC https://padlet.com/tsf/7xxynhncflcg87sx/wish/1041753157