NUR 600 Discussion 9.1: Patient Comfort During Genital Exams Essay

NUR 600 Discussion 9.1: Patient Comfort During Genital Exams Essay

NUR 600 Discussion 9.1: Patient Comfort During Genital Exams Essay

Patient Comfort During Genital Exams Sample Essay

The genitalia should be examined as part of a comprehensive medical examination. During the genital examination, the health care professional gathers and analyses objective data about the patient’s body using many procedures such as inspection or palpation (Bickley, 2021). Bearing in mind that genital exams might be intrusive or uncomfortable for the patient, I will try to put myself in their position and consider their point of view before approaching them. Before starting a genital examination, several things need to be done with each patient.

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First and foremost, it is critical to gain the patient’s trust (Kirubarajan et al., 2021). Begin earning the patients’ trust from the initial encounter with them. It is critical to handle the patient calmly and confidently. The patient may use your voice tone or other body language clues to gauge your level of trustworthiness as a healthcare provider. If you don’t project self-assurance to the patient, it will simply make them feel more anxious since they could be concerned that there is something terribly wrong with their body.

To lessen the patient’s fear and help them feel appropriately prepared for what is about to happen, it is imperative to thoroughly explain the genital examination to the patient (O’Laughlin et al., 2021). Be truthful and detailed when describing the procedure of the exam.  Also, when speaking with the patient, I will utilize ordinary language to make sure the patient comprehends what I just said and allow them to ask any questions or express any concerns. When a patient is in a medical setting, they frequently feel exposed. It’s crucial to ensure that their modesty and privacy are upheld (Tillman, 2020).

References

Bickley, L. (2021). Bate’s guide to physical examination and history taking (13th ed.). Wolters Kluwer.

Kirubarajan, A., Li, X., Got, T., Yau, M., & Sobel, M. (2021). Improving Medical Student Comfort and Competence in Performing Gynecological Exams: A Systematic Review. Academic Medicine, 96(9), 1353–1365. https://doi.org/10.1097/acm.0000000000004128

O’Laughlin, D. J., Strelow, B., Fellows, N., Kelsey, E., Peters, S., Stevens, J., & Tweedy, J. (2021). Addressing Anxiety and Fear during the Female Pelvic Examination. Journal of Primary Care & Community Health, 12, 215013272199219. https://doi.org/10.1177/2150132721992195

Tillman, S. (2020). Consent in Pelvic Care. Journal of Midwifery & Women’s Health, 65(6), 749–758. https://doi.org/10.1111/jmwh.13189

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Value: 15 points

Category: Discussions, 20%

Discussion Guidelines

Initial Post

After viewing the Bickley video, explain how you will be most successful in approaching genital exams with patients in a way that will keep your patient and yourself comfortable.

Response Post

Reply to the initial posts of at least two classmates.

Submission

Post your initial and follow up responses and review full grading criteria on the Discussion 9.1: Patient Comfort During Genital Exams page.

Week 9: The Comprehensive Physical Exam (cont.)—Genitalia, Anus, Rectum, and Prostate

Welcome to the ninth week of Advanced Physical Assessment. During this week, you will continue coordinating the comprehensive physical exam with a focus on the male and female genitalia systems, the anus, rectum, and prostate. You will learn how to recognize normal anatomical landmarks and then look at different exam techniques that are specific to assessing those systems. You will also review proper terminology for identifying and then appropriately documenting those subjective and objective findings. By understanding the sensitive nature of these systems, you will discuss successful approaches to performing the general exam.

Review a list of all items due this week in your course syllabus.

Lesson 1: Male and Female Genitalia and the Anus, Rectum, and Prostate

During this lesson, you will begin coordinating the comprehensive exam, recognizing anatomical landmarks, looking at different exam techniques, and reviewing proper terminology for objective findings when examining male and female genitalia as well as the anus, rectum, and prostate.

Learning Outcomes

At the end of this lesson, you will be able to:

Begin the practice of sequencing and coordinating the comprehensive physical exam of the adult patient.

Identify the anatomical landmarks of the human body of the genitalia, anus, rectum, and prostate.

Correlate examination techniques of the genitalia, anus, rectum, and prostate using the correct sequence and anatomical landmarks in an adult patient.

Use correct terminology to record objective components of the physical examination findings.

Before attempting to complete your learning activities for this week, review the following learning materials:

Learning Materials

Read the following in your Bates’ Guide to Physical Examination and History Taking textbook:

Chapter 20, “Male Genitalia”

Chapter 21, “Female Genitalia”

Chapter 22, “Anus, Rectum, and Prostate”

These readings will help you perform assessments for a hernia and also assess male and female genitalia, anus, and prostate. It also will help you recognize pertinent positives and negatives related to those systems and document them appropriately.

Additional Required Resources:

Also read the following article:

Spencer, M. J. (2005). Iatrogenic hymenal injury. Topics in Emergency Medicine, 27(1), 80–89.

This article is a case study that will serve as the basis for your written assignment this week.