Difficulties discussing patient sexual health

Difficulties discussing patient sexual health Hesitancy In Taking History From A Female Client Sexuality assessment and counseling are part of the nurse’s professional role, but only few nurses integrate this awareness into practice in a proper way. Getting a sexual history is an inbuilt piece of the client meeting, however, numerous health care professionals neglect to address this subject with their clients. This could be credited to distress that numerous healthcare professionals may have with the subject (Shukla, Yourchock Coutcher, 2013). During my community rotation of reproductive health at Salimabad colony, the family I was assigned to was a 4 membered family living in 2 adjacent apartments with 4 bedrooms. Only one lady was at home with whom I conducted my interview. She was the mother of 3 daughters. I started with the general components of history, such as information about their family members, their education, and their health status etc. She was responding to my questions in a decent manner without any hesitation. After that I asked the client about the problems related to her reproductive health. Her reply was pretty awkward. She replied that I don’t know how to explain it to you because you are a male student. I felt very uncomfortable with her reply that I didn’t even try to intervene in between and explore more about her concerns. At the time of the incident I felt terrible and disregarded. I found the response of the client very bizarre. I also felt helpless because at that time I was not able to figure out that what I should say to the client to make her comfortable. In the wake of confronting the dismissal from the patient, numerous questions popped into my brain. First and foremost, what made the client so uncomfortable? After all I told her that the information won’t be disclosed to an irrelevant person. Secondly, why did I hesitate to intervene to make the client comfortable? Moreover, why didn’t the client realize that I was there to help her? If she’d tell me about her problems than I could’ve guided her about the solutions. I reflected and analyzed the possible causes because of which the incident occurred. According to Magnan, Reynolds Galvin (2005), various hindrances exist to consolidating thought of patient sexuality into nursing practice, including individual, institutional, patient-related variables and Personal elements, for example, nurses’ attitudes about sexuality and sexual behavior. There are a lot of barriers concerning poor healthcare like, social, religious, cultural and economic. Among these socio-cultural is the most crucial. In a developing country like Pakistan, the culture and religion have more significance than any other aspect of life. According to Walston (2005), Involving men in reproductive health is particularly challenging in countries whose culturally defined gender roles may hinder men’s participation. For establishing an effective and therapeutic communication, it is necessary for a healthcare professional to overcome these barriers. To overcome these issues, the healthcare professional shouldn’t be hesitant while taking the history about reproductive health. According to Jayasuriya Dennick (2011), there are many barriers within the learner. The first and the foremost is the deficiency of knowledge. A few students omit a sexual history in light of the fact that they dont comprehend its applicability to a specific clinical situation. It is less demanding to ask an intrusive question if one comprehends the pertinence of the inquiry and is thus ready to advocate it – both to oneself and to the client. The second barrier within the learner is problems with terminology. In sexual history-taking, students may be confronted with vocabulary or behavior with which they are unfamiliar. According to Jayasuriya Dennick (2011), students may be hesitant to seek clarification, particularly where sexual activity is concerned, for fear of appearing sexually inexperienced, or unversed in sexual behavior. The third barrier is the concern about patient’s perception of student. Students some of the time express worry about picking up clients trust or bringing on offense by their inquiries (Jayasuriya Dennick 2011). The other set of barriers is barriers within the learning environment. The most significant barrier of this set is cultural barriers. According to Jayasuriya Dennick (2011), in some cultures, sex is allied by shame. This feeling of taboo penetrates into medical culture as well. Indeed, healthcare professionals who do talk about sexual wellbeing may limit themselves to medical’ issues such as infections, while evading issues relating to sexual lifestyle. While reflecting on my role, I realized that I shouldn’t have kept quiet. I shouldn’t have hesitated and should’ve intervened and said something to make the client comfortable. I should’ve shown professionalism which might have helped the client understand and realize the purpose of taking the sexual history. If I encounter similar situations in the future, I’ll try not to hesitate and along with that I’ll try to make the patient comfortable by telling her the significance of taking the reproductive health history. After studying the literature now I know that for an effective communication, health care providers should respect the feelings, sexual values, lifestyle and social norms and limitations of the client. And they should have the current knowledge about regarding sexual health. In addition, talking about reproductive health can be difficult for clients and health care providers as well, but continuous practicing and use of effective skills can promote communication and it will also help to ensure the best possible care (Association of reproductive health professionals April, 2008). As we know that students learn a lot from clinical experiences so for that purpose, students could watch a specialist take a sexual history from a client or they could watch a video of the same methodology or they could partake in a role-play activity (Jayasuriya Dennick 2011). In conclusion, involvement of male in reproductive health is also necessary as female health care providers to promote a healthy sexual life. Male involvement in reproductive health can be achieved through the use of effective therapeutic communication skills, training and practice, current knowledge regarding reproductive health so that a better role can be played as a nurse. References Magnan, M., Reynolds, K., Galvin, E. (2005). Barriers to addressing patient sexuality in nursing practice.Medsurg Nursing,14(5), 282. Shukla, V., Yourchock, B., Coutcher, M. (2013). Overcoming Barriers Regarding Sexual History Taking: Case Reports.Journal Of Therapy Management In HIV Infection,1(2), 3639. Walston, N. (2005). Challenges and opportunities for male involvement in reproductive health in Cambodia.Phnom Penh: POLICY Project/Cambodia. Jayasuriya, A., Dennick, R. (2011). Sexual history-taking: using educational interventions to overcome barriers to learning.Sex Education,11(01), 99112. Association of Reproductive Health Professionals. (2008, April).What You Need to Know Talking to Patients About Sexuality and Sexual Health. Retrieved from http://http://www.arhp.org/uploadDocs/sexandsexfactsheet.pdf

A Good Man Is Hard to Find: Irony

â€Å"A Good Man is Hard to Find† In the short story, â€Å"A Good Man is Hard to Find† there is irony all through the pages. It shows how you should follow your gut instinct when you think you shouldn’t go somewhere, when you know something bad is going to happen. In the story it also talks about how the grandmother wore her nice clothes in case of an accident, she wanted to look like a lady in case anything bad was to happen. The grandmother was constantly talking about the good in people, but was she a good woman? The first bit of irony the story throws at the reader is on the first page when the grandmother is talking about how she doesn’t want to go to Florida because that’s where the Misfit is headed. As the grandmother is trying to get her son Bailey to listen as she says, â€Å"The Misfit is aloose from the Federal Pen and headed toward Florida and you read here what it says he did to these people. Just you read it. I wouldn’t take my children in any direction with a criminal like that aloose in it. I couldn’t answer to my conscience if I did† (O’Connor 281). Now I don’t believe that the ironic twist is that the misfit was headed to Florida just like the family, I believe that the twist is that the Misfit just so happen be on the same dirt road that the grandmother asked her son Bailey to turn down later on in the story. The grandmother wanted to turn down this dirt road in Georgia because she remembered an old plantation house she had visited when she was younger. After turning down the road she then remembered that this was not the road at all, the old plantation house she had remembered was in Tennessee, not Georgia. The second major ironic twist that stood out to me was how the grandmother wore good clothes to go on a road trip, â€Å"In case of an accident, anyone seeing her dead on the highway would know at once she was a lady† (O’Connor 282). The grandmother wore a navy dress with a straw hat that had white violets on it. Indeed the grandmother was dressed like a lady, but did she act upon it at all times? I think she did just that, I believe she acted like a lady but was not truly one. Grandmothers cat caused Bailey to have an accident. †¦as the grandmother limped out of the car, her hat still pinned to her head but the broken front brim standing up at a jaunty angle and the violet spray hanging off the side† (O’Connor 287). At this point is when I believe that the grandmother acts as if she is a lady. If she was a true lady then maybe her clothes would not have been messed up, or there wouldn’t have been an accident at all. But there is still that piec e of thought about how the grandmother knew to dress in case of an accident. The final bit of irony is how the grandmother kept talking about good men, and how they are hard to find. When the family stops at the diner to eat she talks to Red Sammy and his wife about how hard good men are hard to find, but then she also tells Red Sammy that he is a good man because he let a couple of men charge gas. Red Sammy’s wife says there isn’t no one that she can trust, â€Å"‘And I don’t count nobody out of that, not nobody,’ she repeated, looking at Red Sammy† (O’Connor 285). After they wreck a car shows up with The Misfit and his two side kicks in it, who turn out not to be good men. The grandmother realizes real soon that the man is The Misfit, she recognized him from the picture in the newspaper. Soon after arriving Bobby Lee takes Bailey and his son John Wesley into the woods to kill them. The grandmother went on about how the Misfit could be a good man, and how he should pray. The Misfit told her that his family was good people, he just wasn’t. Soon Bobby Lee and Hiram took the childrens mother, June Star, and the baby to the woods to meet up with the boys. The grandmother then realized that she must think of something soon, because she would be next. They started talking about Jesus and how he did or didn’t raise the dead. The Misfit said that if he didn’t know but if he would have been there he would have known better and wouldn’t be the way he is now. â€Å"Why you’re one of my own babies. You’re one of my own children! † (O’Connor 293). After the grandmother said that she touched him on the shoulder and the Misfit turned around and shot her three times in the chest. This was a great short story for irony, because the grandmother was correct about most things. The grandmother knew not to go towards Florida because The Misfit was headed that way after escaping from the pen. She was right about dressing like a lady in case of an accident, because indeed there was an accident, but she caused the accident by bringing her cat along without anyone knowing. Then there is speak of a good man, is there any such thing? Red Sammy’s wife wouldn’t even think of him as a good man, if your wife doesn’t believe you are no one really can. The Misfit comes along and talks to the grandmother for a while about good people, while doing so shoots her family then her dead. ‘â€Å"She would have been a good woman,† The Misfit said, â€Å"if it had been somebody there to shoot her every minute of her life†Ã¢â‚¬â„¢ (O’Connor 293). This goes with my assumption that the grandmother was just acting like a lady, and The Misfit even saw through her lies.

Nstp Reflection Paper - 1469 Words

My NSTP during this semester was quite challenging and taskful. Challenging because I am not really a patient person and I’m not that good when it comes to teaching. Taskful because there were lot of things to do and accomplish that made me tire every Saturday. On the contrary from what I had expected, it gave me fun and bit of excitement throughout. Being the Team Leader is very hard. You have to be influential enough to get your members to follow you willingly. You must have analytical skills, a decision-making ability and a go-getter attitude. You must possess virtues like integrity, dedication, fairness and an open mind to greet new ideas and innovate. As I did my duty, sometimes I glance on my classmates on what they are busy doing†¦show more content†¦Before we start our tutorial this day, we played together with the tutees. They really have fun. After that, we had a story telling. The tutees laughed a lot because of the funny tutors who did the story telling. All the students were all bright, very active and willing to learn. After the story telling, all of us tutors went to our respective tutees, and gave our last messages to them. The 2 major problems I have encountered were (1) sustaining the attention of the children during teaching hours. This is however normal for such age group. Nonetheless, there is further need to learn more how about this aspect of teaching. (2) The venue could have been better if there was more space for better ventilation and cooling. The heat contained in such a small room for a total number of 30 people inside the room contributed to the discomfort of the kids, despite their enthusiasm to participate in the activities. To be able to overcome these challenge I must encouraged and befriend the kids to participate and be at attention. I became a kid again for them. Must direct the lone electric fan to the kids instead of us, tutors. Helping out and sharing the most that I can do for my young friends in NSTP through teachings, blessings, and my bond with them are the best lessons I carried with to rebuild as a better human being. Poverty for me is pain in life. True wealth isnt measured through how much or what you have. ThatShow MoreRelatedDesign - Student Center Case Study and Analysis (Complete)5503 Words   |  23 Pagesare expected to be: * Spiritually sound individuals who are Christ-centered and Marian-inspired. * Intellectually inspired individuals who are able to rationally and eloquently communicate their ideas and appreciate the arts as an infinite reflection of the beauty of God; * Morally healthy individuals who can weigh values with a great sense of accountability; * Physically healthy individuals who give due respect to the human body, keeping it fit as a temple of the HOLY SPIRIT; * Culturally-conscious