Building a Health History: Dealing with gynecological health issues
Facing gynecological problems can be difficult for many people because of the stigma associated with talking about such topics. The stigma associated with gynecological health issues can be particularly debilitating among people who belong to the LGBTQ+ community or other minority groups. Nurses and other health care providers have a responsibility to ensure patients feel comfortable discussing their gynecological concerns.
Components of a complete gynecological health history
A gynecological health history should be comprehensive to ensure that all relevant information is captured. Some components of the gynecological health history include the main complaint and current medical history, the patient’s menstrual history when the situation is a woman or a transgender man, perimenopause / menopause symptoms in older women and transgender men, fertility, etc. method of contraception used. Additional information that should be collected includes sexual history, including number of sexual partners, homosexuality or homosexuality, problems with dyspareunia, and sexual violence or abuse. A history of sexually transmitted infections such as herpes and sexually transmitted infections such as candidiasis and endometriosis should also be documented. The patient should be asked about the type of infection diagnosed, its frequency over the years, and the type of medication used. Additional information that should be collected includes gynecological surgery history and obstetric history among women and children, their experience with each pregnancy, and potential maternal or fetal complications (Goodrich et al., 2017).
Some of the first health care guidelines to evaluate would be HPV vaccination for all male and female patients between the ages of 11 and 26, for women who have not had gender reassignment surgery or transgender women. injection These guidelines discuss the age and frequency recommended for women and the benefits of HPV vaccination for male and female clients younger than 26 years. Monitoring will be based on determining test results and recommending health services to clients based on the results implemented in their lives (Bibbins-Domingo, 2017; Mehta et al., 2018).
Some questions to consider in a patient assessment include questions about activities of daily living, past medical conditions, and current health status. This question: In the past seven days, did you ask others for help in daily activities such as dressing, walking, bathing, washing, and housework? Have you had a bad health condition in the past? How would you describe it? What is your current health status? General health questions: Have you experienced a loss (job loss, death of a loved one, or separation from a loved one) in the past six months? Describe your diet for the past five days?, What? What are your current health priorities? How often do you exercise? Gynecological questions will include how many sexual partners you have had? What is your sexual orientation? Have you ever had risky sex? Do you have a history of STDs? Have you had a proper gynecological exam? Is the bladder still swollen? and do you have any gynecological problems now? (Goodrich et al., 2017).
The manuscript will be divided into five sections that include the main complaint and history, system review, objective data based on physical assessment, and subjective data including diagnosis and differential. Questions in the subjective data section include asking the client about perceived signs and symptoms, aggravating and mitigating factors, chief complaints about pain duration and severity, and medical history. System review will focus on the gynecologic/genitourinary system to review and evaluate each system in more detail. Sensitive questions include asking the patient about sexual activity/intercourse, past medical and surgical history of sex, history of high-risk sex, including types of drugs or drugs, and gynecological history. infection (Bibbins-Domingo, 2017).
In health history, I have no problem developing my script because I based most of the information in the script on common questions asked during patient screening and assessment procedures. A challenge in the development of the script and implementation required the inclusion of considerations for members of the LGBTQ community, because gynecological problems can be quite different from those affecting homosexual individuals who do not practice healthy sex. The difficulty of addressing gynecological problems for members of the LGBTQ community is based on understanding and identifying with genitourinary anatomy and physiology of people who have undergone or experienced gender reassignment procedures, ways of identifying as a woman or a man. Facing additional complications and complications compared to people who did not undergo this surgery.
Among the things I have difficulty with when I ask this question to patients are issues related to gynecological infections, sexual history, and risky sex. This question can be more difficult when dealing with people from the LGBTQ community who may not feel comfortable disclosing their sexual history or discussing their gynecological health with nurses. The difficulty of asking this question is based on the need to ensure that the patient will not judge or judge himself during the assessment session and will understand the need for such critical assessment. In addition, another challenge is related to ensuring that questions directed at patients do not discriminate against them based on their cultural background, religion or beliefs. Although this consideration makes it difficult to ask the question, he must make sure that the patient understands the importance of the question being asked. I have found that patients who understand the goals of the nurse or health care provider are more open to answering questions. In the future, I will explain to patients the importance of a comprehensive assessment and information collected to ensure compliance during the assessment session.
Gynecological assessment and screening can be difficult for both patients and healthcare providers. Keeping patients comfortable and avoiding the use of labels that can be considered judgmental can improve data collection. Using pre-written notes can ensure that sufficient health information is collected and that sensitive or difficult questions are answered in a non-discriminatory manner.