As primary care providers, physicians and nurses are most likely to have the opportunity to build an ongoing professional relationship with patients. If you anticipate having a long-term professional relationship with a patient, you may consider incorporating a question about a history of abuse in taking the family history. Primary care practitioners are in an important role to coordinate the treatment plan for abuse survivors and help ease referrals. The following are ways to help survivors of abuse.
The women interviewed with histories of CSA made suggestions for providing care to make things easier for them.
Let patients choose to use clinic-issue drapes or keep on some of their clothing during an examination. Leaving their shirt and socks on under their gown is warmer and may make them feel less vulnerable.
Allow the patient to see and handle a speculum and use the smallest speculum that allows adequate visualization.
During prenatal visits when you listen to the fetal heartbeat, explain to patients how this will be done; e.g. "This is the gel and unfortunately it will feel cold..." etc.
For a woman with unusual fear of surgery, work out a plan. This may involve offering to accompany her into the operating room and staying with her throughout the operation.
Use examining tables that can be height adjusted for women with disabilities, and improved supports for legs during pelvic examinations.
During pelvic examinations and other procedures where draping a sheet is used, arrange the sheet so that the patient can maintain eye contact throughout the procedure.
Adjust the exam table to enable the patient to be partially sitting for the exam. This may help her feel more empowered and enables visual contact to be maintained.
Allow ample time and flexibility for examinations by deferring Pap tests until the patient is ready or divide the examination into several office visits.
Use clear, respectful language in examinations such as Pap smears, internal exams, STD checks, routine breast exams, and pelvic ultrasounds.
Latest Articles
About Us News & Articles Resources Your Health Connect With Us
© 2012 Canadian Women's Health Network.