Hema Here!
Give me a Bigggg Hi 5!
Have You Ever Thought that Menopause makes You Crazy?
You are not Alone!
Menopause Makes Everybody Crazy !
Poor Patients!
I love to share with you all about 'Menopause'.
Recently, I heard one of my Male colleagues saying,
'Judi Denches would haunt him asking for HRT in his dreams' (or should I say Nightmares).
Feels scary to cover Menopause in 10 minutes in CSA!
It is difficult to cover all the relevant issues if not prepared WELL in advance.
That is why we should have our Laser Targeted Questions ready!
Ideally A Case might be for the following reasons...
1. Just for the reassurance.(Need to rule out depression etc)
2. For Self Help advice.
3. For HRT.
4. For Non Hormonal managements.
5. For advice on Alternative/Complimentary methods.
What Else?
It is important NOT to guess the nub of the case.
We need to Shut up and Listen to the patient till we get their agenda.
(You know me, right? First bit is difficult for me :-)
Then Proceed with the Flow.
Have a Patient Centred/ Led Approach!
It is important -
To empathise when the patients express their struggle with the symptoms as we do in our normal surgery!
It is very easy -
To get Doctor /Exam centred if we started to work up a step ahead in our Mind.
Live that moment!
Feel Light!
Relax!
It is Easier this Way!
Chat as if You Do with Your Friend.
Be Real!
Ten Points to Cover
1. What are the patients' ICE?
2. What is the EFFECT on her?
3. What she KNOWS about the options?
4. Is HRT suitable for her?(our agenda!)
5. If Suitable, Has she still got her uterus or not?
6. If not suitable, what Else can we offer?
7. How can we Explain HRT/ Alternatives?
8. How to incorporate the Life styles changes?
(That is why we need to explore about Smoking, Alcohol, Caffeine, Diet, Exercise etc)
9. How to share our Difficulty in suggesting Herbal remedies?
10. How to Safety net / Follow up - when prescribed HRT or not?
BNF - Our Best Friend
HRT is one of the pages we should definitely put the colourful tag in our BNF!
( Mine had all the rainbow colours, looked vibrant on the table during the CSA!)
Practise How to Share the Risks AND to be Neutral.
Empower Patients to take the Informed Decision!
More Points to Remember :-)
Age, Hysterectomy,
Migraine, Breast cancer,
Stroke, VTE, Smoking,
BP, BMI. (Feel free to add...)
If it is your weakest link,
Do as Many Times as Possible and Get Comfortable!
Practise, Practise, Practise!
Till You GetThem RIGHT.
Get more golden nuggets from
1. http://www.patient.co.uk/doctor/Menopause-and-its-Management.htm. (My all time favourite!)
2.http://www.nhs.uk/Conditions/Menopause/Pages/Treatment.aspx
3. http://www.womenshealth.gov/publications/our-publications/fact-sheet/menopause-treatment.cfm
4. www.menopausematters.co.uk,
5. Of course, our BNF etc.
It is Easy - Peasy! Lemon - Squeezy!!
Keep interacting!!!
You are not Alone....
To Your Success,
Hema xoxo.
P.S.
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