Hema Here!
Why Do we Shy Away from STI Risk Assessment?
STIs - Not the Greatest of Subjects...
That is probably why we don't spend awful lot of time in exploring them.
Until You Try, You Don't Know.
I know, the image is talking about Blood Donation, But...
The inner message is the same.
Yes... Blood / Body fluids Can Rewrite a Person's Fate!
We Can Save a Life if Diagnosed at the Right Time!
I am sharing the STI Risk Assessment Questions here...
Let us discuss the rationale behind them.
It would Make Sense :-)
Easy to Remember!
Example Structured Approach for You
Feel free to change the words You are comfortable with.
Play if you want - http://www.stdwizard.org/
(1) When did you Last have sex/sexual intercourse?
As STIs have incubation and window period!
(2) Was it with a Man or a Woman?
For eg - TV is common in women, LGV in MSM.
(3) Was the person a Casual or Regular partner?
The risk varies with the exposure rate!
(4) Where was the partner from and what is their Ethnicity?
Afrocaribbean, Mexican etc have higher risk.
(5) In which Country did you have sex?
Countries like Africa, Mexico, Thailand have higher risk...
(6) What kind of sex did you have?
It guides which tests are needed- swabs etc.
(7) For each type - oral, vaginal, anal—did you use a condom?
For heterosexual sex: was any contraception used?
Relate to risk of pregnancy when asking about last menstrual period in gynaecology history.
Assess whether they were the active/insertive partner or passive/receptive partner, as appropriate.
(8) Does/did your partner have any symptoms?
(9) When did you last have sex with someone different?
Return to question 2.
Repeat this for all sexual contacts in at least the preceding 12 weeks.
Tip :-) Never assume the sex of previous partners.
For men who report recent sexual activity with women -
It might be useful to ask if they have ever had sex with men in the past.
(10) Have you ever had any previous STIs?
Any previous Drug allergy, Drug resistance etc.
(11) Have you ever had a sexual health check up before?
(12) Have you, or have any of your sexual partners, ever injected drugs or shared needles?
For women,
Have you ever had sex with a gay or bisexual man?
For men,
Ask about any history of sex with men, as per point (9).
(13) Have you ever had an HIV, hepatitis, syphilis test before?
(Assess risk and offer tests as appropriate)
(14) Have you been vaccinated against hepatitis B, or have you ever had hepatitis?
(Assess risk and offer vaccination if appropriate).
The most imortant thing is to show Empathy...
Be Cautious when dealing with the Highly Emotional Packed Scenarios like Rape, Assault, etc...
Take your Time...
Be Patient centred all the time!
Thats All...Great!
To Your Success,
Hema xoxo.
P.S.
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