By Matthew Grundy-Bowers, Jonathan Davies
This booklet has been constructed to aid nurses who're in nurse practitioner roles by way of aiding them to increase their ‘advanced perform skills’. This ebook is meant to construct on talents and information that nurses can have bought at employees nurse point. it truly is meant that this booklet will improve abilities and information which till lately were extra within the scientific area, such sexual historical past taking and actual evaluation.
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Extra info for advanced clinical skills for gu nurses
Be aware of the major cultures that are represented in your local area. Is it appropriate that you interview this person if there is a gender difference? In Australia, it would be totally inappropriate for a male healthcare worker to ask an Australian Aboriginal woman about ‘women’s business’, that is, sexual health, menstrual history or contraception (Bell, 1998). In the Muslim culture men may not be willing to have an examination performed by a woman. If in any doubt check it out with your colleagues or indeed carefully ask the person ‘Is it appropriate that I ask you questions about your sexual health?
The eggs of the pubic lice can also be seen adhering to the pubic hairs. Infestation with Sarcoptes scabiei (scabies) mites can commonly be seen in the pubic region, where papular skin eruptions emerge over burrows made by the egg-laying female mites. Both pubic lice and scabies infestation can cause intense pruritus, and evidence of scratching may be visible on the skin. Molluscum contagiosum and genital warts are commonly diagnosed by visual examination of the genital and pubic skin. Small white or skin-coloured dome-shaped papules, which are characteristic of molluscum contagiosum, and benign epidermal proliferations, ranging from flat keratinised to pedunculated fleshy warts, can be seen on the skin.
1999; Fuller & Schaller-Ayers, 2000). The exceptional case for not laying the patient down is when checking for scrotal hernias and varicoceles. In a standing position the groin or inguinal area should be examined for lymphadenopathy 36 ADVANCED CLINICAL SKILLS FOR GU NURSES (enlargement of lymph nodes and also noting any tenderness). Even in the absence of any sexually transmitted infections, it may be possible to feel lymph nodes that may be non-tender and feel smooth like marbles. Normal lymph nodes can be up to 25 mm or 1 inch in length, so that the mere presence of palpable lymph nodes does not mean that they are abnormal.