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The genitourinary system is critical to maintaining fluid balance, waste elimination, and reproductive function. Nurses play a vital role in assessing this system, beginning with a thorough health history. This process involves gathering patient information, identifying risk factors, and recognizing symptoms of genitourinary disorders. Early detection is vital for timely interventions and management.1. Gathering Patient InformationA complete health history includes the patient’s personal,...
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The nursing history captures and records the patient's health status, so that a care plan evolves to meet the patient's individual needs. The nursing health history is a part of the initial assessment. A comprehensive history covers all health dimensions and plays a significant role in the assessment process. A comprehensive history includes the patient's biographical information, reasons for seeking health care, expectations, present and past health history, medications, and family,...
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Assessment of the Cardiovascular System I: Subjective Data01:23

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A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
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Inquire about symptoms...
Genital Herpes01:23

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Genital herpes is a sexually transmitted infection primarily caused by herpes simplex virus type 2 (HSV-2), though herpes simplex virus type 1 (HSV-1) is increasingly implicated in genital infections, particularly among younger populations. Transmission occurs mainly through sexual contact, with asymptomatic viral shedding serving as a major route of spread. This characteristic makes HSV-2 difficult to control at a population level, as individuals may unknowingly transmit the virus even in the...
Male Sexual Response: Erection & Ejaculation01:17

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Sexual stimulation can take various forms, such as physical touch and visual or auditory cues. When this happens, the parasympathetic reflex in the sacral portion of the spinal cord is activated. This reflex stimulates the release of nitric oxide (NO), which then dilates the arterioles in the penis, increasing blood flow to the erectile tissues - the corpora cavernosa and corpus spongiosum.
The blood filling the erectile tissues compresses the veins, which helps to prevent blood from leaving...

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Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility
04:22

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Teaching sexual history-taking skills using the Sexual Events Classification System.

Donald C Fidler1, Justin Daniel Petri, Mark Chapman

  • 1West Virginia University, Behavioral Medicine & Psychiatry, 930 Chestnut Ridge Rd., Morgantown, WV 26505, USA. dfidler@hsc.wvu.edu

Academic Psychiatry : the Journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry
|September 14, 2010
PubMed
Summary
This summary is machine-generated.

Psychiatric residents improved comfort in taking sexual histories after a course utilizing the Sexual Events Classification System and simulated patient interviews. These methods proved practical for enhancing sexual history-taking skills.

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Area of Science:

  • Medical Education
  • Psychiatry
  • Sexual Health

Background:

  • Effective sexual history-taking is crucial for patient care.
  • Existing educational programs for teaching these skills require review and enhancement.
  • Novel techniques are needed to improve resident competency in this area.

Purpose of the Study:

  • To review the literature on educational programs for sexual history-taking.
  • To describe and evaluate novel techniques for teaching these essential skills.

Main Methods:

  • Psychiatric residents participated in a course featuring the Sexual Events Classification System.
  • Training included feedback on video-recorded interviews with simulated patients and analysis of poor interview examples.
  • A competency scoring form assessed simulated interviews, followed by an anonymous usefulness survey.

Main Results:

  • Most residents reported increased comfort in taking sexual histories post-course.
  • The Sexual Events Classification System was identified as a practical teaching method.
  • Simulated interviews were also deemed effective for skill development.

Conclusions:

  • The Sexual Events Classification System offers a practical model for sexual history-taking education.
  • Simulated patient experiences enhance the teaching of these skills.
  • This approach can be effectively applied to train general psychiatric residents.