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Unformatted text preview: requiring education or counseling.
3. Assess effects of illness, disability, surgery, or medication on sexual function.
4. Assess effects of other psychosocial problems on sexual function.
5. ID sexual problems that are symptoms of psychosocial problems.
6. ID sexual problems that may be clues to an organic illness.
7. ID any other questions or concerns related to sexuality.
Language guidelines when taking 1. Avoid euphemisms, and clarify any that a patient uses.
a sexual history
2. Avoid both overly medicalized terms and excessive informality.
3. Use terminology appropriate to the patient's level of understanding and comfort.
4. Language used should be comfortable for the provider as well as the patient.
2 categories that divide stresses 1. Underlying/deep: r elationship difficulties, job stresses, and psychological issues
that cause sexual difficulty
2. Immediate: f eelings, reactions, and cognitions that immediately impinge on sexual
r esponsiveness (anxiety, fear of failure, anger, fatigue)
Describe differences between
See table to the right.
psychogenic and organic sexual
8 educational & therapeutic
1. Accurate and empathic delineation of problems and concerns
3. Sex education - lectures & pamphlets are fairly ineffective; elicit patient's active
participation in a mutual problem-solving process
4. Practical advice
5. Behavioral prescription
6. Working through emotional issues
7. Positive reframing - help patient to see experience in a more positive yet realistic light
8. Consultation and referral - referral can be misinterpreted as a dismissal or rejection, so it
must be accompanied by plans for continued contact Effect s of smokeless t obacco
Why do kids smoke?
Why do adult s smoke?
Wit hdrawal sympt oms
4 steps health care providers can
take and the information they can
offer patients to help them stop
6 public health strategies to
decrease tobacco use in the US
population Handout: Treatment of Tobacco
Use and Dependence
What are the benefits of smoking
cessation? 1. Highly addictive (appeals to young boys)
2. Causes oral cancer and periodontal disease
Kids begin because of peer pressure, following older role models, rebelling from authority,
and feeling bored.
Adults smoke for the nicotine. 85% of smokers are addicted.
Irritability, restlessness, headache, GI upset, tremor, cigarette craving
1. Ask your patients if they smoke.
2. Advise smokers to quit and choose a quit date.
3. Assist them by counseling, providing materials, prescribing and referring.
4. Arrange follow-up.
1. Increase the cigarette tax.
2. Enforce laws that prohibit sales to people under 18.
3. Ban advertising of tobacco.
4. Make all workplaces and public indoor areas smoke-free.
5. Help smokers quit.
6. Use tobacco lawsuit settlement funds for programs that decrease tobacco use. Cessation reduces the risk of tobacco-related diseases, slows the progression of established
t obacco-related diseases, and increases life...
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This note was uploaded on 09/19/2013 for the course MEDICINE All taught by Professor Johnsmith during the Fall '12 term at Eastern Virginia Medical School.
- Fall '12