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Patient—Clinician Communication and STI Care

Assessing Risk, Conveying a Diagnosis, and Supporting Behavior Change

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Sexually Transmitted Diseases

Part of the book series: Current Clinical Practice ((CCP))

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Abstract

Primary care patients who are sexual with another person—or who have ever in the past been sexual with another person—deserve a thorough history to review sexual patterns and events and to assess present risk of sexually transmitted infections (STIs) and illnesses. The STI history is akey part of the new patient work-up, and those initial findings help set the interval for future assessments. For celibate patients, ask at least annually, “Has anything changed since you last told me you are not sexual with anyone?” For patients with one or more sex partners, repeat the STI history anytime you ask history questions of any kind. For patients with a history of risky behavior or an STI diagnosis, assess risk taking at every encounter, look for opportunities to praise and support safer sex steps, and intervene promptly when you discover behavioral risk taking or clinical evidence of infection.

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© 2006 Humana Press Inc.,Totowa NJ

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Guest, F. (2006). Patient—Clinician Communication and STI Care. In: Nelson, A.L., Woodward, J., Wysocki, S. (eds) Sexually Transmitted Diseases. Current Clinical Practice. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59745-040-9_13

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  • DOI: https://doi.org/10.1007/978-1-59745-040-9_13

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-58829-570-5

  • Online ISBN: 978-1-59745-040-9

  • eBook Packages: MedicineMedicine (R0)

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