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.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
National Institute of Allergy and Infectious Diseases. Workshop summary: scientific evidence on condom effectiveness for sexually transmitted disease (STD) prevention. Bethesda, MD: July 20, 2001.
Cates W Jr. The NIH condom report: the glass is 90% full. Farn Plann Perspect 2001; 33: 231–233.
Girgis A, Sanson-Fisher RW. Breaking bad news: consensus guidelines for medical practitioners. J Clin Oncol 1995; 13:2449–2456.
Ptacek JT, Eberhardt TL. Breaking bad news. A review of the literature. JAMA 1996; 276:496–502.
Buckman R. How to Break Bad News: A Guide for Health Care Professionals. Bltimore, MD: Johns Hopkins University Press, 1992.
Prochaska JO, DiClemente CC, Norcross JC. In search of how people change. Applications to addictive behaviors. Am Psychol 1992; 47:1102–1114.
Prochaska JO, Norcross JC, DiClemente CC. When you change. In: Changing for Good: The Revolutionary Program That Explains the Six Stages of Change and Teaches You How to Free Yourself from Bad Habits. New York, NY: William Morrow, 1994, pp. 36–50.
Garrity JM, Jones SJ. HIV prevention counseling: A training program. Alanta GA: Centers for Disease Control and Prevention, 1993.
Miller WR, Rollnick S. Phase I: building motivation for change. In: Motivational Interviewing: Preparing People for Change, 2nd Ed. New York, NY: Guilford Press, 2002, pp. 52–84.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2006 Humana Press Inc.,Totowa NJ
About this chapter
Cite this chapter
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
Download citation
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)