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  #1  
Old 09-09-2013
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Question how to counsel?

how to counsel a pt briefly and impressive if pt has history of all 3 smoking, alcohol n unprotected sex with multiple partners, as the time is limited in encounter? how to save time?
plz reply
replies will be appreciated...
thanx in advance.
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  #2  
Old 09-13-2013
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In my opinion Just pick one thing and counsel them on that. You are going to Get a tick on the SP list if you counsel and although the more counseling the better I am not sure if counseling for over one thing will earn you more marks.
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Old 09-16-2013
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You should always counsel your patient on any lifestyle behaviors that are unhealthy/harmful. Lets consider the following three examples you listed... It is very easy to do and there's no need to forego any of these because of time constrains, as you always need to give yourself some time at the end of the encounter to discuss things such as this. Failing to properly close an encounter by counselling your patient is very bad form for the CS.

All you need to do to address the issues you listed goes something like this:

Mr. Jones, I'm sure you are aware that smoking puts you at risk of many serious illnesses, such as emphysema and cancer. Have you considered or desired quitting? If not, let him know that when he is ready that you can assist him. That takes no more than 20s.

With respect to ETOH... is he CAGE+? If so, do the same. Tell him about the harmful effects of alcohol abuse, ask him if he wants to quit. If he says he wants to quit, tell him about his options, otherwise let him know that you are here for him to assist when he's ready.

Same thing with unprotected sex... Mr. Jones, unprotected sex puts you at risk of STD's and even HIV/AIDS, it is in your best interest to protect yourself with any new partner if you don't know their history. Please try your best to use protection from here forward with any of your sexual encounters.

That takes less than 1m to do if you have practiced properly and trust me, you will get big points for counselling on these very risky behaviors.

Best of luck on your CS.

Let us know if we can help you with any pointers in your preparation process.

Dr. Paul

Quote:
Originally Posted by monvy View Post
how to counsel a pt briefly and impressive if pt has history of all 3 smoking, alcohol n unprotected sex with multiple partners, as the time is limited in encounter? how to save time?
plz reply
replies will be appreciated...
thanx in advance.
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  #4  
Old 09-17-2013
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Quote:
Originally Posted by USMLE-Success-Academy View Post
You should always counsel your patient on any lifestyle behaviors that are unhealthy/harmful. Lets consider the following three examples you listed... It is very easy to do and there's no need to forego any of these because of time constrains, as you always need to give yourself some time at the end of the encounter to discuss things such as this. Failing to properly close an encounter by counselling your patient is very bad form for the CS.

All you need to do to address the issues you listed goes something like this:

Mr. Jones, I'm sure you are aware that smoking puts you at risk of many serious illnesses, such as emphysema and cancer. Have you considered or desired quitting? If not, let him know that when he is ready that you can assist him. That takes no more than 20s.

With respect to ETOH... is he CAGE+? If so, do the same. Tell him about the harmful effects of alcohol abuse, ask him if he wants to quit. If he says he wants to quit, tell him about his options, otherwise let him know that you are here for him to assist when he's ready.

Same thing with unprotected sex... Mr. Jones, unprotected sex puts you at risk of STD's and even HIV/AIDS, it is in your best interest to protect yourself with any new partner if you don't know their history. Please try your best to use protection from here forward with any of your sexual encounters.

That takes less than 1m to do if you have practiced properly and trust me, you will get big points for counselling on these very risky behaviors.

Best of luck on your CS.

Let us know if we can help you with any pointers in your preparation process.

Dr. Paul
thank u so much...
its really helpful
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  #5  
Old 09-17-2013
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Quote:
Originally Posted by USMLE-Success-Academy View Post
You should always counsel your patient on any lifestyle behaviors that are unhealthy/harmful. Lets consider the following three examples you listed... It is very easy to do and there's no need to forego any of these because of time constrains, as you always need to give yourself some time at the end of the encounter to discuss things such as this. Failing to properly close an encounter by counselling your patient is very bad form for the CS.

All you need to do to address the issues you listed goes something like this:

Mr. Jones, I'm sure you are aware that smoking puts you at risk of many serious illnesses, such as emphysema and cancer. Have you considered or desired quitting? If not, let him know that when he is ready that you can assist him. That takes no more than 20s.

With respect to ETOH... is he CAGE+? If so, do the same. Tell him about the harmful effects of alcohol abuse, ask him if he wants to quit. If he says he wants to quit, tell him about his options, otherwise let him know that you are here for him to assist when he's ready.

Same thing with unprotected sex... Mr. Jones, unprotected sex puts you at risk of STD's and even HIV/AIDS, it is in your best interest to protect yourself with any new partner if you don't know their history. Please try your best to use protection from here forward with any of your sexual encounters.

That takes less than 1m to do if you have practiced properly and trust me, you will get big points for counselling on these very risky behaviors.

Best of luck on your CS.

Let us know if we can help you with any pointers in your preparation process.

Dr. Paul

that is an amazing approach, and the one that will get you points.

thank you, i will keep this in mind when my time is to take cs, thank you dr. paul.
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