ANALYSIS OF THE FAMILY PLANNING CONSULTATION – DOCTOR’S AGENDA (PARTICULAR CONSULTATION)
Patients may have continuing problems of which the doctor is aware, and which may or may not be relevant to refer to in a particular consultation. An example would be a relationship difficulty which might itself need attention in its own right or because of its direct bearing on the presenting problem, for instance a request for a change of method of contraception.
Risk factors can be assessed, in particular noting any new ones since the last attendance. Opportunistic health promotion is the other item which comes from the Stott and Davis model (1979). This may be irrelevant on some occasions, for example, a request for emergency contraception. The term includes screening (cervical cytology, rubella immune status and blood pressure checks for those using non-hormonal methods) and positive health promotion (help with giving up smoking, dietary advice, suggestions for improving relationships with the patient’s partner and raising the question of safer sex and reducing risk of sexually transmitted diseases, including HIV infection).
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