NO-SCALPEL VASECTOMY - EngenderHealth

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Counseling and Informed Decision Making for NSV Participant Handbook Verifying Informed Decision Making Figure 4-3. Assessing a Client’s Decision for Vasectomy WHO made the decision for sterilization? WHEN did the client decide not to have more children? WHY did the client choose permanent contraception? HOW did the client decide? WHAT does the client know about vasectomy? WHAT does the client know about other contraceptive methods? Assessing a Client’s Decision for Vasectomy A Surgeon’s Guide for Final Assessment Note: Make sure that the client has signed an informed consent form before conducting this assessment. Ask the client these questions: Someone else Now STOP CAUTION GO Should not have surgery now Pressure from someone else While upset or under stress Does not know that it: • Is permanent • Is a surgical method • Means he can’t have more children Would prefer another method if available Needs more counseling Client decided (but partner objects) Recently Belief that permanent method can be reversed Without enough consideration or information Has some misunderstandings about contraceptive methods Has little knowledge of other methods or their availability How to Use This Guide Signs of a sound decision Client and partner (or client, if single) Some time ago Desire for no more children After consideration and full information Understands that it: • Is permanent • Is a surgical method • Means he can’t have more children Knows of other methods, but prefers permanent contraception Part of the surgeon’s responsibility for clients about to undergo surgery for permanent contraception is to verify that the client has made an informed and voluntary decision for the procedure. This simple aid can help the surgeon check the client’s readiness for permanent contraception before the operation. The assessment should be made before starting any part of the procedure. Use of this guide does not substitute for client counseling, which should come much earlier. Furthermore, good judgment is needed when using this guide (or any other) and when interpreting the results. For example, if a client’s answers all fall in the “go” category, but he is unduly nervous, and his agitation does not appear to be related to a fear of surgery, the surgeon or another staff member should take time to determine what is causing his anxiety before performing the procedure. 32 NSV Curriculum <strong>EngenderHealth</strong>
Participant Handbook Counseling and Informed Decision Making for NSV Condom Instructions All vasectomy clients should be provided with instructions and practice on the correct use of condoms for use immediately after the vasectomy. Although providers often mistakenly assume that all men know how to correctly use condoms, incorrect use is common and is a major cause of condom failure. Steps of Condom Use • Remove the condom from the package. • Unroll the condom slightly to make sure it unrolls properly. • Squeeze the air out of the tip of the condom. • Place the condom on the tip of the erect penis. • Unroll the condom down the penis. • Smooth out any air bubbles. • With the condom on, insert the penis for intercourse. • After ejaculation, hold onto the condom at the base of the penis. • Withdraw the penis from the vagina while the penis is still erect. • Remove the condom from the penis. • Tie the condom to prevent spills. • Dispose of the condom safely. Remember: • Do not use grease, oils, lotions, or petroleum jelly (vaseline) to make the condom slippery. These substances can make the condom break. Use only jelly or cream that does not have oil in it. • Use a new condom each time you have sex. • Only use a condom once. • Store condoms in a cool, dry place. • Do not use a condom that may be old or damaged. • Do not use condoms if an allergic reaction develops. Do not use a condom if: • The package is broken • The condom is brittle or dried out • The color is uneven or has changed • The condom is unusually sticky <strong>EngenderHealth</strong> NSV Curriculum 33
Page 1: NO-SCALPEL VASECTOMY C U R R I C U
Page 4 and 5: © 2007 EngenderHealth. All rights
Page 6 and 7: MODULE 4 Counseling and Informed De
Page 8 and 9: Appendix B NSV Clinical Skills Chec
Page 11 and 12: Participant Handbook Introduction M
Page 13 and 14: Participant Handbook Introduction U
Page 15 and 16: Participant Handbook Introduction N
Page 17: Participant Handbook Introduction N
Page 20 and 21: Overview of Vasectomy Participant H
Page 26 and 27: Anatomy and Physiology Participant
Page 34 and 35: Counseling and Informed Decision Ma
Page 48 and 49: Prevasectomy Evaluation Participant
Page 56 and 57: Infection Prevention Participant Ha
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Page 82 and 83: Supervised Clinical and Surgical Pr
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Participant Handbook Supervised Cli
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Participant Handbook Postvasectomy
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Management of Complications Partici
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Table 10-2. Potential Postoperative
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Appendix A NSV Knowledge Assessment
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Appendix A: NSV Knowledge Assessmen
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Appendix D Informing the Community
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Appendix E Long-Term Effects
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Participant Handbook Bibliography B
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Participant Handbook Bibliography G
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Participant Handbook Bibliography N
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NO-SCALPEL VASECTOMY - EngenderHealth

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