reproductive health services for adolescents - Pathfinder International

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Module 16/Unit 5 CONTENT Knowledge/Attitudes/Skills Training/Learning Methods (Time Required) urethral discharge, trauma, or pubic lice. • If the young man is not circumcised, gently retract the foreskin to look for ulcers on the glans penis. HOW TO MAKE THE PHYSICAL EXAMINATION LESS STRESSFUL FOR THE ADOLESCENT CLIENT • Explain why the visit is important. • Respect the adolescent's sensitivity about privacy. • Explain what you are doing before you begin each step of the exam. • Protect her/his physical privacy as much as possible. Allow the client to keep on her/his clothes except for what must be removed. Make sure to cover the parts of the body that are exposed. Never leave any part of the body exposed when not being examined. • Reassure the client that any results of the exam will remain confidential. • A good rapport between the provider and client is essential. Try to establish trust. • Provide reassurance throughout the exam. • Give constant feedback in a nonjudgmental manner. "I see you have a small sore here, does it hurt" • Offer to have the exam performed by a provider of the same sex, if Pathfinder International 74 Adolescent Curriculum
Module 16/Unit 5 CONTENT Knowledge/Attitudes/Skills Training/Learning Methods (Time Required) possible, or make sure there is a same sex attendant in the room during the exam. • Delay pelvic and blood test, if the adolescent desires. A complete social-medical history should be taken and a pregnancy test administered. If the adolescent is not pregnant and does not report current physical symptoms of a STI, you may delay doing a pelvic or blood test for up to 6 months. A pelvic exam should not be delayed for teens that are at risk of STI or pregnancy. • Have the counselor or another person that the adolescent chooses stay with the client during the visit. Pathfinder International 75 Adolescent Curriculum
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Comprehensive Reproductive Health a
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ACKNOWLEDGEMENTS The development of
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Table of Contents Notes to the Trai
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• 12.1: Percentage of Adolescents
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Module 16 desirable. All clinic sta
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Module 16 • Clients make their ow
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INTRODUCTION Module 16/Introduction
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Module 16 List of Acronyms AIDS ARH
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