Knowing Your Patients: Taking a History and ... - Fenway Health

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6 Talking with Patients � Instead of “Are you married?” or “Do you have a boyfriend/girlfriend” ask: � “Do you have a partner or spouse?” � “Are you currently in a relationship?”; if yes, “Tell me about it.” � If a female patient refers to her wife, clinician should also say wife, even if couple is not legally married � If a male patient has sex with men but does not refer to himself as “gay,” the clinician should not use the term “gay”. Patient may consider himself heterosexual or bisexual.
7 Identified LGBT Health Concerns � Smoking � Substance abuse � Violence (domestic, hate crimes) � HIV, STIs, and viral hepatitis �Depression, anxiety, suicidal behavior � Cancers (anal cancer in men, lower screening rates for breast, cervical cancer in women) � Obesity (lesbians) � Eating disorders (gay men)
Page 1 and 2: Knowing Your Patients: Taking a His
Page 3 and 4: 3 Taking a Comprehensive History
Page 5: 5 Using a Cross-Cultural Approach t
Page 9 and 10: 9 LGBT Life Issues � Process of c
Page 11 and 12: 11 Taking a Sexual History Contextu
Page 13 and 14: Taking a Sexual History: Sexual Hea
Page 15 and 16: 15 Taking a Sexual History, cont’
Page 17 and 18: Considerations for Transgender Pati
Page 19 and 20: 19 Confidentiality � Assure patie
Page 21 and 22: Principles of Safer Sex � Assess
Page 23 and 24: 23 Magnitude of Risk Sexual Contact
Page 25 and 26: Common Misconceptions about Risk

Knowing Your Patients: Taking a History and ... - Fenway Health

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