Matches in SemOpenAlex for { <https://semopenalex.org/work/W4300339826> ?p ?o ?g. }
Showing items 1 to 36 of
36
with 100 items per page.
- W4300339826 abstract "This task assesses the following clinical skills: … ● Patient safety ● Communication with patients and their relatives ● Information gathering ● Applied clinical knowledge … You are an ST4 doctor conducting a post operative ward round. Your next patient is Danielle Wilson, a 26- year- old mother of three who has undergone a left salpingectomy for ectopic pregnancy. Having explained the operation to her, she asks why you couldn’t have just sterilized her at the same time as she never wants to be pregnant again and is struggling with her health and her young children. Her notes show that she has had 2 previous terminations and takes carbamazepine and levetiracetam for epilepsy and fluoxetine for anxiety. There is nothing else of note. Explain to Danielle why she was not sterilized at the time of salpingectomy. Then make a safe and effective contraception plan which is acceptable to her. You have 10 minutes for this task (+ 2mins initial reading time). Ask the candidate and actor to read their instructions. Then ask the candidate to start their discussion with the patient. Allow the candidate to conduct the discussion undisturbed unless they are straying off the track of the question (in which case you can show them their instructions again). Rationale for not sterilising should cover… ● General inadvisability of performing procedure at a time of reproductive stress (e.g. delivery, termination of pregnancy [TOP], miscarriage, salpingectomy) ● Sterilization under age 30 associated with higher incidence of regret— this should be conveyed as a general rule of thumb rather than as a personal judgement ● Reversal not funded by NHS ● Higher failure rate when performed when pregnant ● Possible complications of sterilization— general anaesthetic, surgical trauma or if hysteroscopic day case procedure, uterine perforation, interval to confirmation of success, need for ongoing contraceptive method ● Lifetime failure rate of sterilisation 1:200 which is comparable to that of an IUS and higher than the failure rate of the contraceptive implant ● Vasectomy safer" @default.
- W4300339826 created "2022-10-03" @default.
- W4300339826 date "2017-11-09" @default.
- W4300339826 modified "2023-09-25" @default.
- W4300339826 title "Sexual and reproductive health" @default.
- W4300339826 doi "https://doi.org/10.1093/oso/9780198757122.003.0021" @default.
- W4300339826 hasPublicationYear "2017" @default.
- W4300339826 type Work @default.
- W4300339826 citedByCount "0" @default.
- W4300339826 crossrefType "book-chapter" @default.
- W4300339826 hasConcept C118552586 @default.
- W4300339826 hasConcept C15744967 @default.
- W4300339826 hasConcept C545542383 @default.
- W4300339826 hasConcept C71924100 @default.
- W4300339826 hasConcept C77805123 @default.
- W4300339826 hasConceptScore W4300339826C118552586 @default.
- W4300339826 hasConceptScore W4300339826C15744967 @default.
- W4300339826 hasConceptScore W4300339826C545542383 @default.
- W4300339826 hasConceptScore W4300339826C71924100 @default.
- W4300339826 hasConceptScore W4300339826C77805123 @default.
- W4300339826 hasLocation W43003398261 @default.
- W4300339826 hasOpenAccess W4300339826 @default.
- W4300339826 hasPrimaryLocation W43003398261 @default.
- W4300339826 hasRelatedWork W1988185375 @default.
- W4300339826 hasRelatedWork W2010073985 @default.
- W4300339826 hasRelatedWork W2067443318 @default.
- W4300339826 hasRelatedWork W2079527160 @default.
- W4300339826 hasRelatedWork W2110468609 @default.
- W4300339826 hasRelatedWork W2166481065 @default.
- W4300339826 hasRelatedWork W2748952813 @default.
- W4300339826 hasRelatedWork W2809777561 @default.
- W4300339826 hasRelatedWork W2899084033 @default.
- W4300339826 hasRelatedWork W4246049162 @default.
- W4300339826 isParatext "false" @default.
- W4300339826 isRetracted "false" @default.
- W4300339826 workType "book-chapter" @default.