A Young Immigrant Woman with Pelvic Pain

Gathering an accurate and complete patient history in a timely manner can be paramount in guiding a plan of care for newly established patients. Nurse practitioners must use their clinical judgment and intuition to identify the nuances of the information being relayed and to compose a complete pictu...

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Bibliographic Details
Published in:Journal for nurse practitioners 2018-11, Vol.14 (10), p.e219,e227-e220,e229
Main Authors: Avila, Pamela, Vance, Carmen
Format: Article
Language:English
Subjects:
Assaults
Behavior change
Chlamydia
Clinical decision making
Diabetes
Diagnostic tests
Domestic violence
Drug abuse
dyspareunia
Families & family life
Gonorrhea
Health risk assessment
Hepatitis
Human trafficking
Immigration policy
Intuition
Law enforcement
Medical diagnosis
Medical screening
Motivational interviewing
Nurse practitioners
Patients
Pelvic pain
Physical examinations
Post traumatic stress disorder
posttraumatic stress disorder
Sex crimes
sex trafficking
Sexually transmitted diseases
STD
Suicides & suicide attempts
Trauma
Victims of crime
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Summary:Gathering an accurate and complete patient history in a timely manner can be paramount in guiding a plan of care for newly established patients. Nurse practitioners must use their clinical judgment and intuition to identify the nuances of the information being relayed and to compose a complete picture of the patient. Using motivational interviewing and open-ended questions will enable the clinician to engage the patient to make potentially life-saving behavior changes. Obtaining an essential history is not only important for the patient, but also has a legal and ethical effect on the nurse practitioner. •Sex trafficking victims are difficult to identify and require trauma-focused care by the nurse practitioner.
ISSN:1555-4155
1878-058X
DOI:10.1016/j.nurpra.2018.06.012