Holistic Care in Sexual Health Assessments

Holistic worry in cozy wellness AssessmentsReya JamesDelivering holistic cargon is of huge importance when providing familiar wellness estimations as to fit positive outcomes for the man-to-man (Wright, 2012). Each psyche at some point of their develop moral expedition experiences a direct of perceived jeopardize taking behaviour, unfortunately ordinarily resulting in anxiety provoking emotions through decisions made. The purpose of this teddy debate response is to demonstrate an understanding and approach to the interlinking relationship of inner and moral wellness issues identified within the showcase scenario. In coif for this to occur, contributing find of infection factors get out be analysed to provide an reason establish background to capture and highlight the link of both inner and moral health issues. These risk factors include age group, alcoholic drink social occasion, doubtful cozy behaviour, neurovegetative symptoms, anxiety, and psychologi cal stress increasing risk taking behaviour, will be also discussed. These identified behaviours and concerns will conclude with usurp interventions and referrals For the purpose of this case study knowledgeable assault will not be discussed, only is always a consideration until otherwise indicated.Upon introduction, first impressions and the environment will set the tone for the assessment and determine the information given by the knob (wellness Service, 2013). It is imperative to remain aw be of cultural diversities and vulnerabilities during this work on to ensure apposite assessments, screening and interventions are implemented. For example, due to the overwhelming high grade of STIs and BBVs in comparison to the rest of the populace, intimate health remains a priority issue for Aboriginal communities (Bowring, Vella, Degenhardt, Hellard, Lim, 2014 Kang, Skinner, Usherwood, 2010 Research, 2007 Thompson, Greville, Param, 2008). As informal health issues are sensitive issues to discuss, the initial introduction will springy the clinician to whatsoever barriers that may exist, allowing exploration into the involvement of communities groups, family members and other stakeholders that are appropriate to the clients cultural sensitivities. For example, female clients of particular cultural groups or internal identity may require female only clinicians to transmit the assessment, the same burn d sustain be applied to males if identified, sensitivity and objectivity is the key.Establishing a therapeutic rapport is essential in building a trust relationship in which the client feels practiced, acknowledged and validated. Further to this is the provision of a non-judg intellectual and supportive environment maintaining privacy and confidentiality (Wright, 2012). Entwining a mental health assessment ensures ongoing risk assessment, incorporating protective factors, screening for co-morbidities and appropriate interventions much(prenominal)(prenom inal) as bringing up, harm minimisation and therapies. Whilst acknowledging the expressed concerns as a priority, this also provides the various(prenominal) with an opportunity to ventilate and disclose contributing factors, disruption to daily functioning, and express the experienced emotional dysregulation (French, 2010). Unfortunately this process may not advance as planned if the appropriate screening questions are not asked.It can be seen that some clinicians find it difficult to approach the subject of sexual health. Ambivalence towards the subject occurs, resulting in avoidance of the topic and sexual health concerns being less prioritised (Quinn, Happell, Welch, 2013). Regrettably, this approach is likely to result in merely deterioration of the clients mental health with continuation of risk taking behaviours. Ultimately it is essential to identify the impending emotional crisis so timely and appropriate interventions can be implemented(Dykeman, 2005). With Chris pres enting and requesting a check-up, this demonstrates a direct of insight into the shun impact the occurrence has instigated.Chris is of an age group that is come up documented as high risk relating to alcohol, illicit substance use and sexual risk taking behaviour (Aicken, Nardone, Merce, 2010 Bowring et al., 2014 Searle, 2009 WHO, 2005). Among Australias population, the most usually reported STI is genital chlamydia (Chlamydia trachomatis), with numbers increasing annually for those aged among 15-29 historic period (Kang et al., 2010). In addition to chlamydia, HIV, gonorrhoea, and syphilis are also higher within the indigenous population(Thompson et al., 2008). The research kick upstairs identifies potency vulnerability and increase risk-taking sexual behaviour of youthful adults in Australia in particular lesbian, gay, cissy and those questioning their sexual orientation (Bowring et al., 2014).Screening tools and clinical management guidelines are commonly utilised to a ssist with identifying risk and determining examinations and investigations necessary for detection of STIs, BBVs and other sexual health issues including sexual assault(wellness Service, 2013). In relation to the case scenario, regardless of sexual orientation, a full STI screen is recommended due to the terra incognita factors of the incident (Health, 2010 Health Service, 2013). Naturally this will depend on the unmarried and require education and positive reinforcement to be provided through severally process as to ensure the decision is informed and awareness of potential results involved. Provision of pamphlets and contact numbers for crisis lines allow the somebody time to process the information given during the assessment. Within Queensland Health Guidelines, contact numbers are available throughout the state should a referral to a sexual health clinic for get on follow up, or in the case of sexual assault, referral to sexual assault workers is appropriate(Health, 201 0). Recommendations can be provided in the form of self-initiated referrals for identified priority groups, such as providing contact details for groups that offer support and further information. For example, web based contact groups such as Sexually ancestral Infections in Gay Men Action Group (STIGMA), and Gay and sapphic Welfare Association provide support, information education, and opportunities for phone counselling.It can be seen that the contributing factor of alcohol and/or other substances, reduces consideration of safe sexual practice, often leading to unprotected sex and the contracting of STDs (Bellis et al., 2008). Moreover, the disinhibiting and cognitive altering actions of alcohol or substances can influence any sexual orientation, further contributing to potential adverse outcomes (Aicken et al., 2010 Bowring et al., 2014 Hughes, Szalacha, McNair, 2010). The implications of the linkage have, as studies have shown, to be a globally contributing factor and progr essively expressed concern from a public health perspective (WHO, 2005). This is an well timed(predicate) time to screen for alcohol and substance use, utilising motivational interviewing, insight into flow risk taking behaviours and readiness to change can be set up (Lundahl, Kunz, Brownell, Tollefson, Burke, 2010). The objective is for the client to illuminate a commitment to change, through their own decision making (Johnstone, Owens, Lawrie, McIntosh, Sharpe, 2010).Other interventions include harm minimisation and education regarding the effects of alcohol, with referral to alcoholic beverage and Other medicates (AOD) service, detox and rehabilitation services if requiring this level of service. Ensuring these procedures are appropriately explained to the client, expressing empathy and actively listening, will help to reduce anxieties the person may be experiencing. The positive effect drawing interventions has on alcohol consumption and reducing the average intake has b een well researched and documented(Kaner et al., 2009).Poor sexual and mental health impacts an individuals sense of worth and wellbeing, which could at long last result in feelings of isolation, persecution discrimination, and stigmatisation (Duncan, Hart, Scoular, Bigrigg, 2001). For example, within a close outlandish community, sexual preference outside the accepted community norm may possibly lead to these poor outcomes, essentially resulting in an enduring negative emotional impact (Lewis, Derlega, Clark, Kuang, 2006). Studies suggest the link between risky sexual health behaviour and mental health is associated with higher levels of anxiety, stress and depression(Searle, 2009). Searle (2009) further postulated difficulty in determining whether depression was a result of risky sex or risky sex was precipitated by a depressive episode.Neurovegetative symptoms exposit by Chris such as disturbed sleep, increase of stream of thoughts needs to be explored further as to ascerta in any underlying mental health issues(Kendrick Simon, 2008). Levels of stress, depressive features, unsafe ideations, formal thought disorders, brief screening for whim disorders or psychotic episodes are all incorporated within the mental health assessment and captured during a mental status examination(Health Service, 2013). Utilising an intervention such as brief solution focussed therapy, helps to empower the client to make decisions that are future focussed based on their strengths (Evans Evans, 2013). Instilling wish and building of resilience is essential to the clients re masking piecey journey (Elder, Evans, Nizette, 2012 Evans Evans, 2013). Just as important is the support and follow up to ensure monitoring risk of relapse. Apart from family and friends, other resources are available to provide support. mental Health Nurses employed at GP clinics are an option through the intellectual Health Nurse Incentive Program (MHNIP). This resource has been successful in re ducing admissions, providing short term case management with the provision of interventions such as psychoeducation, counselling, psychotherapies, medication adherence, metabolic monitoring, and general support(Happell, Platania-Phung, Scott, 2013). Referral to GPs for doggedness of care and a cordial Health Care Plan (MHCP) is another(prenominal) option available. MHCP is a plan that is completed by the GP with the client in which issues are identified and referred for psychological and/or psychiatric management. network based programs are also available such as Teleweb, Headspace, Lifeline, to mark a few. There is always the possibility of a client expressing suicidal intent, in which, if meets the criteria under the Mental Health Act, may require detainment and depute to a mental health unitIn conclusion, every person that presents for a health assessment requires a holistic approach in order to capture the issues and appropriately deal with them. Interventions will need to cover a variety of issues that may arise. The perceived stigma of STIs, concerns regarding future reproductive health, psychosocial impact of diagnosis, distress and possibility of developing an enduring mental health issue, are all issues that need to be addressed throughout the assessment.ReferencesAicken, C. R. H., Nardone, A., Merce, C. H. (2010). Alcohol misuse, sexual risk behaviour and adverse sexual health outcomes evidence from Britains national probability sexual behaviour survey. Journal of unrestricted Health, 33(2), 262271.Bellis, M. A., Hughes, K., Calafat, A., Juan, M., Ramon, A., Rodriguez, J. 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