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ANALYSIS OF THE FAMILY PLANNING CONSULTATION – PATIENT’S AGENDA (TALKING)
While the patient is talking, one begins to get a feel about the patient. One may hear snippets about their partner, the family or the workplace and begin to understand their feelings about sex and contraception. Family intentions are very important and relevant to the discussion of different methods. Listening carefully may reveal the sort of conflicts mentioned earlier in this book.
A common practice in family planning clinics is for patients to see the nurse for history-taking and then go in to see the doctor. While fully acknowledging that many patients develop rapport with nurses better than with doctors, this split type of consultation can have disadvantages. Highly trained nurses can run their own consultations independently (the so-called delegation session) unless a medical problem arises or an IUD insertion is required.
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