Section 2 Canadian Guidelines on Sexually Transmitted Infections Primary care and sexually transmitted infections. Prevention, Diagnosis and Clinical Management of Sexually Transmitted Infections in the Primary Care Setting. It is important for practitioners to recognize that sexually transmitted infection STI risks will vary from person to person and should be viewed as dynamic across the lifespan. Only through proper assessment can a patients risk for STIs be identified. Choices Interviewing And Counselling Skills For Canadians Pdf' title='Choices Interviewing And Counselling Skills For Canadians Pdf' />Dear student, Welcome to SKILLS, written specifically for your vocational programme. SKILLS covers the full 5hour course in English at the Vg1 and Vg2 levels of. We would like to show you a description here but the site wont allow us. Choices Interviewing And Counselling Skills For Canadians Pdf' title='Choices Interviewing And Counselling Skills For Canadians Pdf' />The Social Service Worker Intensive SSW program at Algonquin College is an accelerated model, which is 40 weeks in duration. This program is available for students. Assumptions and inferences about patient STI risk may prove inaccurate. Sexually inactive individuals can be made aware of STI risks in the course of routine care. Primary care providers can incorporate STI primary and secondary prevention in the course of routine patient care by doing the following Assessing and discussing STI risk. Informing patients about signs and symptoms of STIs and lack thereof. Choices Interviewing And Counselling Skills For Canadians Pdf' title='Choices Interviewing And Counselling Skills For Canadians Pdf' />Helping patients recognize and minimize STI risk. Offering patient centred counselling. Offering hepatitis A HAV and B HBV immunization when indicated. Offering STI screening and testing. Appropriately treating, following up and counselling infected patients and their partners. This chapter provides an overview of best practices for the prevention and clinical management of STIs in primary care settings. It includes recommendations for the assessment, counselling, screening, diagnosis and management of STIs, including partner notification and public health reporting. Effective prevention and management of STIs requires the following elements on the part of the health care practitioner Assessing the reason for a consultation. Knowing about STI risk factors and epidemiology. Performing a brief patient history and STI risk assessment. Install Centos On Mac. Providing patient centred education and counselling. Performing a physical examination. Selecting appropriate screeningtesting. Diagnosing by syndrome or by organism and post test counselling. Treating. Reporting to public health and partner notification. Managing co morbidity and associated risks. Following up. Each of these elements is outlined in more detail below. Assessing the Reason for a Consultation. Patients may seek medical attention for issues unrelated to sexual health, but they may be at risk for STIs and benefit from interventions to address identified risk factors. How To Apply For Import License In India'>How To Apply For Import License In India. For example, consultation for contraception often has implications for STI prevention counselling and STI screening management of contraception and management of STI risk are closely related. When patients present for contraceptive advice, it can be an ideal time to assess and discuss STI risk. The type of STI risk a patient may encounter also has implications for appropriate contraceptive choice. In some cases, patients may consult to inquire about signs or symptoms related to a possible STI, to request STI testing or to discuss prevention issues. Identifying a person who has STI concerns, who is at risk for an STI or who has an STI provides an opportunity for discussing barriers to risk reduction and means to overcome them. Figure 1. STI risk assessment in primary care settings. Text Equivalent Figure 1. Enlarge Figure 1. Figure 1 is an algorithm that outlines recommendations for STI risk assessment in primary care settings. It guides practitioners to conduct focussed or brief patient risk assessments, depending on whether or not the individuals visit is sexual health related, heshe is voicing sexual health related concerns OR heshe has signs or symptoms of an STI. Three scenarios are presented Scenarios 1 and 2 provide guidance for assessment of an individual whose visit is sexual health related and who may or may not have signs or symptoms suggestive of an STI Scenario 3 provides guidance for assessment of an individual whose visit is non sexual health related but who is voicing concerns. Scenario 1 If the individual whose visit is sexual health related is presenting with signs and symptoms. Conduct a focused risk assessment there is a description of the focused risk assessment and a sample questionnaire on pages six through eight of this chapter. THENDepending on the findings of the focused risk assessment, there are three recommended actions for the practitioner to take First, provide focused primary and secondary prevention counselling. Next, use syndromic approach to guide testing and screening for specific STIs. Third, based on results, provide appropriate treatment AND partner follow up. Scenario 2 If the individual whose visit is sexual health related is reporting no symptoms BUT has concerns First, conduct a brief risk assessment there is a description of the brief risk assessment and sample questions on pages five and six of this chapter. THENDepending on whether risk is identified or not, there are two possible courses of action If risk is identified during the brief risk assessment, conduct a more focused risk assessment there is a description of the focused risk assessment and sample questionnaire on pages six through eight in this chapter AND THEN depending on the findings of the focused risk assessment, there are three recommended actions for the practitioner to take Provide focused primary and secondary prevention counselling Use syndromic approach to guide testing and screening for specific STIs ANDBased on results, provide appropriate treatment AND partner follow up. OR If no risk is identified during the brief risk assessment, it is recommended that the practitioner provide minimal prevention counselling, encourage safer sexual practices AND discuss future STI prevention. Scenario 3 If the individual whose visit is non sexual health related is reporting no symptoms BUT has concerns FIRST, conduct a brief risk assessment the brief risk assessment is described and sample questions are provided on pages 5 and 6 in this chapter AND THEN depending on whether risk is identified or not, there are two possible courses of action If risk is identified during the brief risk assessment, conduct a more focused risk assessment there is a description of the focused risk assessment and sample questionnaire on pages six through 8 in this chapter AND THEN depending on the findings of the focused risk assessment, there are three recommended actions for the practitioner to take Provide focused primary and secondary prevention counselling Use syndromic approach to guide testing and screening for specific STIs ANDBased on results, provide appropriate treatment AND partners follow up. OR If no risk is identified during the brief risk assessment, it is recommended that the practitioner provide minimal prevention counselling, encourage safer sexual practices AND discuss future STI prevention. Knowing about STI Risk Factors and Epidemiology. Identifying the index of suspicion of STI infection in a patient requires the health care practitioner to understand the epidemiologic trends of STIs, as well as the risk factors associated with STI transmission and infection. Summarized in Table 1 are the key epidemiologic trends for bacterial and viral STIs in Canada, as well as patient risk factors for STIs. Table 1. Epidemiology of STIs in Canada. Infection. How common in clinical practiceTrends in incidence. Most affected. Footnote. Preliminary data is subject to change. A Gaiola Das Loucas Dublado. Surveillance and Epidemiology Section, Community Acquired Infections Division, Public Health Agency of Canada, published data, 2. Return to Footnote referrer.