8 Module 3 – Part 2, Additional Considerations: Learning Activities
Jean Wilson
Activities:
1. Complete the Readings
Recommended Readings
- Bates CK, Carroll N, Potter J. The challenging pelvic examination. J Gen Intern Med. 2011 Jun;26(6):651-7. doi: 10.1007/s11606-010-1610-8. Epub 2011 Jan 12. PMID: 21225474; PMCID: PMC3101979. https://pubmed.ncbi.nlm.nih.gov/21225474/
- Bourns, A. et al (2021) Guidelines for Gender-Affirming Primary Care with Trans and Non-binary Patients https://www.rainbowhealthontario.ca/wp-content/uploads/2021/06/Guidelines-FINAL-4TH-EDITION-c.pdf
- Canadian Cancer Society (2020): https://www.cancer.ca/en/prevention-and-screening/reduce-cancer-risk/find-cancer-early/screening-in-lgbtq-communities/lesbian-bisexual-and-queer-women-and-cervical-cancer/?region=on
- Obedin-Miver, & de Haan, G. (2017). Gynecologic Care for Transgender Adults. Current Obstetrics and Gynecology Reports, 6(2), 140–148.al https://doi.org/10.1007/s13669-017-0204-4 also available at: https://www.researchgate.net/publication/316638504_Gynecologic_Care_for_Transgender_Adults
- Registered Nurses’ Association of Ontario (2021). Promoting 2SLGBTQI+ health equity. Toronto (ON). 2SLGBTQI_BPG_FIINAL_WEB_2.0.pdf (rnao.ca)
- Sudduth, & Linton, D. (2011). Gynecologic Care of Women with Disabilities. Nursing for Women’s Health, 15(2), 138–148. https://www.sciencedirect.com/science/article/abs/pii/S1751485115305596?via%3Dihub
2. Review the Practitioner Lectures
Part 1. Pelvic Exam Considerations: Hesitancy, Anxiety, History of Trauma
Part 2. Pelvic Exam Considerations: Differently Abled
Part 3. Pelvic Exam Considerations: 2SLGBTQI+
Experts Tip
- When completing a pelvic exam in an individual with increased body mass index (BMI), consider putting a condom with the tip cut off onto your speculum prior to inserting it for cervix examination. This can help hold back surplus vaginal wall tissue from the field of view.
