At first, I was shocked by how abruptly that this was brought up to the patient, although obviously this is a segment to a larger interview. I was surprised that the clinician talk about it without checking with the patient first. I thought a lead in like would help, something like, “Prior to you leaving, I was hoping to discuss safer sex practices in case you do meet someone you would like to have a physical relationship with.”
However, upon further thinking, I don’t know that my “lead in line” would be the best way to approach this. Patients who are getting treatment may wave this off, thinking that they will not meet someone, or that they have no interest in sex at the current time. However, they could meet someone at any point and if they do, it’s best to know about safe sex practices. So in this way, the clinician simply discussing the need for safer sex practices without any real buy in may actually benefit the patient, as there is no chance to say no.
We are on the same page. In my opinion, this was a poor example of how to best communicate with a patient. I don’t think she ever paused to allow the patient to speak or asked what her concerns might be.
I totally agree with you. This was a very abrupt conversation and it was very 1 way. The pt only muttered a few “uh huh’s”. And in my experience when someone responds with “uh huh”, they are not listening at all. And instead of thinking, gee I really did a great job with that pt, we should sit back and listen to the pt and her concerns.