NUR 300 Nursing Transition
Question:
Write a report on genitalia examination in children.
Answer:
Genitalia examination in case of paediatric populace should be generally painless and simple. A genitalia examination should be routine healthcare check-up for adolescent girls and boys. However, most paediatricians avoids this check-up unless a patient has a particular problem. Routine check-up helps paediatricians to enhance their diagnostic skills as well as to provide a guideline for future examination. As a result, there are lot of discrepancies among paediatricians regarding genitalia examination of children. In most cases, paediatricians do not even consult or use Tanner stage scale unless the patient has problem with sexual development (Adams et al. 2016).
There are few recommendation about how to perform a genitalia examination on adolescent boys and girls. First and foremost, any type of sexual inference is strictly forbidden. Secondly, a medical practitioner should proceed with the examination if the child is not comfortable and force should not be applied. Also, the procedure and reason should be explained to them clearly. Thirdly, patients should not be touched in their breasts or genital unless they are part of examination process. Finally, caregiver or parents should be for the examination of teenage children or infants. Along with that, a paediatricians should be able gain confidence of paediatric population by conveying respect (Herrmann et al. 2014).
For my own practice, I would like follow the above suggestion and recommendation during genitalia examination of paediatric population. Guardian or parent of the patient should be present during the examination. However, for older school children, I would like to ask parents to wait in the waiting room with the express consent from patient and if he/she is comfortable. Even though, a nurse should be present during the whole examination.
References
Adams, J.A., Kellogg, N.D., Farst, K.J., Harper, N.S., Palusci, V.J., Frasier, L.D., Levitt, C.J., Shapiro, R.A., Moles, R.L. and Starling, S.P., 2016. Updated guidelines for the medical assessment and care of children who may have been sexually abused. Journal of pediatric and adolescent gynecology, 29(2), pp.81-87.
Herrmann, B., Banaschak, S., Csorba, R., Navratil, F. and Dettmeyer, R., 2014. Physical examination in child sexual abuse: Approaches and current evidence. Deutsches Ärzteblatt International, 111(41), p.692.
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