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"Non-gowns"From: DHerczog@aol.comSun May 23 08:17:42 1999
re: <<"standard practice in WC is for the patient, in for a routine annual exam, to leave her street clothes on above the waist, but unhook her bra; undress from the waist down with a sheet around the waist. Apparently, they just lift her normal clothes and bra out of the way for the breast exam">> And I thought I (!) invented this method which I use at "my" college health center for several reasons including reduced expense and trash/landfill waste, but the main ones are that: 1) patients feel very comfortable this way (the perception on both sides is that they are not really naked/nekkid/starkers/"vulnerable") and 2) I have found this method to significantly reduce the extreme anxiety experienced by "first timers" (first pelvic exam) because before I start and again after I finish examining everything else I tell the woman I have less than 2 minutes left at that point till we are done--this puts their exam situation into perspective because so many arrive with the mistaken impression that prolonged, humiliating torture is the standard for a gyn exam. (Reminds me of the ole' bedside nurse's instructions to a patient: "I've washed down as far as possible, and up as far as possible, now you wash possible"). I figure some of the Obgynlist respondent entertainment committee members ought to get a lot of email mileage out of that one! I am a huge advocate for patient comfort & education; sharing and using our individual practical, often simple clinician "tips" makes for better patient care, comfort, happiness, satisfaction etc. Deborah Herczog, RNC, NP Student Health St Edward's University Austin, Tx
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