(646) 355-8777

Herman & Wallace Blog

  • Home
    Home This is where you can find all the blog posts throughout the site.
  • Categories
    Categories Displays a list of categories from this blog.
  • Tags
    Tags Displays a list of tags that have been used in the blog.
  • Bloggers
    Bloggers Search for your favorite blogger from this site.
Blog posts tagged in Clinical Practice

A few weeks ago, a pelvic course participant shared some sensitive and intimate thoughts about being at a course and being "the biggest girl in class." This week, we will address specific strategies for communicating with your patients and for adapting your exam techniques when appropriate. The following quote is from an educational book for Nurse Practitioners, and echoes a very healthy and realistic sentiment about our role when working with patients in pelvic rehabilitation.

 

"If the exam is limited by obesity, the patient should be told in a clear, non-judgmental manner. Patients have a right and responsibility to understand the findings of the health care visit."

 

Unfortunately, according to the authors, women who are obese are less likely to receive routine gynecologic care due to bias and fear of judgement, or even practical issues like exam tables, gowns, and equipment not being adequate. Another issue is that of mobility: is the exam table too narrow for safety and comfortable positioning? In my own clinical practice, I have had patients ask me: "Is that massage table going to hold me?" In order to answer that question, you need to know what the safe weight limits are for your chairs, walkers, exam tables, and any other equipment your patients may use. You might imagine that if a patient is concerned about falling off of a table, completing an appropriate exam could be difficult due to muscle guarding. Other techniques recommended include the following:

Upcoming Continuing Education Courses

Jul 10, 2015 - Jul 12, 2015
Location: Virginia Hospital Center

Jul 17, 2015 - Jul 19, 2015
Location: Central DuPage Hospital Conference Room

Jul 18, 2015 - Jul 19, 2015
Location: Texas Children’s Hospital

Jul 18, 2015 - Jul 19, 2015
Location: UH Case Medical Center - University Hospitals

Jul 19, 2015 - Jul 20, 2015
Location: Touro College

Jul 24, 2015 - Jul 26, 2015
Location: Creighton University Medical Center

Jul 31, 2015 - Aug 2, 2015
Location: Virginia Hospital Center

Aug 8, 2015 - Aug 9, 2015
Location: N2PT

Aug 14, 2015 - Aug 15, 2015
Location: Loyola University Stritch School of Medicine

Aug 16, 2015 - Aug 18, 2015
Location: The George Washington University

Aug 28, 2015 - Aug 30, 2015
Location: Washington University School of Medicine

Sep 11, 2015 - Sep 13, 2015
Location: Women's Hospital of Texas

Sep 11, 2015 - Sep 13, 2015
Location: University of Utah Orthopedic Center

Sep 12, 2015 - Sep 13, 2015
Location: Marathon Physical Therapy

Sep 12, 2015 - Sep 13, 2015
Location: East Jefferson General Hospital

Sep 19, 2015 - Sep 20, 2015
Location: Kima - Center for Physiotherapy & Wellness

Sep 19, 2015 - Sep 20, 2015
Location: Stay Fit Physical Therapy & Core Wellness, Inc.

Sep 25, 2015 - Sep 27, 2015
Location: Ohio Health

Sep 26, 2015 - Sep 27, 2015
Location: Evolution Physical Therapy

Oct 2, 2015 - Oct 4, 2015
Location: Duke University Medical Center

Oct 3, 2015 - Oct 4, 2015
Location: Cherry Creek Wellness Center

Oct 3, 2015 - Oct 4, 2015
Location: ReNew Physical Therapy

Oct 9, 2015 - Oct 11, 2015
Location: Anne Arundel Medical Center

Oct 16, 2015 - Oct 18, 2015
Location: Middlesex Hospital

Oct 16, 2015 - Oct 18, 2015
Location: Loyola University Stritch School of Medicine

Oct 17, 2015 - Oct 18, 2015
Location: Queen of the Valley Medical Center

Oct 23, 2015 - Oct 25, 2015
Location: Washington University School of Medicine

Oct 24, 2015 - Oct 25, 2015
Location: Marathon Physical Therapy

Oct 25, 2015 - Oct 26, 2015
Location: Touro College: Bayshore

Nov 6, 2015 - Nov 8, 2015
Location: Results Physiotherapy