This may reduce the sense of vulnerability and powerlessness complained of by some patients. Where appropriate a choice of position for the examination should be offered for example left lateral, dorsal, recumbent and semi-recumbent positions for speculum and bimanual examinations. Intimate examination should take place in a closed room or well-screened bay that cannot be entered while the examination is in progress. Remain alert to verbal and non-verbal indications of distress from the patient.There should be no undue delay prior to examination once the patient has removed any clothing. Prior to examination, the patient must be given a full explanation of the reason for the examination and what will be done and if possible how it will feel. It is important to provide an environment in which the patient feels relaxed, and is given privacy to undress in preparation for the examination. However, if the sex of both parties is the same it is likely that the clinician will less frequently consider themselves to need a chaperone present to proceed as the risk of allegation is reduced, though they must be aware it is by no means absent.ĭuring the Consultation in Which a Chaperone is Required
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