Barriers to Accessing Reproductive Healthcare

Barriers to Accessing generative health referHina MirzaAs a part of productive Health contrast year III BScN, for community clinical we went to karimabad colony to assess family need related to health. There I visit integrity family that I opt as my secondary guest. After assessing different dimension of health when it comes to Reproductive health assessment, I took initiative by asking or so natural menstrual cycle of the mother and her daughter as both were simply in the room. The mother t white-haired me that she has reached to menopause and the miss who is 22 year old was having normal Menstrual cycle. Further I proceed to another pertain that has been came into noticed is leucorrhea Studies shows that the prevalence of leucorrhea in Pakistan is very high which is 12%. (Chris Kenyon, 2013). The girl nod the head into yes musical composition responding to me but her facial expression seems to be anxious towards me. I tried to dig on to this query which I had in mi nd that whether the girl has any concern related to generative issue which she thinks need to treated. After completing my question I do an efforts to ask more questions but it seems difficult for me when it comes to fruitful health because I was not confident and familiar with the vocabulary that is used in reproductive health and on the other hand it was my first interaction with that family so I dont want to invade their privacy or make them feel uncomfortable. As soon as I faultless my part the mother stated that Yes, she complaint sometimes about send a bureau that is irritating and smelly and in addition to it some burning brainiac in perineal area, dexterity be she is having infection. Afterwards I wanted to ask to the girl about characteristics of expend and sexual behaviors that pull up stakes to infection as stated by her mother but suddenly, her experience came into the room and I stopped myself from asking more about it because I feel that it will bother her to talk about it in drift of her become as well as I lost my sanction level in this particular component of health, in terms of privacy. Moreover, she in like manner felt uncomfortable and tried to change the topic.When I reflect rear the situation, I feel I should not discontinue the topic because the girl might ache some serious issue related to the discharge and there might be some reproductive health concerns that were in her mind. That is wherefore when I asked her about the discharge, she respond to it so anxiously and now and it seems like that she wanted to share something with me.When I analyze at my part, that why this incident happened to me was firstly, due to lack of authorization in dealing with reproductive concerns of the client. According to Literature, More general predisposition, such as comfort and confidence, that might influences nurses openness to dealing with patient of sexuality (Cort et al., 2001) Secondly, my own sociocultural barriers that how s hould I invade someone else privacy and also clients in physiqueation that they might drop while discussing such stuff. This made me overprotective for the discourse supported by the literature that The first line of inquiry culminates in the classification of nurses as liberal or conservative in their views about specific sex-related behaviors moreover according to literature, Reproductive health is not openly discussed in many cultures of the world and that is why client hesitate to heaving questions and concern related to these issues with their health care provider (Tsai.Y, 2004). Thirdly, the communication puzzle contributes major part to this incident, it seems difficult for me to decide what best vocabulary and way of communication enable health care provider to make client understand about the main focus of the discussion evident by literature that Communication about health and sexuality often differs by ethnicity, age, socioeconomic status, geographic location, and se xual orientation. Communication patterns can form serious obstacles to care( Moss.T, 2004) Lastly, if I look at the surrounding one more barrier in discussion was privacy factor because of her father came into the room and that made me hold back the discussion.Few of the things that I could have done so that I can help out the patient at that time related to their reproductive health issues by maintaining my confidence level by increasing competency in reproductive health nursing before visiting the client. According to the article, Nurses state that they do not initiate to assess reproductive health of client due to poor knowledge regarding problem that patient might raise during conversation (Magnan.M et al., 2005). In addition to it I could have kept my sociocultural barriers aside and qualification client needs as priority because reproductive concerns are majorly go on unaddressed and it has been observed that client wait and expect health care provider to initiate these top ics. Although patient have said that discussion with nurses is give up and that they would prefer having nurses initiate the discussion (Magnan.M et al., 2005). Last but not the least(prenominal) if her father came into the room I could have been stop for a while but after seeing appropriate time I should have made the first move to ask her about her reproductive concern or if still she is uncomfortable I could tell her to talk to me in privacy, may be in other room or as she prefer. As evident by literature Lack of confidentiality is often a barrier to the delivery of health care services, especially reproductive health care, for adolescents ( mission on Adolescent Health Care, 2010)To conclude if this kind of scenario ever happens once again the experience will facilitate me to boost up my confident by making me realize my mistake of neglecting one patients health. overly this by gaining more competencies in vocabulary, knowledge and communication pattern in reproductive healt h will help me to address the client needs and initiate the concerns in which client face difficulty to elaborate.ReferencesKenyon, C., Colebunders, R., Crucitti, T. (2013). The global epidemiology of bacterial vaginosis a systematic review. American Journal of obstetrics and gynecology, 209(6), 505-523.Tsai, Y. (2004). Nurses facilitators and barriers for taking a sexual history inTaiwan. Applied Nursing Research, 17(4), 257-264. doi 10.1016/j.apnr.2004.09.011M,T. (2004). Barriers to Health Care for Youth of Color.Retrieved from http//www.advocatesforyouth.org/publications/publications-a-z/705- barriers-to-health-care-for-youth-of-colorCommittee Opinion(460). (2010). Retrieved from The American College of obstetricians and Gynecologists womens health care physicians website http//www.acog.org//media/Committee Opinions/Committee on Adolescent Health Care/co598.pdf?dmc=1ts=20140501T1128433150Magnan,M.A., Reynolds,K.E., Galvin,E.A. (2005). Barriers to Addressing Patient sex in Nursi ng Practice.MEDSURG NURSING,14(5). Retrieved from http//www.kc-courses.com/fundamentals/week15diversitygrief/barriers.pdf