Responsible Sexual Behavior

SEXUAL BEHAVIOR

The dialogue is between Nurse Rose and Lady Miriam who is sexually active and uses her friend 's birth control pills . The nurse is to do a diagnosis , planning and implementation , intervention and evaluation on the patient . The conversation goes like this

Nurse : Hallo , how are you doing today ? Am nurse rose and today I will attend to you . tell me your name , age and occupation

Miriam : My morning is fine . My names are Miriam . I am 21 years old and a student at the city 's college

Nurse

: How can I help you

Miriam : Well , I have been sexually active for almost two years Currently , am dating my

boyfriend whom we occasionally have sex . Of late I discovered that he has been sleeping with other girls and hence I decided to have my health status checked

Nurse : That is a very good thing you have done . May I ask what method of contraceptives do you use

Miriam : This is embarrassing , but I normally use my friend 's birth control pills

Nurse : Its okay in a little while I will explain to you why that is wrong , but first I would like to ask you when you last had a thorough physical examination by your local GP

Miriam : I had one a year ago , and everything was fine

Nurse : Have you ever had a blood test for STDs , vaginal examination and vaginal smear test

Miriam : I haven 't had one since last year

Nurse : Its alright , before we go on I would like to get some blood sample and vaginal smear if that is alright with you , so that they could be tested for any infections . How do you feel about that

Miriam : That 's okay . Let 's get the tests done (Nurse gets the blood and vaginal smear swab and sends it to the laboratory

Nurse : The results will be ready in 3 days , but your sexual organ looks to be in good shape . I would like to discuss with you different methods of contraceptives together with their advantages and disadvantages

Miriam : Sounds like a good idea , so that I stop using my friend 's birth control pills

Nurse : Here they are

Method Actual effectiveness Advantages Disadvantages

Abstinence 100 100 effective if truly practiced

Condom (male and female ) 85 Non-prescription , easy to use protects against STDs High motivation needed , must be removed carefully , dulls penile sensation

Spermicides 70 Non- prescription , protects against STDs High motivation needed expensive if intercourse is frequent

Diaphragm 90 Maybe inserted several hours prior to coitus , no side effects Needs fitting and prescription , cream must be applied with one hour prior to coitus , must be left in 6-8 hours after coitus

Inter-uterine devices 95 Doesn 't need regular insertion (once is enough ) Needs uterine and prescription , can sometimes lead to pelvic inflammatory diseases

Oral contraceptives (Morning after pills , Monthly pills , injections 99 Regulate menstrual cycle Water retention in the body , cumbersome (some can easily forget which could result to unwanted pregnancy (Patricia...