Cervical Screening Programme
Department of Health
The Government of the Hong Kong Special Administrative Region

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ii.

Communication with Clients

i.

Review record

  • For old cases, always review records.
  • Check for previous smear results.
  • Check for history of cervical cancer/pre-cancerous cell change.
  • Check for history of hysterectomy.
ii.

History taking

  • Confirm whether or not clients are sexually active, their parity and last menstrual period.
  • Contraceptive methods / hormonal drug usage.
  • Previous smear taking history and results / previous history of cervical cancer or CIN lesions.
  • Previous history of hysterectomy / sub-total hysterectomy / LEEP or cone biopsy.
  • Present history of chemotherapy and radiotherapy.
  • Present gynaecological problems: abnormal vaginal discharge, post-coital bleeding,
  • ntermenstrual bleeding and postmenopausal bleeding. Go through the checklist for women.
iii.

Explanation

  • Explain to the client the reasons for cervical cancer screening and the procedures. Use of anatomical models and sample instruments may be helpful.
  • Tell the client to alert you if she feels uncomfortable during the test.
  • Advise the client on relaxation techniques, such as deep breathing during the test to reduce discomfort.
  • Explain benefits of providing personal data and smear result to the Cervical Screening Registry and obtain client's consent.
  • Address any concerns and questions from the client.
   
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