Counselling skills
True or false:
It is forbidden to use emojis when chatting with a user?
Naahh!
It's totally fine and it would be awesome to start using them to make the conversation more humanized and less robotic.
Direct providers vs national organisations. Where do we locate each one?
Nat organizations go under the box Refered to on-the-ground organizations.Direct providers go under the Referred to direct provider.
How do we edit the contact language? In order to have the s2c header in their lannguage.
Go to CONTACT DETAILS. Click on Edit.
Choose language and SAVE.
Is PCOS a contraindication to proceed with a medical abortion?
No, it isn't. PCOS is a common medical condition but it's very safe to proceed with abortion pills. Any further indication in this case?
What should we ask the user after sharing the map ID link?
We should ask if she could open the link properly and if she has further questions.
True or false:
With our update protocol, we do not recommend to use tampons or cups during an MA.
False.
We counsel as follow: Use pads at first to see how much you are bleeding. You can switch to a tampon or cup when you feel comfortable.
Is IUD listed as a medical contraindication?
True or False:
We should delete all CR's headers which contain internal indications?
True.
Important reminder: Deleting Cr titles is very important to tailor the email to user's needs. The user don't need to read counsellors internal indications.
True or false?
Users need to go for an ultrasound before and after the self-managed abortion.
False.
They do not need to have an ultrasound done before or after an abortion.
Exceptions?
A user comes over and over again, first with a suspected pregnancy and then, having confirmed the pregnancy, asking for referrals and protocols.
Should we change the Reasons for contact in the different stages?
As Florencia adviced, we should keep the first Reasons for contact and if we need to add more info on that user, we can use the medical notes for internal communication.
What should we do if the user dropped in the chat and we have their email address?
Sending a follow up email, asking if they have any other questions and maybe sharing referrals if you consider that's appropriate.
What do you think is the most commonly empty PF box -even though the user provided the information?
Gestational age and LMP are the most common missing ones.Why do you think this is? How can we encourage filling in all blanks?
We have been repeating that canned responses should be .... before sharing with users.
Customized
Is it true that using Mifepristone reduces the chances of feeling strong cramping during a MA?
No. There's not enough evidence of this.
What should we do in case we identify outdated information in the Database or country CR?
We should tag Rosa to let her know. What else do you think we could do?
What do we do when a user did not take a pregnancy test?
Appraise the situation: acknowledge the feelings behind not taking a pregnancy test: Is it anxiety because it's a missed period? Is it recent unprotected intercourse? Not sure about their menses?
Please guide how to complete Reason for contact box in this case:
The user is during the procedure and used a different protocol. She has used 2 doses of 2 pills, one dose was sublingual and the second one was vaginal. Bleeding was around one menstrual pad. She is 10 week pregnant.
PAC- Incomplete abortion / failed treatment.
True or false:
When highlighting some sentence or word in an email, you should keep in mind the brand colours.
True.
How do we know which are the colours and how to apply them in the text?
Fever can be both a side effect of misoprostol and a warning sign. Is it essential that fever as a side effect cannot last for more than 24 hours? How can one distinguish between a side effect and a warning sign with fever?
Misoprostol is rapidly eliminated from the body. It has an elimination half life of 20-40 minutes. This means that after 20-40 minutes the substance has lost half of its pharmacologic activity.
This is important because fever as a side effect of misoprostol would occur near the drugs peak activity level, thus risk of fever also diminishes rapidly as the medication disappears. This is why 24 hours is used as a cutoff, because it is unlikely to cause fever beyond 24 hours as it is essentially gone from the system.
Fever as a warning sign of infection may be accompanied by body aches, nausea, sharp abdominal pain, and foul/odorous vaginal discharge.
A user has provided the following info:
test method to confirm pregnancy, medical conditions and medication and country.
Should we offer Referrals?
Depends on the situation:
If user has confirmed with an ultrasound, she may know her GA.
If she is uncertained, emphasize on the amount of weeks before referring. If you feel there's something off, avoid sharing direct providers. Use international organizations instead.