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5 Comments
This may seem like a silly question, but you talk about treating both internally, then switching to external, and back to internal. I haven’t done this in the same session. Do you just keep the client covered with a sheet and treat both externally and internally as needed and then have them dress at the end?
No I keep them clothed until doing internal work then if I need to go work externally I just keep them unclothed do what I need to do with them covered and then go back internal. Hope this makes sense.
In the video you state that the best way to assess the EAS is internally and then describes this, but I can’t tell if you mean intra-vaginally or intra-rectally. Then the video jumps to an example in which you are assessing with 1 finger vaginally, gain consent for EAS, then use your thumb on the outside of the anus. This was somewhat confusing since you just stated the best way to assess EAS is internally, yet thumb is on outside of the anus. Did we just jump to a different assessing technique? It’s just not overtly clear to me.
Thanks Lynn!
Brittany, Sorry for this not being clear. I always start externally on the EAS and release the structure with one finger in vaginally and the thumb staying externally and then after I’m done clearing the External sphincter I then ask my client if it’s ok to insert my thumb in a little bit more to assess and treat the internal sphincter muscle. This way they have gotten used to what I’m doing and should be more comfortable with me inserting my thumb inside a bit more. Some EAS’s are already held open and you will be inserting your thumb in as you assess and treat the EAS as it’s open access to the complex with it being open. I hope this is clearer.
This may seem like a silly question, but you talk about treating both internally, then switching to external, and back to internal. I haven’t done this in the same session. Do you just keep the client covered with a sheet and treat both externally and internally as needed and then have them dress at the end?
No I keep them clothed until doing internal work then if I need to go work externally I just keep them unclothed do what I need to do with them covered and then go back internal. Hope this makes sense.
Thank you. Loved this explanation
In the video you state that the best way to assess the EAS is internally and then describes this, but I can’t tell if you mean intra-vaginally or intra-rectally. Then the video jumps to an example in which you are assessing with 1 finger vaginally, gain consent for EAS, then use your thumb on the outside of the anus. This was somewhat confusing since you just stated the best way to assess EAS is internally, yet thumb is on outside of the anus. Did we just jump to a different assessing technique? It’s just not overtly clear to me.
Thanks Lynn!
Brittany, Sorry for this not being clear. I always start externally on the EAS and release the structure with one finger in vaginally and the thumb staying externally and then after I’m done clearing the External sphincter I then ask my client if it’s ok to insert my thumb in a little bit more to assess and treat the internal sphincter muscle. This way they have gotten used to what I’m doing and should be more comfortable with me inserting my thumb inside a bit more. Some EAS’s are already held open and you will be inserting your thumb in as you assess and treat the EAS as it’s open access to the complex with it being open. I hope this is clearer.