Exploring the history further

Therapeutic relationship:

• Determine patient led goals with a focus on function
• Recall at least two verbal statements to validate what a patient is telling you
• Identify the difference between sympathetic statements and empathetic statements

Sensitive communication:

• Recognise an appropriate trauma informed sexual history
• When discussing PPP demonstrate cultural and LGBTQIA+ sensitive language

Working out pain drivers from the history:

• List three symptoms attributed to a presumptive diagnosis of endometriosis
• Identify three common drivers of pain involved in PPP
• Identify common presenting features of pelvic floor muscular dysfunction and bladder pain syndrome
• Identify three clinical features of pain sensitisation

Examinations and investigations: thinking outside the box

Recognising and avoiding trauma with examination and investigation:

• List the considerations when examining a patient with PPP
• Identify the tests involved in a STI screen for a patient presenting with PPP
• Label the anatomy of neuromuscular involvement in PPP

Indications for specific investigations in PPP:

• List three investigations for gastrointestinal symptoms in PPP
• Identify ways to reduce the limitations of transvaginal ultrasound

How to reduce pain with pain science education

• Identify three pain science concepts involved in PPP

Collaborative care planning: maintaining care and moving forward

• Utilising resources for GP Care plans:
• Recognise a patient friendly pain flare plan
• Produce a whole self-care plan for a patient with PPP

Self-care during complex care:

• Understand the importance of self-care for you as a practitioner.

GP management of PPP and team leadership

Managing the multi-disciplinary team:

• Identify with the role of Team Leader of an MDT when managing a patient with PPP
• Summarise the role of each member of the MDT in PPP

Navigating treatment options for PPP:

• Discuss with the patient the benefits and risks of ovarian suppression in PPP
• Identify three pharmacological options for managing PPP
• Identify three non-pharmacological treatments for PPP

Appropriate referrals while maintaining care:

• List three clinical indicators that require referral to a gynaecologist with an interest in PPP
• Determine when to refer to a Gastroenterologist

Understanding the work of the team:

• List three evidence-based dietary interventions for PPP
• Identify three exercises used for pelvic floor muscle relaxation
• Identify three treatments a Pelvic Health Physiotherapist uses to rehabilitate persistent pelvic pain
• List three psychological treatment modalities that can be useful for patients with PPP 

Contributors