Assess level of understanding
Assess information on support systems
Encourage patient to express fears, concerns
Begin teaching about prevention of vaginal stenosis as indicated
Encourage diversional activities to relieve boredom
Emphasize availability of traditional pain relief measures
Explore with patient nonpharmacological pain relief measures (music, T.V., massage, etc.)
Assess spiritual needs/concerns
Assess for anxiety, depression
Assist woman to realize her intrinsic worth and dignity
Encourage patient to express concerns related to fertility, sexuality, body/self-image
Assess effects of treatment on quality of life
Initiate a comprehensive counseling approach involving the patient and her sexual partner and refer as needed