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Linda S. Williams / Paula D. Hopper Copyright © 2011. F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Chapter 44 Nursing Care of.

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Presentation on theme: "Linda S. Williams / Paula D. Hopper Copyright © 2011. F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Chapter 44 Nursing Care of."— Presentation transcript:

1 Linda S. Williams / Paula D. Hopper Copyright © 2011. F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Chapter 44 Nursing Care of Patients with Sexually Transmitted Diseases

2 Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Sexually Transmitted Disease (STD) Any infection that can be transmitted through intimate contact with the genitals, mouth, or rectum of another individual

3 Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Disorders Related to STDS  Vulvovaginitis  Urethritis  Mucopurulent Cervicitis  Proctitis  Enteritis  Genital Ulcers  Cellular Changes  PID

4 Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Pelvic Inflammatory Disease (PID)  Pelvic Cavity Infection  Cervicitis  Endometritis  Salpingitis

5 Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Pelvic Inflammatory Disease

6 Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Pelvic Inflammatory Disease (PID) (cont’d)  Risk Factors  Multiple Sex Partners  STDs  Substance Abuse  Frequent Douching  IUD Use  Signs and Symptoms  Abdominal Pain  Purulent Vaginal Discharge  Pain with Intercourse  Nausea, Vomiting  Pain on Urination

7 Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Interventions for PID  Antibiotics  Laparoscopic Surgery for Adhesions  STD Testing  Education

8 Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Pelvic Inflammatory Disease

9 Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Chlamydia  Etiology  Chlamydia trachomatis  Signs and Symptoms  Urethritis  MPC  Conjunctivitis  Prostatitis, Epididymitis

10 Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Chlamydia

11 Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Chlamydia (cont’d)  Diagnosis  Culture  NAT  Interventions  Antibiotics  Ophthalmic Ointment for Baby

12 Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Chlamydia

13 Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Chlamydia

14 Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Gonorrhea  Etiology  Neisseria gonorrhoeae  Signs and Symptoms  Men  Urethritis  Discharge  Epididymitis  Women  MPC, PID  Urethritis  Menstrual Problems

15 Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Gonorrhea

16 Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Diagnosis  Diagnosis  NAT  Culture  Interventions  Antibiotics  Antibiotic Eye Drops for Infant

17 Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Gonorrhea of the eye

18 Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Syphilis  Etiology  Treponema pallidum  Signs and Symptoms  Primary Stage  Chancre

19 Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Syphilis (cont’d)  Secondary Stage  Flu-like Symptoms  Skin Rash  Condylomatous Growths  Tertiary Stage  Gummas  Systemic Disease

20 Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Secondary Syphilis Maculopapular rash of trunk

21 Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Secondary Syphilis

22 Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition  Tertiary Syphilis Occurs in about a third of those untreated These destructive gumma tumors can also attack the skin, long bones, eyes, mucous membranes, throat, liver, or stomach lining

23 Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Secondary Syphilis Alopecia

24 Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Syphilis (cont’d)  Serological Tests  VDRL  RPR  ELISA  FTA-ABS  Interventions  Penicillin

25 Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Trichomoniasis  Signs and Symptoms  Genital Redness and Swelling  Itching, Burning  Foul Discharge  Urethritis, Prostatitis  Strawberry Cervix

26 Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Trichomoniasis

27 Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Trichomoniasas (cont’d)  Diagnosis  Microscopic Exam  Interventions  Metronidazole

28 Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Herpes Simplex  Signs and Symptoms  Vesicles/Ulcerations  Flu-like Symptoms  Lymphadenopathy  Urethritis, Cystitis  MPC

29 Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Herpes  Diagnostic Tests  Cultures  Western Blot  Interventions  Antiviral Medication  Cesarean Delivery to Protect Baby

30 Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Condylomata (HPV)  Genital Warts  Diagnosis  Colposcopy  Biopsy  Interventions  Cryotherapy  Electrocautery  Topical Agents  Interferon Therapy

31 Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Penile Warts

32 Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Condyloma acuminata labia (genital warts)

33 Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Peri-Anal warts

34 Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition HPV (cont’d)  Risk for Cervical Cancer  Gardasil Vaccine

35 Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Genital warts vulva

36 Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Hepatitis B  Etiology  Hepatitis B Virus  Signs and Symptoms  Anorexia  Rash  Malaise  Muscle and Joint Pain  Nausea and Vomiting  Jaundice  Light Stool  Dark Urine

37 Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Hepatitis B (cont’d)  Diagnosis  Antigen-antibody Tests  Liver Enzymes  Prevention  HBV Vaccine  Interventions  Immune Globulin  Interferon Alpha  Supportive Care  Transplant

38 Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Genital Parasites  Etiology  Lice  Scabies  Diagnosis  Microscopic Examination  Interventions  Topical Insecticides

39 Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Genital Scabies

40 Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Genital Lice

41 Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Reporting of STDs  Requirements Vary by State or Province  Include Notification of Contacts

42 Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Reportable STDs  Gonorrhea  Chlamydia  Syphilis  HIV  Chancroid  Hepatitis A,B,C  Complete STD case reporting form  http://intranet/phd/documents/STDCaseReportingFormJ an2010.doc http://intranet/phd/documents/STDCaseReportingFormJ an2010.doc  Fax to number on form

43 Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition A,B,Cs of counseling  Abstain  Be faithful to one partner  Condoms

44 Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Nursing Diagnoses for Patients with STDs  Acute Pain  Risk for Infection – Transmission to Others  Ineffective Sexuality Pattern  Fear  Health Seeking Behaviors

45 Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Patient Teaching  Safer Sex Practices  No Such Thing as Safe Sex  Medication Administration  Signs of Complications to Report

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