Question

Need to develop a plan of care for a client with the NANDA-1 nursing diagnosis of deficient knowledge of STIs

Answer 1

STI -Sexuvally Transmitted Infection:An infection transmitted through sexual contact, caused by bacteria, viruses or parasites.

List Of STI:

·         HIV/AIDS. HIV/AIDS. ...

·         Hepatitis. Hepatitis. ...

·         Chancroid. Chancroid. ...

·         Trichomoniasis. Trichomoniasis. ...

·         Human Papillomavirus (HPV) and Genital Warts. Human Papillomavirus (HPV) and Genital Warts. ...

·         Herpes. Herpes. ...

·         Gonorrhea. Gonorrhea. ...

Chlamydia. Chlamydia

Nursing Care plan As Per NANDA for STI:

1. Acute pain related to the reaction of infection

Purpose:

• After nursing actions, the client will:
• Identifying the causes
• Using the methods of prevention of non-analgesic to relieve pain
• Using analgesics as needed
• Reported pain was controlled

Intervention:

1. Examine in a comprehensive pain include location, characteristics, and onset, duration, frequency, quality, intensity / severity of pain, and precipitation factors.
2. Observation of non-verbal cues of discomfort, especially the inability to communicate effectively.
3. Use therapeutic communication so that the client can express pain.
4. Provide support to clients and families.
5. Control of environmental factors that can affect the client's response to discomfort (ex.: room temperature, irradiation, etc.)
6. Teach the use of non-pharmacologic techniques (ex.: relaxation, guided imagery, music therapy, distraction, application of heat and cold, massage, hypnosis, therapeutic activity)
7. Give analgesics as directed.
8. Increase sleep or rest.
9. Evaluate the effectiveness of the measures that have been used to control pain.

2. Hyperthermia related to inflammatory reactions

Purpose:

• After nursing actions, the client will:
• The temperature in the normal range
• Pulse and respiration within the normal range
• No skin discoloration and no headache

Intervention:

• Monitor vital sign.
• Monitor the temperature at least 2 hours.
• Monitor color.
• Increase intake of fluids and nutrients.
• Cover the client to prevent loss of body heat.
• Compress clients in the groin and axilla.
• Give antipyretics as needed.

3 Impaired Urinary Elimination related to the inflammatory process

Purpose:

• After nursing actions, the client will:
• Urine will be a continent
• Elimination of urine would not be disturbed: the smell, the number, color of urine within expected ranges and urine output without pain.

Intervention:

• Monitor urine elimination include: frequency, consistency, odor, volume, and color appropriately.
• Refer to urologist if the cause of acute discovered.

4 Anxiety related to the disease

Purpose:

• After nursing actions, the client will:
• No signs of anxiety
• Reported a decrease in the duration and episodes of anxiety
• Reporting needs adequate sleep
• Demonstrate flexibility role

Intervention:

• Assess the level of anxiety and physical reactions to high levels of anxiety (tachycardia, takipneu, non-verbal expressions of anxiety).
• Accompany clients to support the anxiety and fear.
• Instruct client to use relaxation techniques.
• Give medication to reduce anxiety in a proper way.
• Provide current information on the diagnosis, treatment, and prognosis.

5 Low self-esteem related to disease

Purpose:

• After nursing actions, the client will express a positive outlook for the future and resumeprevious level of functioning, with indicators:
• Identifying the positive aspects of self.
• Analyze own behavior and its consequences.
• Identify ways to use and control affect the results.

Intervention:

• Assist individuals in identifying and expressing feelings.
• Encourage clients to envision the future and the positive outcomes of life.
• Strengthen skills and positive character traits (eg, hobbies, skills, appearance, occupation).
• Help clients receive positive and negative feelings.
• Assist in identifying their own responsibility and control of the situation.

STI Education and counseling:

1.The name of the infection and its significance.

2. Directions for taking medication and what to do about potential side effects.

3. Refer all sex partner(s) from within 60 days prior to the onset of symptoms or positive test to the current date, for examination and treatment. Avoid sex until partner has been treated. Refer the last sex partner if the last sexual contact occurred prior to 60 days. Provide written note(s) to give to partners to refer them in for exam and treatment.

4. Education and counseling of the correct usage of protective barriers (condoms, dental dams, etc.). 5. Assist patient to develop a personalized STD/HIV risk reduction plan. Abstain from sex until all the symptoms are resolved and partner(s) are tested and treated.

6. If treated with an alternative regimen, the patient should return 1 week after treatment for a test-of-cure at the infected anatomic site. A culture should be done when available.

7. Advise the patient to return to clinic for all lab results even if presumptively treated at initial visit. Inform patient if lab results are positive additional treatment may be needed0

8. Advise patient to return to clinic in 7 days or less if symptoms do not resolve.

9. Inform patient if additional lab(s) is/are positive, partner(s) will need additional treatment also. 10. HIV antibody test to determine HIV status, if unknown.

10. Hepatitis A, Hepatitis B and or HPV vaccine, if patient is unvaccinated and meets eligibility criteria for state supplied vaccines. To access most current version