Question

construct a nursing care plan for a young chlamydia female patient that involves assessment, diagnosis , planninng, intervention, evalaution and 1 physiological, psychological and potential diagnosis

Answer 1

#. Nursing Diagnoses

Acute pain

Impaired skin integrity

Impaired urinary elimination

Ineffective sexuality patterns

Risk for infection

Situational low self-esteem

#. Nursing Considerations-Expected Outcomes

express relief from pain

exhibit improved or healed lesions or wounds

maintain normal urine output

verbalize the need for changes in sexual activity to reduce STI risk factors

remain free from signs and symptoms of infection

express concern about self-concept, self-esteem, and body image.

#. Nursing Considerations-Nursing Interventions

Follow standard precautions, including meticulous handwashing.

Give prescribed antibiotics, such as doxycycline for epididymitis or PID and azithromycin for urethritis or cervicitis. Admininster ceftriaxone sodium I.M. deeply into a large muscle mass.

Provide appropriate skin care, including perineal care as indicated.

Provide frequent perineal and/or perianal care, as required, especially if the patient is experiencing significant discharge.

Provide comfort measures to the perianal area, such as sitz baths or warm compresses, as indicated.

Encourage the patient to verbalize feelings and concerns; provide honest, consistent answers and explanations; assist in developing positive coping strategies.

If required in your state, report cases of chlamydial infection to the local board of health for follow-up on sexual contacts.

Provide comfort measures to the perianal area, such as sitz baths or warm compresses, as indicated.

Encourage the patient to verbalize feelings and concerns; provide honest, consistent answers and explanations; assist in developing positive coping strategies.

If required in your state, report cases of chlamydial infection to the local board of health for follow-up on sexual contacts.

#. Nursing Considerations-Monitoring

Discharge characteristics

Urinary elimination

Signs and symptoms for resolving infection

Response to treatment

Adverse effects of medication

Signs and symptoms of complications

#. Nursing Considerations-Associated Nursing Procedures

Hand hygiene

Intake and output assessment

Oral drug administration

Pain management

Perineal care of the female patient

Perineal care of the male patient

Sexually provocative patient, care of

Standard precautions

#. Patient Teaching-General

disorder, diagnosis, signs and symptoms (including that most are asymptomatic), and treatment, including antibiotic therapy for the patient and partners

concomitant treatment for gonorrhea because the two infections are commonly found together

need to complete the full medication therapy regimen

proper hand-washing technique

abstinence from intercourse until treatment is completed for the patient and all partners

importance of getting tested for HIV due to enhanced transmission and susceptibility

ways to deal with long-term risks and complications from infection, such as infertility and chronic pelvic pain

transmission of infection and ways to interrupt transmission including the use of condoms

methods to prevent STIs by following safer sex practices and annual screenings

importance of follow-up care for patient and partners

signs and symptoms of complications and the need to notify a practitioner if any occur.