Question

2. Activity: Develop a plan of care for a patient who has an STD (choose an STD of interest to you).

a. Assessment, (1) Nursing diagnosis, Plan (2 short term and 2 long term goals), Implementation, Evaluation.

b. Create a grid that lists the most common STDs (5). Fill in the drugs that are most commonly prescribed for each corresponding STD, and the most common side effects that should be taught to patients taking each type of medication.

c. "You are the nurse caring for a patient who was just diagnosed with an STD. The patient says to you, 'I do not know how I could have an STD, because I have only had sex with one person in my life, who is my partner, and I have always been monogamous.' How would you respond to the patient?" Reponses should be therapeutic. Minimum 2 sentences.

d. Choose one of these vaginal infections: (1) Trichomonas vaginalis, Candida (primarily C. albicans), (2) bacterial vaginosis from Gardnerella vaginalis, (3) bacterial vaginosis from Mycoplasma hominis, (4) bacterial vaginosis from Prevotella, (5) bacterial vaginosis from Mobiluncus species). Explain: how the infection is transmitted, signs and symptoms of the specific vaginal infection, and who to contact (e.g., primary care provider) for further assessment and/or treatment.

Answer 1

2.a.Plan of care for STD (Human papilloma disease)

Assessment

• Warts
• Urticaria in private areas
• Cervical smear changes
• Pain in private area

Nursing diagnosis

Infection related to microorganism incasioyas eviseyby uryicary, genital warts , abnormal cervical smear results

Short term goal

• To manage and treat symptoms
• To prevent transmission of infection

Long term goal

• To prevent complications
• To prevent reoccurance

Implementation

• Administer medication as per order ,to treat infection and symptoms
• Encourage to avoid intercourse during dormant or active phase of infection to prevent infection transmission
• Educate about the use of sage sec practice
• Encourage to use HPV vaccine as per order

Evaluation

The patient will have reduced symptoms

b.The common STD and its treatment with side effects are as following

1. Chlamydia: Doxycycline, Azithromycin.The side effects to be taught are headache, sensitive to light,nausea, vomiting, diarrhoea,rash , itching)
2. Gonorrhoea: Ceftriaxone (nausea, vomiting, abdominal pain ,chest pain ,rash, diarrhoea, headache)
3. Syphilis: penicillin (nausea, diarrhoea, headache, urticaria, tongue which is black anf hairy)
4. Trichomoniasis: Metronidazole (diarrhoea, metallic taste, nausea, vomit, diarrhoea)
5. Herpes: Antiviral (nausea, vomiting, diarrhoea, abdomen pain aggressive, agitation,low concentrations,ataxia)

c.Reassure the patient in positive way without false reassurance

• This can be because of lifestyle and habits
• It can occur to anyone with out any actual or underlying cause besides any precautions taken

d.Trichomonas vaginalis,Candida (primarly C albicans)

This is transmitted by sexual intercourse

Sigs and symptoms

• Abnormal vag inal discharge,rare Foul smelling,curdy white or cottage cheese in nature
• Itching,rash
• Lower abdomen pain
• Soreness

The client has to contact a gynaecologist to get treated for these type of infection.