Management of women-sexually transmitted infections Paper

Management of women-sexually transmitted infections Paper

Actions That Protect The Patient And Accord The Necessary Care

As the nursing officer attending the patient, I would explain to the “brother” about the rights of a patient of being accorded privacy and confidentiality during treatment. I would then reassure the patient that the information shared with me will be private and confidential to make the patient comfortable. If the patient’s case is caused by domestic violence, I will use the legal way to protect the patient. I would report the violent partner to the local law enforcement officials. Management of women-sexually transmitted infections Paper

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Describe Common Sexually Transmitted Infections

Sexually transmitted infection is a term that describes diseases of the genital mucosa contracted through sexual contact. Risk factors for STI are multiple sexual partners, transactional sexual intercourse, low economic status, use of drugs such as cocaine, history of previous STDs, and exposure without protection (Brookmeyer, et al, 2019). Common sexually transmitted infections are gonorrhea, chlamydia infections, trichomoniasis, and bacterial vaginosis. Chlamydia infections are the most common reported STI’s among Americans. It presents with discomfort during urination, green or yellow vaginal discharge, and lower abdominal pain. Untreated chlamydia infections cause pelvic inflammatory diseases and infertility. Trichomoniasis is characterized by purulent malodorous discharge accompanied by itchiness, burning urination, and painful sexual intercourse (Muzny, et al, 2019). Bacterial vaginosis is the inflammation of the vaginal mucosa. It presents with a gray or yellow vaginal discharge with a fishy smell. Gonorrhea presents with genital urinary symptoms such as dysuria, dyspareunia, mild lower abdominal pain, and purulent malodorous discharge. Management of women-sexually transmitted infections Paper Management of women-sexually transmitted infections Paper

Physical Examination Indicated For This Patient Supports The Findings Of An STI.

Mucopurulent or purulent vaginal or cervical discharge is a genitourinary symptom for most sexually transmitted infections. Other physical examination findings suggestive of STI are cervical friability, cervical motion tenderness, fullness and tenderness of the adnexa, and lower abdominal tenderness without rebound tenderness (Brookmeyer, et al, 2019). The patient seems to be anxious and uncomfortable in the presence of his “brother” during treatment and also hides her true identity because of the stigma associated with STDs. Management of women-sexually transmitted infections Paper

The Differential Diagnosis For This Patient

Gonorrhea

Bacterial vaginosis

Trichomoniasis

According to Choudhri, et al, (2019), gonorrhea is a sexually transmitted infection presenting with abdominal pain, vaginal discharge, dyspareunia, and dysuria. The dominant bacteria is Neisseria gonorrhea. Gonorrhea is common in patients with multiple partners. Gonorrhea has a higher resistance rate to infection thus increasing the risk of recurring infections.

Bacterial vaginosis is an infection that caused changes in the normal balance of the vaginal bacteria. The presenting symptoms are a burning sensation during urination, thin white or gray discharge with a fishy odor. Management of women-sexually transmitted infections Paper

Trichomoniasis is an infection caused by the tiny protozoan organism passed through genital contact (Muzny, et al, 2019). Presenting symptoms discharge from the vagina, discomfort during sex and urination, and frequent urination.

Gonorrhea is the most preferred diagnosis for the patient because of the presenting symptoms (abdominal pain and malodorous discharge) and history of previous treatment of a sexually transmitted infection.

Information Provided When Reporting STD To The State Health Department

Sexually transmitted infections cases should be reported to the state health department to assess the morbidity of the trends, monitor the efficiency of the treatment guidelines, and allocate the resources (Brookmeyer, et al, 2019). Reporting the cases should be following the requirements of the state health department. A report should be private and confidential. It must include the chief complaints, the physical findings, laboratory results, sexual and reproductive history, and previous treatment for STIs. Management of women-sexually transmitted infections Paper

Sexually Transmitted Infections Case Study

Complete the case study by answering the prompts associated with the scenario as if you are presenting to your preceptor. Cite peer-reviewed journal references within the last 5 years supporting your responses according to 7^th edition APA guidelines. A minimum of 500 words is required. Management of women-sexually transmitted infections Paper

Scenario

You are seeing a 19-year-old female patient at a women’s health clinic. Her chief complaint is mild abdominal pain and a malodorous vaginal discharge. The nurse who escorted the patient to the treatment room stops you in the hall to express concern that the patient’s brother insisted on accompanying his sister to the treatment room, and the patient didn’t seem happy about it. Both the receptionist and nurse believe they have seen the patient in the clinic for treatment of another sexually transmitted infection; another nurse recalls a treatment for vaginal infection. A medical record search under the name given today provides no result. When you enter the room, the man identified as her brother informs you that he is there to translate for his sister.

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Case Prompts

1. As you enter the treatment room, the patient appears anxious and afraid. Coupled with the concerns expressed by the receptionist and nurse, you suspect domestic violence. Explain the immediate actions you can take to help protect the patient and provide the necessary care.
2. After a brief discussion with the patient about symptoms, you recognize the need to screen for sexually transmitted infections (STI), and you ask the nurse to prepare materials needed to collect specimens for testing. Describe the most common STIs.
3. Explain what physical examinations are indicated for this patient and what findings support the presence of an STI.
4. After your comprehensive assessment, all subjective and objective findings should be considered when developing differential diagnoses for patients presenting with a suspected STI. Describe what may be included on a differential list.
5. You are required to report STIs to the state health department. Along with the diagnosed STI, explain what other information you must provide. Management of women-sexually transmitted infections Paper

Course Textbooks:

Schuiling, K. D., Likis, F. E. (2017). Women’s gynecologic health (3rd ed.). Jones & Bartlett Learning.

Dunphy, L. (2019). Primary care: The art and science of advanced practice nursing (5th ed.). F.A. Davis.

Make sure to follow all of the assignment instructions. Each of your assignments should include a cover

page and all assignments should be in APA 7th edition format and include 3 scholarly peer reviewed

references that are within the last 5 years. Management of women-sexually transmitted infections Paper

References

Brookmeyer, K. A., Haderxhanaj, L. T., Hogben, M., & Leichliter, J. (2019). Sexual risk behaviors and STDs among persons who inject drugs: a national study. Preventive medicine, 126, 105779.

Choudhri, Y., Miller, J., Sandhu, J., Leon, A., & Aho, J. (2018). Sexually transmitted infections: Gonorrhea in Canada, 2010–2015. Canada Communicable Disease Report, 44(2), 37.

Muzny, C. A., Richter, S., & Kissinger, P. (2019). Is It Time to Stop Using Single Dose Oral Metronidazole for the Treatment of Trichomoniasis in Women?. Sexually transmitted diseases, 46(5), e57. Management of women-sexually transmitted infections Paper