Women With Many Sexual Partners Are at Greater Risk For Sexually Transmitted Diseases (STDS) and Pid

NURSING CARE PLAN FOR INFECTION
Assessment
Subjective:
Pawala wala yung
sakit kapag umiihi
ako as verbalized
by the patient
Had multiple
boyfriends with
occasional sexual
relationship
Objective:
Speculum
Examination:
Passage of whitish
to yellowish
vaginal discharge
in copious amount.
Diagnosis
Infection related to
increased
environmental
exposure to
pathogens as
manifested by
whitish to yellowish
discharge and
dysuria
Scientific Rationale
Women with many
sexual partners are at
greater risk for sexually
transmitted diseases
(STDs) and PID. Most
cases of PID are
presumed to occur in 2
stages. The first stage is
acquisition of a vaginal
or cervical infection.
This infection is often
sexually transmitted and
may be asymptomatic.
The second stage is
direct ascent of
microorganisms from
the vagina or cervix to
the upper genital tract,
with infection and
inflammation of these
structures. Symptoms
do happen, and they
can be mild or more
serious. Painful
urination and vaginal
discharge that may
smell foul are example
that the patient could
have.
Objectives
Short term:
After 30-1 hours of
nursing intervention, the
patient will verbalize
understanding on health
teaching about the
condition and treatment.
Nursing Interventions
Independent :
-
For baseline
data. Fever
indicates
infection.
Emphasize the
importance of
hand washing
techniques
It serves as a
first line
defense against
infection
Instruct the
patient to wipe
from front to back
after urinating or
defecating
Explain the pre

and post
procedure of the
speculum
examination to
the patient.
For the patient

to be informed
about the
procedures in a
way that she
can understand
and
communicate.
Instruct the
To prevent
Reference:
http://www.patienteduca
tioncenter.org/articles/p
elvic-inflammatorydisease-pid/
Check Vital signs

especially
temperature.
Interdependent:
-
Long term:
After 10-14 days of
nursing intervention, the
patient will be free from
infection.
Rationale
To prevent the
spread of
infection.
Evaluation
Short term:
After 30-1 hours of
nursing intervention,
the patient verbalized
understanding on
health teaching about
the condition and
treatment.
Long term:
After 10-14 days of
nursing intervention,
the patient has no
whitish to yellowish
discharge and dysuria.
Reference:
http://www.patienteduc
ationcenter.org/articles
/pelvic-inflammatorydisease-pid/
Reference:
http://emedicine.medsca
pe.com/article/256448overview
patient to empty
bladder before
the procedure
(speculum
examination)
-
Emphasize the
prevention of
recurring of PID
by treating the
womens partner
condition or
abstaining.
discomfort
during the
procedure
To prevent for
recurring of
condition.
To treat
infection such
as Chlamydia/
Gonorrhea
Dependent:
-
Administer
antibiotic like
Doxycycline as
ordered.
Reference:
http://www.cdc.go
v/std/treatment/2
010/pid.htm
Drug
Doxycycline
Action
Inhibits bacterial
protein synthesis at
the level of 30S
bacterial ribosome.
Therapeutic effects:
Bacteriostatic action
against susceptible
bacteria
Active against several
pathogens:
Mycoplasma,
Chlamydia, Rickettsia,
Gonorrhea, Borellia
burgdorferi.
Indication
Treatment of various
infections caused by
unusual organisms,
including: Mycoplasma,
Chlamydia, Rickettsia,
Gonorrhea, Borellia
burgdorferi.
Contraindication
Hypersensitivity
Some products contain
alcohol or bisulfites
Avoid in patients with known
hypersensitivity or
intolerance.
Risk of permanent staining of
teeth in infant if used during
last half of pregnancy.
Nursing Considerations
Assess for infection (Vital
signs; appearance of wound,
urine; WBC) at beginning of
and throughout therapy.
Obtain specimens for culture

and sensitivity before initiating
therapy. First dose may be
given before receiving results.
Monitor bowel function.

Diarrhea, abdominal cramping,
fever, and bloody stools should
be reported to health care
professional promptly as a
sign of pseudomembranous
colitis. May begin up to several
weeks following cessation of
therapy.
Do not open, break, crush, or

chew extended release
capsules and tablets.
Monitor renal and hepatic

function and CBC periodically
during long-term therapy.

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What is the patient's chief complaint?

What is the diagnosis of the patient?

NURSING CARE PLAN FOR INFECTION

Explain the pre

For the patient

Check Vital signs

Obtain specimens for culture

Monitor bowel function.

Do not open, break, crush, or

Monitor renal and hepatic

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