About
Sexually transmitted disease that can cause inflammation to the cervix and extending organs. Often coexists with Gonorrhea.
Assess
May be asymptomatic, can have urinary difficulty and pain, discharge from vagina or penis
Complications
Transmission of infection, infertility, cervical inflammation, pelvic inflammatory disease
Diagnosis
- Acute pain related to inflammation of cervix
- Anxiety related to diagnosis
- Knowledge deficit related to disease, transmission, and management
- Risk for infection and spread of infection
Goals
- The client will verbalize concerns related to diagnosis and treatment.
- The client will identify methods to prevent the spread of infection.
- The client will identify safe sex methods ( abstinence, condoms, spermicidal, etc.)
- The client will be free from complications.
- The client will be able to identify treatment strategies and signs and symptoms requiring additional treatment.
Interventions
- Assess perineal tissue, ability to urinate, vital signs, pain levels, knowledge of disease process, treatment and transmission
- Monitor intake and output and pain levels.
- Administer antibiotic agents ( usually combo therapy for treatment of both Chlamydia and gonorrhea) as ordered by a physician.
- Keep lesions clean and dry.
- Administer sitz bath to relieve discomfort.
- Use contact precautions with direct patient contact and strict handwashing before and after patient contact.
- Teach client signs and symptoms of disease exacerbation, worsening.
- Teach client methods to prevent the spread of infection to others.
- Teach client self-care including medication regimen, proper hygiene to prevent secondary infections, safe sexual practices.
- Encourage client to verbalize fears and concerns related to diagnosis and treatment.
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