About
Sexually transmitted disease that may predispose to growths ( warts) and/ or cancer of the cervix. Most common STD in sexually active women.
Assess
May be asymptomatic. Can have palpable warts in genitourinary area or may only be seen with application of acetic acid
Complications
Transmission of infection, infertility, cervical cancer
Diagnosis
- 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 have a decrease in pain less than 4 on a 0-10 scale.
- 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
- Apply topical ointments as prescribed and teach client how to apply using aseptic technique.
- Prepare for surgical excision, laser, electrocautery, or topical ointment applications.
- 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, and need for annual PAP smears to screen for cervical cancer.
- Encourage client to verbalize fears and concerns related to diagnosis and treatment.
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