الأربعاء، 29 أغسطس 2018

314-Herpesvirus Type 2

About
Sexually transmitted disease that has periods of remission and exacerbation characterized by lesions and blisters of the genitalia. It is la lifelong viral infection. Transmitted by skin contact to herpetic lesions, by wet contaminated surfaces, self transmission from mouth cold sores.
Assess
Itching, pain, blisters in genitourinary area; fever, malaise, fatigue, headache, muscle aches, and painful urination
Complications
Transmission of infection, neonatal transmission, spread of infection, meningitis
Diagnosis
  • Acute pain related to blisters and lesions
  • 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
  • Monitor lesions, intake and output, pain levels.
  • Administer antiviral agents and analgesics 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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