الأربعاء، 29 أغسطس 2018

330-Syphilis

About
Infectious disease caused by Trepenoma pallidum and is contracted congenitally or by sexual contact.
Assess
Cancer ( lesion, usually painless), progresses to rash and lesions all over body ( secondary stage), Tertiary stage involves multiple organs and complications. May also have flu-like symptoms after being infected.
Complications
Transmission of infection, progression of infection, multisystem organ failure, arthritis, dementia, meningitis, stroke
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 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 integumentary for rashes,  ability to urinate, vital signs, pain levels, knowledge of disease process, treatment and transmission
  • Monitor rash, neuro status, intake and output, pain levels.
  • Administer antibiotic agents and analgesics as ordered by a physician.
  • Keep lesions clean and dry.
  • 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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