Posted: December 19th, 2022
Discussion week 4 womens Health Essay.
The Centers for Disease Control and Prevention estimates that there are 19 million new cases of sexually transmitted infections every year in the United States (CDC, 2010b). STIs may present serious health implications for infected patients—especially for those who are unaware of their health condition.Discussion week 4 womens Health Essay.
ORDER A PLAGIARISM-FREE PAPER HERE
Studies show that women are not only at greater risk of contracting these infections, but they also tend to have more severe health problems resulting from infections than men (U.S. Department of Health and Human Services, 2009b). As an advanced practice nurse, you must educate female patients and emphasize the importance of prevention and STI testing for all women regardless of marital status, race, ethnicity, or socioeconomic status. For this Discussion, consider STI education strategies for the three patients in the following case studies:
Case Study 1:Discussion week 4 womens Health Essay.
A 19-year-old Asian American female comes into the clinic for a well-woman checkup. She states that about three weeks ago she had a non-tender sore on her labia that resolved without treatment. Her gynecologic exam is normal but she has maculopapular lesions on her trunk, neck, palms, and soles of her feet. The remainder of her exam was unremarkable.Post an explanation of the differential diagnosis for the patient in the case study you selected. Provide a minimum of three possible diagnoses, and list them from highest priority to lowest priority. Explain which is the most likely diagnosis for the patient and why. Then, explain a treatment and management plan for the patient, including appropriate dosages for any recommended treatments. Finally, explain strategies for educating patients on the sexually transmitted infection.
Primary answer syphilis, Herpes simplex virus, and chancroid. Please only use peer review articles less than 5 years old or National institute of health or American family physician website.Discussion week 4 womens Health Essay.
Case Study: Non-Tender Genital Sore in a 19 Year-Old Woman
Sexually transmitted infections or STIs are a major cause of morbidity in the United States. This is why the Centres for Disease Control and Prevention (CDC) has provided, just as for other disease groups, guidelines on how sexually transmitted infections should be managed and prevented. Almost all of these infections have classic presentations that distinguish them from the others, however subtle. Their treatment, on the other hand, comprises of the commonly available antimicrobials and antiviral pharmacologic preparations. Prevention, however, is centred on educating the patient on behavior change on the sexual front. This paper looks at the case study of the 19 year old Asian American woman who had an ulcer on her labia.
The case study reveals that the woman had the lesion several weeks ago, but also that it resolved itself. Apart from that, she also had maculopapular lesions on her palms, her neck, the soles of this feet, and on her trunk. However, it is instructive to note that this woman did not come to the clinic because she was sick. As a matter of fact, she only came for a routine check up at the well-woman clinic. But from the history and physical examination of this patient, what is immediately obvious is that she is suffering from a sexually transmitted infection (STI). There are many sexually transmitted infections that present with a genital ulcer. Some of them are quite common while others are rare. This is according to the epidemiological studies that have been done on the same. Amongst the possible conditions falling under sexually transmitted infections and causing or presenting with a genital ulcer are chancroid, syphilis, and genital herpes (Hammer & McPhee, 2014; Huether and McCance, 2017; Barrell, 2017). It is therefore these very same three sexually transmitted infectious conditions that form the differential diagnoses for this young woman. In order of importance and probability, genital herpes comes first followed by syphilis and then chancroid (Barrell, 2017; Huether & McCance, 2017). The most likely diagnosis for this woman is therefore genital herpes. Discussion week 4 womens Health Essay.This is the primary diagnosis. The first differential diagnosis is syphilis and then the second is chancroid. The reason why genital herpes is the most likely diagnosis for this young woman is because it has the highest prevalence among genital ulcer causing STIs (Barrell, 2017; Huether & McCance, 2017).
Genital herpes is the most common cause of genital sores in the United States (Barrell, 2017). It is caused by the herpes simplex virus which exists in two strains known as HSV-1 and HSV-2. For some reason, HSV-2 is more prevalent than HSV-1. In the United States alone, more than fifty million people have genital herpes. Ninety percent of these are carriers of the genital herpes. As a result, they show no symptoms at all. Genital herpes is not curable and one lives with it for life after contracting it. Usually, within two to four weeks the genital herpes ulcer in the genitalia heals by itself (Barrell, 2017). In her response to the history taking questions, the 19 year-old had said that the labial ulcer she had actually healed on its own. Syphilis is caused by the bacterium Treponema pallidum (Barrell, 2017; Huether & McCance, 2017). This is called primary syphilis. If it is not treated, it progresses later on to secondary syphilis which is dangerous for the level of morbidity. Lastly, chancroid is caused Haemophilus ducreyi (Barrell, 2017; Huether & McCance, 2017).Discussion week 4 womens Health Essay.
Treatment and Management
As has been mentioned above, these conditions can all be managed by pharmacotherapeutic agents that are readily available and approved for that use by the Food and Drug Administration or FDA. The sexually transmitted infection that is genital herpes ca not heal completely but can be successfully managed by taking these drugs. Thus the standard treatment of genital herpes is acyclovir (Zovirax). This treatment is taken orally at a dose of 400mg three times a day for ten days. If acyclovir is not available for whatever reason, famcyclovir (Famvir) is the next best option in treating the genital herpes (Barrell, 2017; Katzung, 2018). However, in the event that it turns out that it is syphilis, the standard recommended treatment is penicillin. For this, a single STAT dose of benzathine penicillin G is given. It is administerred at 2.4 mega units as a deep intramuscular injection (Barrell, 2017; Katzung, 2018). Lastly, if the ypung woman’s STI turned out to be chancroid, the treatment she would get would be ceftriaxone (Rocephin).Discussion week 4 womens Health Essay. This would be given as a single STAT dose of 250mg intramuscularly. But if ceftriaxone is unavailable, the next best option is ciprofloxacin (Cipro) (Barrell, 2017; Katzung, 2018). For this treatment to be effective, however, it has to be accompanied by by patient education on prevention. This is aimed at preventing transmission of the organisms that spread the STIs.
Patient Education on Sexually Transmitted Infections
These centre on putting up physical barriers to prevent the microbes from spreading from one person to another. The other modality these centre on is behavioral change on matters sex. Therefore, the particular measures are wearing a condom to bar spread from one person to another, wearing a condom even when the ulcer is not there, not engaging in sex at all (even with a condom) when the ulcer is present, and avoiding oral sex especially if lesions are present in the mouth (Barrell, 2017).Discussion week 4 womens Health Essay.
Place an order in 3 easy steps. Takes less than 5 mins.