Nursing Diagnosis Knowledge deficit about Sexually transmitted diseases and their prevention and diagnosis related to lack

of access to correct information

Expected Outcome After 3 hours of nursing intervention, the patient will be able to: Verbslize inderstanding of sexually transmitted diseases, its prevention and diagnosis.

Nursing Intervention

Evaluation

Discharge Instruction

1.Assess readiness to learn and individual learning needs:

Ascertain level of knowledge about STDs and its prevention and diagnosis, including anticipatory needs. Determine clients ability/readiness and barriers to learning. Identify support persons/SO(s) requiring information.

Goal met. The patient was able to verbalize, Naintindihan ko gid sang

Medications
Explain

the rationale

for, side effects of, and importance of taking medications prescribed in the treatment of STDs (e.g. antiretroviral agents, antimicrobial agents,hematopoitic agents, anabolic agents, appetite stimulants). Inform client of pertinent food and drug interactions.
Implement

2. Determine other factors pertinent to the learning process: Determine blocks to learning. 3. Assess the clients/SOs motivation:
Identify motivating factors for the individual why he would be interested to learn about the topic. Provide information relevant only to the situation to prevent overload. 1. Explain mode of transmission, complications, and the risk for other STDs. 2. Teach about all STDs and their symptoms. 3. Explain the treatment regimen to patient and advise her of adverse effects. 4. Encourage abstinence, monogamy, or safer sex methods, such as female or male condom. 5. Stress the importance of follow-up examination and testing to eradication of infection. Ex. The use of saliva to diagnose HIV (explain about the procedure, implications, etc.)

maayu ang mga dapat ubrahun para makallikaw sa STDs pati ang pag gamit sang laway para ma detect ang HIV.

measures

to improve client compliance. Environmental Modifications

Encourage

the support

of significant others to support in any necessary home

6. Instruct client in ways to prevent spread of STDs to others: a. avoid multiple sexual partners and partners with risky sexual behaviors b. be honest with desired partner about HIV infection c. modify techniques so that both partners are protected from contact with body fluids d. avoid unsafe sexual practices (e.g. sharing sex toys; allowing ejaculate to come in contact with broken skin or mucous membranes; intercourse without a condom; any activity that could cause tears in lining of vagina, rectum, or penis; mouth contact with penis, vagina, or anal area) use the following guidelines in relation to condom use:

modifications they may need to make. Teachings

Encourage

questions

and allow time for reinforcement and clarification of information provided. Home Instructions
Provide

written

instructions regarding scheduled appointments with health care providers and laboratory, medications prescribed, signs and symptoms to report, and ways to prevent infection Outpatient Follow up
Reinforce

a. always use a condom during anal, vaginal, and oral penetration (condom should be applied prior to time a body orifice is entered because HIV is found in preseminal fluid) b. use condoms with a receptacle tip to reduce the risk of spillage of semen; if that type is unavailable, create a receptacle for ejaculate by pinching tip of condom as it is rolled on erect penis c.

lubricate outside of condom and area to be penetrated to minimize possibility of condom breakage d. hold condom at base of penis during withdrawal and use caution during removal of condom to prevent spillage of semen (penis should be withdrawn and condom removed before the penis has totally relaxed) e. dispose of condom immediately after use (a new one should be used for subsequent sexual activity) Provide positive reinforcement. Can encourage continuationof efforts. Avoid use of negative reinforcers

the

importance of keeping scheduled follow-up appointments for laboratory studies and

4. Establish priorities in conjunction with client:

Discuss clients perception of need. Relate information to clients personal desires/needs and values/beliefs so that client feels competent and respected.

with health care providers. Drug Interactions

Give

information and

precautions about any drug interactions. Social Support

Include

5. Facilitate learning:
Use short, simple sentences and concepts. Repeat and summarizeas needed. Use gestures and facial expressions that help convey meaning of information. Discuss one topic at a time; avoid giving too much information in one session. Provide written information/guidelines and self-learning modules for client to refer to as necessary. Reinforces learning process, allows client to proceed at own pace. Pace and time learning sessions and learning activities to individuals needs. Evaluate effectiveness of leaning activities with client. Begin with information the client already knows and move to what the client does not know, progressing from simple to complex. Can arouse interest/limit sense of being overwhelmed. Provide for feedback (positive reinforcement) and evaluation of learning/acquisition of skills.

significant

others in teaching sessions if possible.

Provide

information to

client and significant others about state and federally funded financial program and resources that can assist in adjustment to the diagnosis of AIDS and STDs.
Initiate

a referral if

indicated. 6. Promote wellness

Provide access information for contact person to answer questions/validate information post-discharge. Identify available community resources/support groups.