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Sexually transmitted infections 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. 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.

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: 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 a 31 year old african american female is concerned about a white vaginal discharge. She has self treated in the past with over the counter vaginal creams with some success. A 21 year old nulligravida comes to see you concerned about vague lower abdominal pain for two days associated with a yellowish, nonodorous, vaginal discharge.

Past history reveals regular menstrual periods and no previous surgeries or significant medical problems. She had a similar episode about eight months ago for which she did not seek care because of lack of health insurance. She is currently sexually active with one partner and has had two partners in the past year. On physical exam you note a temperature of 38º c, a regular pulse of 100, and a bp of 110/65. Pelvic exam reveals a yellowish cervical discharge with cervical motion tenderness and a tender review chapter 21 of the schuiling and likis text and the centers for disease control and prevention article in this week’s learning resources. Consider a differential diagnosis for the patient in the case study you selected. Be sure to consider appropriate dosages for any recommended pharmacologic and/or nonpharmacologic treatments.

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Consider strategies for educating patients on the treatment and management of the sexually transmitted infection you identified as your primary diagnosis. Discuss 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 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. 209–225 this chapter explores components of female sexuality, including sexual desire, sexual response, and women’s views of themselves in society. 467–483 this chapter identifies strategies for assessing, diagnosing, and managing patients experiencing gynecologic infections. It also provides recommendations for treating gynecologic infections, including alternative treatments for pregnant women. 485–533 this chapter describes strategies for preventing, identifying, and managing patients with sexually transmitted infections stis. It explores common stis, such as hpv, hiv, syphilis, and gonorrhea, and identifies risk factors associated with these conditions.

Burlington, ma: jones amp amp bartlett chapter 7, care of the woman with reproductive health problems care of the woman with an abnormal pap smear pp. 3–341 this section examines management strategies for abnormal pap smears, focusing on the implementation of evidence based guidelines. It also describes the roles that physical examinations and diagnostics play in treatment and management decisions. 344–347 this section identifies the presentation and incidence of bacterial vaginosis and provides strategies for diagnosing and treating this infection.

352–354 this section describes the presentation and impact of chlamydia on women. Chlamydia screenings and strategies for diagnosis and treatment are also examined. 378–381 this section explains the presentation of gonorrhea and its association with chlamydial infections. It also presents strategies for diagnosing and treating patients care of the woman with hepatitis pp.

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381–385 this section identifies the five primary types of hepatitis infections, including appropriate treatment options and recommended follow up care. 385–388 this section examines the herpes simplex virus, including transmission of the condition, special considerations for pregnant women, and recommended treatment and care of the woman with human immunodeficiency virus pp. 389–393 this section explores hiv, transmission of the condition, diagnosis, long term treatment, and implications for women. It also describes the potential impact of the condition on pregnant women and their newborns. It also identifies screening tests for hpv as well as clinical management guidelines for hpv care of the woman with parasitic infestation pp. 399–402 this section explains difficulties of treating and preventing parasitic infestations, including lice and scabies.

It also presents treatment options for managing this condition, as well as special considerations for pregnant women and their newborns. 421–424 this section explores the presentation, impact, and treatment of trichomoniasis on women. It also identifies follow up care guidelines for patients with this care of the woman with vulvovaginal candidiasis pp. 424–427 this section examines the prevalence of vulvovaginal candidiasis, as well as factors that may contribute to a diagnosis of this condition. Retrieved from this article provides guidelines for treating patients with sexually transmitted diseases, including hiv, syphilis, chlamydia, and hpv. The care of special populations students are searching: write my paper for me more than ever before.