Nursing Care Plan for Gonorrhea
Gonorrhea is an infectious disease caused by Neisseria gonorrhea are transmitted through sexual intercourse either with genito-genital, oro-genital, ano-genital. This disease infects the inner lining of the urethra, cervix, rectum, throat, and conjunctiva.
Gonorrhea can spread through the bloodstream to other parts of the body, especially the skin and joints. In women, gonorrhea can spread to infect the genital tract and mucous in the pelvis, causing pelvic pain and reproductive problems.
The exact cause of gonorrhea is a bacterial disease that are pathogenic Neisseria gonorrhea.
The most easily infected mucosa is an area with a layer of flattened epithelial kuboid or undeveloped in female puberty yet.
In men:
- The early symptoms of gonorrhea usually appear within 2-7 days after infection
- Symptoms begin as malaise followed by pain in the urethra when urinating.
- Dysuria that arise suddenly, feeling urination accompanied by mucoid discharge from the urethra.
- Urinary retention caused by prostate inflammation.
- Discharge of pus from the penis.
In women:
- Early symptoms usually appear within 7-21 days after infection.
- Patients often experience symptoms for several weeks or months (asymptomatic).
- If symptoms develop, usually mild. However, some patients showed severe symptoms such as urgency to urinate.
- Pain when urinating.
- Discharge from the vagina.
- Fever.
- The infection can affect the cervix, uterus, ovaries, urethra, and rectum and cause pain in the hip when having sex.
5 Gonorrhea Nursing Diagnosis and Interventions
1. Acute pain related to the reaction of infection
Purpose:
- After nursing actions, the client will:
- Identifying the causes
- Using the methods of prevention of non-analgesic to relieve pain
- Using analgesics as needed
- Reported pain was controlled
Intervention:
- Examine in a comprehensive pain include location, characteristics, and onset, duration, frequency, quality, intensity / severity of pain, and precipitation factors.
- Observation of non-verbal cues of discomfort, especially the inability to communicate effectively.
- Use therapeutic communication so that the client can express pain.
- Provide support to clients and families.
- Control of environmental factors that can affect the client's response to discomfort (ex.: room temperature, irradiation, etc.)
- Teach the use of non-pharmacologic techniques (ex.: relaxation, guided imagery, music therapy, distraction, application of heat and cold, massage, hypnosis, therapeutic activity)
- Give analgesics as directed.
- Increase sleep or rest.
- Evaluate the effectiveness of the measures that have been used to control pain.
2. Hyperthermia related to inflammatory reactions
Purpose:
- After nursing actions, the client will:
- The temperature in the normal range
- Pulse and respiration within the normal range
- No skin discoloration and no headache
Intervention:
- Monitor vital sign.
- Monitor the temperature at least 2 hours.
- Monitor color.
- Increase intake of fluids and nutrients.
- Cover the client to prevent loss of body heat.
- Compress clients in the groin and axilla.
- Give antipyretics as needed.
3 Impaired Urinary Elimination related to the inflammatory process
Purpose:
- After nursing actions, the client will:
- Urine will be a continent
- Elimination of urine would not be disturbed: the smell, the number, color of urine within expected ranges and urine output without pain.
Intervention:
- Monitor urine elimination include: frequency, consistency, odor, volume, and color appropriately.
- Refer to urologist if the cause of acute discovered.
4 Anxiety related to the disease
Purpose:
- After nursing actions, the client will:
- No signs of anxiety
- Reported a decrease in the duration and episodes of anxiety
- Reporting needs adequate sleep
- Demonstrate flexibility role
Intervention:
- Assess the level of anxiety and physical reactions to high levels of anxiety (tachycardia, takipneu, non-verbal expressions of anxiety).
- Accompany clients to support the anxiety and fear.
- Instruct client to use relaxation techniques.
- Give medication to reduce anxiety in a proper way.
- Provide current information on the diagnosis, treatment, and prognosis.
5 Low self-esteem related to disease
Purpose:
- After nursing actions, the client will express a positive outlook for the future and resume previous level of functioning, with indicators:
- Identifying the positive aspects of self.
- Analyze own behavior and its consequences.
- Identify ways to use and control affect the results.
Intervention:
- Assist individuals in identifying and expressing feelings.
- Encourage clients to envision the future and the positive outcomes of life.
- Strengthen skills and positive character traits (eg, hobbies, skills, appearance, occupation).
- Help clients receive positive and negative feelings.
- Assist in identifying their own responsibility and control of the situation.
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