性傳播疾病的社區(qū)護(hù)理課件

1、性傳播疾病的社區(qū)護(hù)理community nursing of sexually transmitted diseases(STDs)性傳播疾病的社區(qū)護(hù)理community nursing of sexually transmitted diseases(STDs)一般護(hù)理心理護(hù)理減少刺激觀察病情消毒與隔離污染物品消毒一次性用品消毒醫(yī)護(hù)人員的保護(hù)疫情報(bào)告與管理報(bào)告住院隔離治療、接受正規(guī)治療監(jiān)測(cè)與統(tǒng)計(jì)托幼機(jī)構(gòu)病人接受隔離治療禁止成為供血員淋病病人治愈標(biāo)準(zhǔn)梅毒病人復(fù)查預(yù)防措施一級(jí)預(yù)防：健康人群完善性病防治管理?xiàng)l例廣泛宣傳性傳播疾病的危害與預(yù)防知識(shí)嚴(yán)格管理血源及血制品的使用注意性衛(wèi)生高危人群的定期檢查

2、和監(jiān)測(cè)二級(jí)預(yù)防：早期發(fā)現(xiàn)性病病人三級(jí)預(yù)防：性病病人早期治療、預(yù)防并發(fā)癥和不良后果Nurses role in providing preventive careCounselorEducatorAdvocateCase managerPrimary care provider Primary preventionPrimary prevention consists mainly of activities to keep people healthy before the onset of disease.Provide community education about preventio

3、n of communicable diseases to well populationVaccinate for hepatitis A virus (HAV) or hepatitis B virus (HBV)Provide community outreach to education and needle exchangeassessmentInformation include:The types of relationshipsThe number of sexual partners and encountersThe types of sexual behaviors pr

4、acticed Secondary PreventionInclude screening for diseases to ensure their early identification, treatment, and follow-up with contacts to prevent further spreadTest and counsel for HIVNotify partners and trace contactsTesting and counseling for HIVHIV test counselingPretest counselingPosttest couns

5、elingPartner notification/contact tracingWho should be advised to receive HIV testing and counseling?The following clients, regardless of setting prevalence or behavioral or clinical riskAll pregnant women All client with possible acute occupational exposure All client with known sexual or needle-sh

6、aring exposure an HIV-infected personWhat is the responsibilities of persons who are HIV infected ?Inform sexual or injection drug-using partners of the potential exposure to HIV, or arrange for notification through the health department Inform health care providers of the HIV infection Consider the

7、 risk of perinatal transmission and follow up with contraceptive useTertiary preventionApply to many of the chronic viral STDs Monitoring physical status and referring the family to additional care services for maintaining the client in the homeTeaching families about managing symptomatic illness by

8、 preventing deteriorating condition Ensure that client have adequate service to meet their needsFunding resources Maintaining infection control standardsReducing risk behaviorsIdentifying sources of respite care for caretakerReferring clients for home or hospice carePractice Application Yvonne Jacks

9、on is a 20-year-old woman who visit the Hopetown City Health Departments maternity clinic. Examination reveals she is at 14 weeks gestation. She is single but has been in a steady relationship for the past 6months with Phil. She states that she has no other children. The HIV test taken is a routine

10、test taken during the initial prenatal visit. The result are positive.Practice ApplicationYvonne is shocked and emotionally distraught about the positive test results. Understanding that Yvonne will not be able to concentrate on all of the questions and information that need to be covered the nurse prioritizes essential information to obtain and provide during this visit. 1.List the relevant factors to consider on the basis of this information.2.What questions do you need to ask with regar