性传播疾病的社区护理课件

1、性传播疾病的社区护理community nursing of sexually transmitted diseases(STDs)性传播疾病的社区护理community nursing of sexually transmitted diseases(STDs)一般护理心理护理减少刺激观察病情消毒与隔离污染物品消毒一次性用品消毒医护人员的保护疫情报告与管理报告住院隔离治疗、接受正规治疗监测与统计托幼机构病人接受隔离治疗禁止成为供血员淋病病人治愈标准梅毒病人复查预防措施一级预防：健康人群完善性病防治管理条例广泛宣传性传播疾病的危害与预防知识严格管理血源及血制品的使用注意性卫生高危人群的定期检查

2、和监测二级预防：早期发现性病病人三级预防：性病病人早期治疗、预防并发症和不良后果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