Pelvic Inflammatory Disease ( please fill every box thank you!)
Alterations in health : It is an infection in the female reproductive system. This includes Fallopian tube, ovary , uterus and cervix.
Pathophysiology related to client problem :
Due to the risk factors, bacteria enters into vagina, then cause infection _ then the infection spreads to other parts of the reproductive system.
Risk factors :
STD, gonorrhea, chlamydia, having a past history of PID, sex with multiple partners, early sex, douching, use of IUDs , sex without a condom.
Expected findings :
Fever, pain in lower abdomen , foul smelling vaginal discharge, pain in upper abdomen sometimes, painful sex, painful urination, irregular bleeding, tiredness, vomiting.
Laboratory test :
Complete blood count, blood cultures, pelvic examination, cervical culture to find the organism, urine culture.
Diagnostic procedure :
Pelvic ultrasound, cervical biopsy, endometrial biopsy, laproscopy.
Medications :For symptomatic management, provide antipyretics, analgesics, antiemetics etc.
Antibiotic is the definitive management of PID.
Therapeutic procedures :
Cervical biopsy, surgery is needed if the infectious abscess ruptures.
Nursing care:
#Provide symptomatic care.
#Encourage the treatment of partner.
#Educate the importance of condom.
#Ask to avoid vaginal douching.
Client education:
#Avoid multiple sexual partners
#Male partners should get treatment if the women is suffering from PID
#Avoid vaginal douching
#Wash from front to back after toileting.
#Use of condoms using intercourse.
#Get tested for STI 's
Complications :
1. Infertility
2. Sepsis
3. Ectopic pregnancy
4. Chronic pelvic pain
Interprofessional care :
Need for counseling the partners -counsellors
If any inferunity, infertility care.
Health promotion and disease prevention :
1. Follow safe sex practice
2. Early identification of disease
3. Complete the course of prescribed antibiotics
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