Question

Community Case: STIs and Older Adults Case Part 1 The state health department reports that there has been a dramatic increase in s ually transmitted infections (STIS), especially gonorrhea and HIV, in select populations within the state. A population of particular concern with a notably increased incidence of STIs is the Sunny Side Retirement Community, which had 15 newly diagnosed cases last month. Sunny Side offers numerous amenities and recreation activities for more affluent retirees who choseto retire in a warmer climate. Rence, an advanced registered nurse practitioner, is employed in the federally qualified health center and provides primary care services to residents. Within the past few weeks, several women have sought care for urgency, frequency, and sometimes discomfort with urination along with vaginal and perineal itching and drainage. Today, Luanne Barton arrives in the office with similar symptoms Questions for students 1. What is your initial diagnosis based on the symptoms reported by Luanne Barton? 2 How can the nurse initiate a conversation with Luanne regarding her security 3. Describe risk factors among older individuals for being exposed to an STI

Answer 1

1.Gonorrhea is the diagnosis based on the symptoms.

2.Conversation has to be started just like casual talk by asking about non threatening subjects like eating habits etc. Then share some facts about prevalance of gonorrhea or ant other STD. Address the patient as 'we're rather than 'u'. Then while asking casual questions in comfortable way gradually move to questions regarding her sexuality.

3.The risk factors for STI in older individuals are:

a) Decreases immunity

b) sexual changes associated with aging. ( it also increases the risk of developing genital malignancies).

c) less use of protective methods like condoms.

d) psychological changes.