Pelvic Inflammatory Disease (1)
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Transcript of Pelvic Inflammatory Disease (1)
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Pelvic Infammatory
Disease
Members;
Markita WitterEshonna Smartt
Jamelle Herbert
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Jamelle Herbert
OBJECI!ES
Defne the term Pelvic Inammatory DiseaseState the Etiology o Pelvic Inammatory Disease
Identiy the Incidence o Pelvic Inammatory Disease
Explain the Pathophysiology o Pelvic Inammatory
DiseaseState the Clinical Maniestation o Pelvic InammatoryDisease
State the Complications o Pelvic Inammatory Disease
Identiy the Laboratory Investigations o PelvicInammatory Disease
Describe the Management o Pelvic InammatoryDisease !"rsing# Medical and S"rgical
$"tline a Care plan or a Patient %ith Pelvic Inammatory
Disease
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DE"I#IIO#
Pelvic Inammatory Disease is an inammatory disease o the
ascending pelvic organs incl"ding the "ter"s# allopian t"beand ovaries
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C$%SES
&he most common ca"se o Pelvic inammatory Disease are pyogenic'p"s prod"cing( organisms s"ch as)
*onococci
Chlamydia trachomatis
Staphylococci
E+l Coli
Streptococc"s
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&IS' "$CO&S
Sex"al activity at an age less than ,-years old
Choice o Contraceptive 'egI.D(
.se o /aginal do"ches
0istory o Sex"ally &ransmitted Inections
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I#CIDE#CE
&he incidence o pelvic inammatory disease is on the rise 1cc"raterates are "navailable beca"se PID is not a reportable disease
More than 2--#--- %omen become inertile each year as a res"lt oPelvic Inammatory Disease# and a large proportion o the ectopicpregnancies occ"rring each year is d"e to the conse3"ences o PelvicInammatory Disease
Each year 2million %omen experience an episode o ac"te PelvicInammatory Disease# %ith the rate o inection highest amongteenagers
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P$HOPH(SIO)O*(
in+ection occ,rs
Bacteria releases to-ins .he area becomesInfame/
In+ection s0rea/s to the cervi- an/ other0arts
$/hesions are +orme/ a1ainst the 2allso+ the ,ter,s
Bacteria is intro/,ce/ thro,1h the va1ina,0on se-,al interco,rse30oor hy1iene
Presentation o+ re/ness an/ increase/tem0erat,re
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C)I#IC$) M$#I"ES$IO#S
/aginal dischargeSevere pelvic and abdominal pain
4ever
Malaise
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COMP)IC$IO#S
Ectopic Pregnancy
Inertility
$ophoritis 'inammation o the $varies(
Endometritis'inammation o the Endometri"m(
Salphinigitis'Inammation o the allopian t"be(
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)$BO&$O&( I#!ESI*$IO#S
*ynaecologic ExaminationC"lt"re and Sensitivity test+to identiy the ca"sative microorganism
.nltrasonography+ done to disclose pelvic abscess and to r"le o"tectopic pregnancy
Laparoscopy+may reveal inammation# edema or hyperaemia o the
"terine t"b"les# or t"b"lar discharge and possibly generali5ed pelvicinvolvement abscess and scarring
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#%&SI#* M$#$*EME#
Monitor /ital signs paying special attention to temperat"re0ospitali5ation %ith complete 6ed 7est
1dminister I/ "ids as prescribed i patient appears dehydrated
Proper positioning o patient# semi o%lers
6road+Spectr"m 1ntibiotics and 1nalgesics are given as ordered by
physician&he !"rse minimises the transmission o inection
&he !"rse m"st ed"cate patient on %ays that %ill red"ce the spread oinection
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MEDIC$) M$#$*EME#
6road spectr"m antibiotics are mainly "sed or the treatment o PelvicInammatory disease
1dvise patient to ret"rn or assessment i her condition detiorartes andsymptoms contin"e
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S%&*IC$) M$#$*EME#
&he s"rgeon may insert a drain into an abscess# i present
&he s"rgeon also %o"ld remove any adhesions I the client does notrespond to conservative therapy# s"rgical removal o the "ter"s#"terine t"bes and ovaries may be necessary
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P$IE# E$CHI#*
I the inection ca"sed %as d"e to sex"alinterco"rse both partners are enco"raged tobe co"nselled# tested and treated
&he patient m"st be inormed o the need or
preca"tions and to prevent inecting othersand re+inecting hersel
Patient is enco"raged to abstain rom"nprotected sex %ith persons that are not %ell
8no%nPatient sho"ld be enco"raged to avoid do"ching
Patient sho"ld be enco"raged to havegynaecological examination at least once a
year
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#%&SI#* C$&E P)$#
$n 1ssessment
Patient came to the "nit cro"ching over complaining o1bdominal pain# 4ever o 2--294 and green and $dioro"s/aginal Discharge
!"rsing Diagnosis
Pain related to Inectio"s process
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#%&SI#* C$&E P)$#
*oal Intervention 7ationale
Patient 2ill sho2si1ns o+Decrease/In+ection 2ithin
4 2eek evi/entby /ro0 intem0erat,re to56789". relie+ o+ab/ominal 0ainan/ absence o+va1inal/ischar1e7
:Monitor !italsi1ns 0ayin1s0ecial attentionto em0erat,re7
:Enco,ra1e0atient to takebaths. o0en2in/o2s. takecool si0s o+ li,i/7
:Maintain semi<+o2lers 0osition7
:Obtain baseline/ata :In/icateschan1es in in+ectio,s0rocess7
:his hel0s toDecreasetem0erat,re an/maintainhomeostasis7
:his 2ill +acilitate/raina e o+ va inal
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#%&SI#* C$&E P)$#
*oal Intervention 7ationale
:$/ministeranal1esics an/$ntibiotics as0rescribe/7
:E/,cate 0atienton si1ns an/
sym0toms o+0elvicInfammatoryDisease7
:Hel0s to alleviate0ain an/ /ecreasethe in+ectio,s 0rocess
:his 2ill hel0 the0atient to i/enti+y
abnormal chan1esan/ take early0reca,tionarymeas,res to 0reventin+ection +rombecomin1 2orst7
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#%&SI#* C$&E P)$#
*oal Intervention 7ationale
:each 0atientabo,t thecorrect ,se o+
me/ication7
:E/,cate0atient o+ thecom0licationsthat mayarise7
:It Hel0s 0atient to,n/erstan/ the ,se o+ theme/ication at the ri1ht
time. an/ /osa1e as0rescribe/ by the /octor7
:his hel0s the 0atient tobe a2are o+ the in+ectio,s0rocess 2hich lea/s toin+ertility. ecto0ic0re1nancy an/ abscesses7 :$n/ also 0re0are her
0sycholo1ically +or
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E!$)%$IO#
1ter 2 %ee8 o n"rsingintervention the goal has been metas evident by the patient
demonstrating normal temperat"reo :;< 94# verbali5ing abdominalrelie and absence o vaginaldischarge and odo"r