Pelvic Inflammatory Disease (1)

8/17/2019 Pelvic Inflammatory Disease (1)

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Pelvic Infammatory

Disease

Members;

Markita WitterEshonna Smartt

Jamelle Herbert


2/20

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


3/20

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


5/20

&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


6/20

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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8/20

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


9/20

C)I#IC$) M$#I"ES$IO#S

/aginal dischargeSevere pelvic and abdominal pain

4ever

Malaise


10/20

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(


11/20

)$BO&$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


12/20

#%&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


13/20

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


14/20

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


15/20

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


16/20

#%&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


17/20

#%&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


18/20

#%&SI#* C$&E P)$#


:$/ministeranal1esics an/$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


19/20

#%&SI#* C$&E P)$#


: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

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Pelvic Inflammatory Disease (1)