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Trichomoniasis Treatment And Care Assignment Paper

Trichomoniasis Treatment And Care Assignment Paper

PICK DIAGNOSIS BUT MUST BE RELATED TO WOMEN’S HEALTH

Differential Diagnoses (3 minimum)
Primary Diagnoses
Plan (For each primary diagnosis, include laboratory/diagnostic tests,
therapeutic/pharmacological therapy, referrals, and follow-up ordered and patient education done
for this visit)
Diagnoses
Laboratory/Diagnostic Studies
Therapeutic (Non-pharmacological interventions) Trichomoniasis Treatment And Care Assignment Paper
Pharmacological Therapy
Patient Education/Anticipatory Guidance

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Referrals
Follow up

RUBRIC

DIAGNOSIS
Includes a clear outline of the accurate
principal diagnosis AND lists the remaining
diagnoses addressed at the visit (in
descending priority)
DIFFERENTIAL DIAGNOSIS
Includes at least 3 differential diagnoses for
the principal diagnosis- no elaboration needed just ICD.10 Code
PHARMOCOLOGICAL TREATMENT PLAN
Includes a detailed pharmacologic treatment
plan for each of the diagnoses listed under
assessments. The plan includes ALL of
the following: drug name, dose, route,
frequency, duration and cost as well as
education related to pharmacologic agent. If
the diagnosis is a chronic problem, student
includes instructions on currently prescribed
medications as above. Trichomoniasis Treatment And Care Assignment Paper
DIAGNOSTIC LAB/TESTING
Includes appropriate diagnostic/lab testing
100% of the time OR acknowledges “no
diagnostic testing clinically required at this
time”
EDUCATION
Includes at least 3 strategies to promote and
develop skills for managing their illness and
at least 3 self-management methods on how
to incorporate healthy behaviors into their
lives.
ANTICIPATORY GUIDELINES
Includes at least 3 primary prevention
strategies (related to age/condition (i.e.
immunizations, pediatric and pre-natal
milestone anticipatory guidance)) and at
least 2 secondary prevention strategies
(related to age/condition (i.e. screening))
FOLLOW UP PLANS
Includes recommendation for follow up,
including time frame (i.e. x # of
days/weeks/months

Women’s Health

Diagnosis

Trichomoniasis (ICD-10 code: A59.9)

Differential Diagnoses

  1. Bacterial vaginosis (ICD-10 code: A28.8)
  2. Vaginitis (ICD-10 code: N76.0)
  • Candidiasis (ICD-10 code: B37.31) Trichomoniasis Treatment And Care Assignment Paper

Plan for Pharmacological Therapy

  • For trichomoniasis: A single dose of metronidazole (Flagyl) or tinidazole 2 g stat (CDC, 2021a; Kissinger, 2019).
  • For bacterial vaginosis: Metronidazole (Flagyl) 500 mg orally 2 times/day for 7 days (CDC, 2021b).
  • For vaginitis: Metronidazole (Flagyl) 500 mg orally 2 times/day for 7 days (CDC, 2021b).
  • For candidiasis: Clotrimazole1% cream 5 g intravaginally daily for 14 days; OR Fluconazole 150 mg orally in a single dose (CDC, 2021c).

Laboratory/ Diagnostic Studies

  1. A vaginal pH test to distinguish between the presence of vaginalis (grows in an alkaline environment) and Gardnerella vaginalis.
  2. A PCR assay to identify with conviction the presence of vaginalis.
  3. A whiff test to confirm the “fishy odor” characteristic of trichomoniasis.
  5. A complete blood count with differentials (Hammer & McPhee, 2018)Trichomoniasis Treatment And Care Assignment Paper.

Therapeutic/ Nonpharmacological Interventions

  • Do not use soap only rinse with water to clean the vagina.
  • Soaking in a warm bath.
  • Drying thoroughly after washing by patting.
  • Do not use hygiene sprays, fragrances, or powders in the genital area.
  • Use pads and avoid tampons while having an infection.
  • Those with diabetes to keep their blood sugar levels under good control.

Patient Education and Anticipatory Guidance

  • Practicing safe sex (using a condom).
  • Remaining faithful to one partner.
  • Regular disinfection of sex toys.
  • Avoid using multiple douching products.
  • Getting medical help immediately after symptoms like foul smelling discharge are seen.
  • Getting your partner treated as well (Chertoff, 2019)Trichomoniasis Treatment And Care Assignment Paper.

Referrals

  • For surgery if complications such as infertility suspected.

Follow Up

References

Centers for Disease Control and Prevention [CDC] (July 22, 2021a). Trichomoniasis treatment and care. https://www.cdc.gov/std/trichomonas/treatment.htm#:~:text=Trichomoniasis%20Treatment%20and%20Care,-Trichomoniasis%20can%20be

Centers for Disease Control and Prevention [CDC] (July 22, 2021b). Bacterial vaginosis. https://www.cdc.gov/std/treatment-guidelines/bv.htm

Centers for Disease Control and Prevention [CDC] (July 22, 2021c). Vulvovaginal candidiasis. https://www.cdc.gov/std/treatment-guidelines/candidiasis.htm

Chertoff, J. (July 30, 2019). What you need to know if your vagina has a fishy odor. Healthline. https://www.healthline.com/health/vaginal-health/what-you-need-to-know-if-your-vagina-has-a-fishy-odor

Hammer, D.G., & McPhee, S.J. (Eds). (2018). Pathophysiology of disease: An introduction to clinical medicine, 8th ed. McGraw-Hill Education.

Kissinger, P. (2019). Epidemiology and treatment of Trichomoniasis. Current Infectious Disease Reports, 17(6), 1-9. https://doi.org/10.1007/s11908-015-0484-7 Trichomoniasis Treatment And Care Assignment Paper