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NCP-2-SYPHILIS

The nursing care plan addresses a 24-year-old female patient diagnosed with syphilis, presenting with genital and oral chancres. The plan includes assessments, nursing diagnoses, goals, and interventions aimed at educating the patient about infection transmission, promoting abstinence, and ensuring understanding of safe sex practices. Evaluation indicates that some short-term goals were met, while others were partially met, highlighting the need for continued education and support.

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Charisse jasmine Dela cruz
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7 views3 pages

NCP-2-SYPHILIS

The nursing care plan addresses a 24-year-old female patient diagnosed with syphilis, presenting with genital and oral chancres. The plan includes assessments, nursing diagnoses, goals, and interventions aimed at educating the patient about infection transmission, promoting abstinence, and ensuring understanding of safe sex practices. Evaluation indicates that some short-term goals were met, while others were partially met, highlighting the need for continued education and support.

Uploaded by

Charisse jasmine Dela cruz
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Bulacan State University

COLLEGE OF NURSING
City of Malolos, Bulacan

NURSING CARE PLAN

Patient’s Initial: X.X.X. Age: 24 Gender: F Date Handled: March 26, 2024
Medical Diagnosis: Syphilis Clinical Area:R.De.C. Galvez Medical Center
Chief Complaint: The client complains of having presence of chancre on her genitals and mouth.

Assessment Nursing Diagnosis Planning Intervention Rationale Evaluation

Subjective: Infection Transmission Short-Term Goal: Independent Independent: Short-Term Goal:


“Sa loob ng isang linggo, related to multiple sexual After 1 hour of nursing 1. Identify signs and 1. Timely After 1 hour of nursing
tatlong tao na yung naka- partners and unprotected interventions, the client symptoms of intervention may interventions, the goals
sex ko”, as verbalized by sexual intercourse will be able to: infection. prevent were:
the client. - Understand her complications. Met
condition and Partially Met
Objective: possible further 2. Discuss 2. To enhance Unmet
- Presence of complications of importance of likelihood of a
chancre on the infection. prompt reporting positive outcome. As evidenced by:
genitals and - Verbalize that she to healthcare - The client
mouth. will abstain from provider. understood her
- Fever sexual contact condition and
- Sore throat with her partners 3. Obtain 3. Multiple sexual possible further
- Body malaise until her infection information partners of complications of
- Fatigue is healed to regarding client’s intercourse the infection.
prevent disease past and present increase risk of - The client
Vital Signs: transmission. sexual partners exposure to STDs verbalized that she
BP: 130/90 - Verbalize and exposure to and HIV/AIDS. will abstain from
RR: 19 understanding of any STDs. sexual contact
PR: 106 causative factors with her partners
Temp: 37.9 C and appropriate 4. Discuss mode of 4. Provides until her infection
interventions. transmission of information to is healed to
- Verbalize ways on specific infection assist the client in prevent disease
how to prevent as appropriate. making decision transmission.
acquired sexually related to lifestyle - The client
transmitted or behavioral verbalized
diseases. changes. understanding of
- Review techniques causative factors
and lifestyle 5. Educate the client 5. To ensure and appropriate
changes to reduce on safe sex prevention of interventions.
risk of infection practice. acquiring the - The client
transmission. infection again. verbalized ways
on how to prevent
Long-Term Goal: Dependent: Dependent: acquired sexually
After 7 days of nursing - Administer - It helps the client transmitted
interventions, the client medication as to treat or reduce diseases.
will be able to: prescribed by the risk for infection - The client
- Maintain doctor. and complication. reviewed
abstinence for the techniques and
prevention of lifestyle changes to
transmission of reduce risk of
infection. infection
transmission.

Long-Term Goal:
After 4 hours of nursing
interventions, the goals
were:
Met
Partially Met
Unmet

As evidenced by:
- The client
maintained
abstinence for the
prevention of
transmission of
infection.

Student’s Name: DELA CRUZ, CHARISSE JASMINE S. Yr&Sec/Group No. BSN 2A/ GROUP 3

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