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INFLAMMATORY DISORDERS (VULVITIS (CAUSES (diabetes, scabies or pubic lice,…
INFLAMMATORY DISORDERS
VULVITIS
CLINICAL MANIFESTATIONS
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- soreness, and thickened or white patches
- itching, redness, burning, and swelling
NURSING MANAGEMENT
- application of low dosage steroid ointment where prescribed
- perform sitz bath with 1:30 dilution of savlon at least twice a day
CAUSES
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- irritation caused by incontinence
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PATHOPHYSIOLOGY
- it is therefore prone to irritants
- irritants break the continuity of the skin
- where hygiene is poor, comes into contact with faecal matter
- infective organisms such as E.coli cause infection
- vulva is in constant contact with urine
DIAGNOSTIC TESTS
- skin scrapings in cases of dermatitis
- routine urinalysis, including MCS
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- blood tests, in the case of systemic conditions
DEFINITION
- An infection and inflammation of the vulva which is secondary to conditions such as diabetes mellitus and vaginitis.
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HEALTH EDUCATION
- advise patient to wear absorbent cotton underwear
- advise patient to drink plenty of water to dilute urine and reduce irritation
- emphasize the importance of wiping from front to back so that faecal matter is kept away from the vulva
- teach the patient about good personal hygiene and how to keep vulval area clean
CERVICITIS
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NURSING MANAGEMENT
- administer prescribed medication
- emphasise the importance of completing the course of antibiotics.
- encourage patient to contact their sexual partner to be put on treatment for STI's
- obtain a cervical pap smear
- assist patient in self-care especially in maintaining personal hygiene.
CLINICAL MENIFESTATIONS
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- cervix, on examination, is red and oedematous
- spotting or heavy blood stained mucopurulent vaginal discharge
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CAUSES
- unsafe sexual intercourse
- insertion of vaginal pessaries
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PATHOPHYSIOLOGY
- the normal vaginal epithelium cornifies, making it somewhat resistant to infectious agents.
- The endocervix is lined by columnar epithelium which is susceptible to infectious agents.
- Under the influence of estrogen,
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- depends on the etiological agent and the physiological state of the patient
DEFINITION
- An infection and inflammation of the cervix, caused by a variety of organisms introduced during sexual intercourse.
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REFERENCES
- Belleza M., Martin P., Paton F.,Saavdra S. M. & Wayne G. (2010), Nurselabs, viewed 09 August 2019, < https://nurseslabs.com >
- Dreyer A, Kharwa R, Moch S & Thandar Y. 2016, Pharmacology for nurses, 4th edition, Pearson South Africa (Pty) Ltd. Cape Town, pp.210-212
Chauke M. Matlakala M. Mogotlane S. Mokoena J. Young A. 2018. Juta's Complete Textbook of Medical-Surgical Nursing. 2nd Edition. Juta
