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condyloma acuminata

condyloma acuminata

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Published by yhanne
a case study

For anyone's wishing to download my files just look for me in friendster and facebook.. I don't open this account very often.. jst look for satchuna.. thanks..
a case study

For anyone's wishing to download my files just look for me in friendster and facebook.. I don't open this account very often.. jst look for satchuna.. thanks..

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Published by: yhanne on Sep 11, 2008
Copyright:Attribution Non-commercial

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09/29/2012

 
I.INTRODUCTIONCondyloma acuminata refer to all epidermal manifestation attributed toepidermotropic vulvar papilloma virus. Condyloma acuminata are also referred to asvenereal warts, genital warts and papilloma acuminatum. Approximately 90% of thecases of condyloma acuminata are related to HPV 6 and 11. These 2 types are benignand/or the least likely to have neoplastic potential. Certain types such as HPV 33, 35,39, 40, 43, 45, 51-56, 58, have moderate potential for neoplastic conversion,
 
andsome have high potential for dysplasia such as HPV type 16 and 18. Condylomaacuminata is a sexually transmitted disease. It is manifested by the presence of wartsin the vulvar, genital, and anal area. If left untreated in pregnant women, it couldcause complication to the baby because the warts could be propagated to the airway passages of the child. Even if the disease is treated initially, it has a high chance of recurrence.In the hospitals we were affiliated, condyloma acuminata cases are verylimited. In the first week of our exposure in Jose B Lingad Memorial RegionalHospital (JBLMRH), we were given a chance to handle a case of condylomaacuminata. We chose the disease for our study for several reasons. First, cases of thiskind of venereal disease are very rare. Although we had encountered other types of sexually transmitted disease such as syphilis and gonorrhea in our previous exposure,we never encountered such derange this kind of manifestations. Second, because of the limited cases, we do not have much knowledge about the disease, and thecuriosity that we had motivated us to conduct a case study regarding the ailment.Lastly, we chose condyloma acuminata because of the increasing number of cases of sexually transmitted diseases.In the United States of America, annual cases of condyloma acuminata is 1%.Prevalence had reported to exceed 50%. Health experts estimate there are more casesof genital HPV infection than any other STI in the United States. According to theAmerican Social Health Association, approximately 5.5 million new cases of sexuallytransmitted HPV infections are reported every year. At least 20 million people in thiscountry are already infected.
 
In this study, we are to deal with the pathophysiology of condylomaacuminata, the interpretation of abnormal results based on the diagnostic andlaboratory procedures done to the patient. We will also deal with the appropriateinterventions, nursing diagnosis for clients with the said disease condition, thesuggested medical and surgical management including the diet, exercise, andmedication we are to administer when caring for the patient. This case study warrantsto widen our knowledge of the occurrence of the specific disease. It will also assistus in developing our clinical and academic competence by giving us a new array of knowledge about nursing interventions, and responsibilities appropriate for clientshaving, not only condyloma acuminata, but other STD’s as well. The study will alsoenable us to enhance our resourcefulness as nurses, and our critical thinkingconsidering the limited client information that are available and presented. It willalso help us develop our leadership skills and the flexibility that we have if we are presented with different unexpected situations by widening our knowledge anddeveloping our nursing judgment. Most importantly, this study will enable us toshow and evaluate the effectiveness and productiveness that we have as studentnurses in applying preventive, curative, and rehabilitative measures for the patientwith this disease.
 
II.NURSING ASSESSMENT1.Personal Dataa. Demographic DataMs JS is a 29 year old female Filipino patient. She was bornon December 28, 1976 in their home at Paligui Apalit, Pampanga. Her parentsare Mr. Leonardo Santos and Mrs. Melisa Santos. She is the 5
th
child in thefamily of 12 children. Years back, she was living together with Mr. AlfredOcampo. They were able to raise a family of 6 children even though they areunmarried. Their eldest child is 12 years old and youngest are the twinswherein one of the twins died on the date of July 18, 2006. Due to anundelivered baby boy in transverse lie (one of the twins) she was brought/rushed to Jose B Lingad Memorial Regional Hospital (JBLMRH) on the samedate (July 18, 2006) with a hospital number of 149044.. b.Socio-economic and cultural factorsA year ago, Ms JS is employed in a school canteen earning aboutP120 per day. Her partner is a jeepney driver and is earning P300/day. In onemonth, they earn estimately P12, 600. Their monthly earnings is not beingconsumed only for food and daily needs. A portion of the income is meant for their monthly bills (electricity and water) and a portion for other necessitiessuch as replacement for damage parts of their jeepney and mostly payment for their rented apartment in Apalit Pampanga. When it comes to dietary habits,the patient is fond of eating salty foods. They occasionally eat meat and preserved foods, in most cases of family financial crisis they simply eat ricewith soysouce and salt. She is also fond of drinking coffee at least 3 cups per day and is able to consume the required 8-10 glasses of water/day.She alsosmokes at least1pack a day.Ms JS also believe in some superstitions and sayings, she does nottake a bath or shower during her menstrual period believing that doing socould lead to insanity. After performing sexual intercourse, she does not take

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