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Related Concept Videos

Nursing Diagnosis01:22

Nursing Diagnosis

4.2K
Following assessment, a nursing diagnosis is the next step in the nursing process. It begins after the nurse has collected and recorded the patient data. The purpose of diagnosing is to identify how the client responds to actual or potential health processes, identify factors that bestow or that cause health problems, the etiologies, and identify resources or strengths the individual, group, or community can draw on to prevent or resolve problems.
The nursing diagnosis focuses on evidence-based...
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Formulating and Validating Nursing Diagnosis I01:26

Formulating and Validating Nursing Diagnosis I

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A nursing diagnosis is written when the nurse recognizes a cluster of essential patient data indicating health problems treated with independent nursing interventions. The standardized terminologies of a nursing diagnosis help nurses identify and treat patients' problems. Every electronic health record that uses nursing diagnosis must employ standard diagnostic terminology. Developing an efficient, individualized care plan begins with accurate nursing diagnoses.
There are thirteen domains...
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Documentation of Nursing Diagnosis01:10

Documentation of Nursing Diagnosis

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The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
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Formulating and Validating Nursing Diagnosis II01:25

Formulating and Validating Nursing Diagnosis II

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Nursing diagnoses represent a problem validated by major defining characteristics. There are four categories of nursing diagnoses: problem-focused, risk, health promotion or wellness, and syndrome. The anatomy of a nursing diagnosis includes three components: problem statement or diagnostic label, defining characteristics, and related factors.
Risk nursing diagnoses represent clinical judgments of an individual, family, or community more vulnerable to developing the health problem than others...
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Diabetes: Symptoms, Diagnosis, and Complications01:15

Diabetes: Symptoms, Diagnosis, and Complications

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For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
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Role of Communication in the Nursing Process I: Assessment and Diagnosis01:25

Role of Communication in the Nursing Process I: Assessment and Diagnosis

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The nursing process uses scientific reasoning, problem-solving, and critical thinking to guide nurses in providing patients with appropriate care. This process is a systematic approach to recognize, avoid, and treat current or potential health issues while promoting the patient's well-being.
The nursing process considers the patient's emotional and physical well-being. The process can be repeated or stopped at any point if judged essential. Assessment is the first step in the nursing...
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Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
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Vaginitis: Diagnosis and Treatment.

Heather L Paladine1, Urmi A Desai1

  • 1Columbia University Irving Medical Center, New York, NY, USA.

American Family Physician
|April 20, 2018
PubMed
Summary

Vaginitis, characterized by abnormal vaginal discharge and irritation, is most commonly caused by bacterial vaginosis, yeast infections, and trichomoniasis. Diagnosis involves symptoms, exams, and lab tests, with treatments tailored to the specific cause.

Area of Science:

  • Gynecology
  • Infectious Diseases
  • Women's Health

Background:

  • Vaginitis encompasses conditions causing abnormal vaginal discharge, odor, irritation, itching, or burning.
  • The primary causes are bacterial vaginosis (40-50%), vulvovaginal candidiasis (20-25%), and trichomoniasis (15-20%), with noninfectious causes less common (5-10%).

Purpose of the Study:

  • To provide a comprehensive overview of vaginitis diagnosis and treatment.
  • To highlight the prevalence and diagnostic standards for common vaginitis etiologies.

Main Methods:

  • Diagnosis integrates patient symptoms, physical examination, and laboratory tests.
  • Bacterial vaginosis diagnosis utilizes Amsel criteria or Gram stain; newer tests include DNA detection.
  • Vulvovaginal candidiasis diagnosis involves microscopy and DNA probes; cultures aid in complicated cases.

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Protocols for Vaginal Inoculation and Sample Collection in the Experimental Mouse Model of Candida vaginitis
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  • Trichomoniasis diagnosis is recommended via nucleic acid amplification testing for symptomatic or high-risk women.

    • Main Results:

    • Bacterial vaginosis is treated with oral or intravaginal metronidazole or clindamycin.
    • Vulvovaginal candidiasis treatment includes oral fluconazole or topical azoles, with topical agents preferred in pregnancy.
    • Trichomoniasis requires oral metronidazole or tinidazole for both the patient and sexual partners.
    • Noninfectious vaginitis management targets the underlying cause, potentially using hormonal or topical therapies.

    Conclusions:

    • Accurate diagnosis of vaginitis is crucial for effective treatment.
    • Treatment strategies vary significantly based on the identified cause of vaginitis.
    • Addressing all affected partners is essential for managing infectious vaginitis like trichomoniasis.