Discharge And Home Healthcare Guidelines

TEACHING. Explain any procedures such as wound care or skin care that need to be continued at home. If the patient has had internal radiation therapy, teach her to use a stent or dilator to prevent vaginal stenosis; sexual intercourse also prevents vaginal stenosis. Teach the patient any limitations on the resumption of sexual activity or activity such as lifting or driving. Emphasize the importance of follow up visits, which may include procedures such as x-rays, computed tomography (CT) scans, ultrasound (US), or magnetic resonance imaging (MRI). If the patient had vaginal reconstruction, teach her about the need for using a lubricant during sexual intercourse. Also inform her that, owing to neural pathways, she may feel as if her thigh is being stroked during intercourse.

COMPLICATIONS. Teach the woman with VC to report any further vaginal bleeding or signs of infection (fever, poor wound healing, fatigue, drainage with an odor).

COPING. Discuss helpful coping patterns with the patient if this was not done previously. Encourage her to be open about her concerns and needs with her family and friends. Provide her with a referral to the American Cancer Society if appropriate.

PREVENTION. Teach teenage and preteenage girls who have been exposed to DES to have examinations at least once annually beginning at menarche regardless of the absence of symptoms of VC. Practicing safe sex will reduce the likelihood of contracting human papillomavirus (HPV), which is a contributing factor to the development of VC.

Vaqinitis DRG Category: 369

Mean LOS: 2.4 days Description: MEDICAL: Menstrual and Other Female Reproductive System Disorders

Vaginitis is an inflammation of the vagina that includes three infections: Candidiasis, trichomoniasis, and bacterial vaginosis. Generally, it occurs with a hormonal imbalance and an infection with a microorganism. Vaginitis is associated with changes in normal flora, alkaline pH, insertion of foreign bodies such as tampons and condoms, chemical irritations from douches and sprays, and medications such as broad-spectrum antibiotics.

Bacterial Vaginosis Facts

Bacterial Vaginosis Facts

This fact sheet is designed to provide you with information on Bacterial Vaginosis. Bacterial vaginosis is an abnormal vaginal condition that is characterized by vaginal discharge and results from an overgrowth of atypical bacteria in the vagina.

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