What are the data on STDs by population? Do health disparities exist? WHY? How can advanced practice nurses impact these statistics?
Nursing
1. Read the attached cases studies
2. Respond to case studies questions
3. write the answers in APA format in a 1 to 2 papes.
Case study 1
A 23-year-old man presents with painful, burning urination of more than 1 week’s duration. It is getting worse. He has
also noticed a yellowish penile discharge. He denies fever, testicular or abdominal pain, and rash. He is sexually active
with multiple partners.
CC: “I think I have the ‘clap’.”
Physical exam: Afebrile; vital signs normal. Exam essentially normal, except for yellowish discharge from the urinary
meatus and penile shaft pain. Negative for abdominal pain, costovertebral angle tenderness, lymphadenopathy, rash.
Negative for urinary retention, back pain, perineal pain, testicular pain.
Questions:
1. What are the differential diagnoses for this patient?
2. How do you rule in or out various possibilities?
3. How would you manage this patient?
4. What health promotion strategies are important for this patient at this point in time and WHY?
5. What patient education is needed?
6. How does this relate to Healthy People 2020 objectives and/or public health concerns?
7. What are rates, both prevalence and incidence, of STDs in both men and women? Are racial disparities involved? What
are potential sequelae?
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