Nursing Care for Unprotected Sex and STDs

Running Head: NURSING CARE
NURSING CARE
Name of the Student
Name of the University
Author Note

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Introduction
This essay is going to discuss about the unprotected sex as practiced by Justin who
was experimenting with his sexuality. Thus, he develops blisters on his penis that becomes a
concern for him and goes to visit a doctor. As the patient practices unprotected sexhence itcan
easily lead the patient to sexually transmitted diseases or STD (Workowski, 2015). These
diseases are communicable and can transmit from an infected person to a healthy person
while having unprotected sex with the infected person. Thus, it is important for every
individual to use protection while having sex in order to protect themselves from the risk of
STD (Workowski & Bolan, 2015).
Body
Relevant Assessment
When the patient was admitted to the clinic the vital signs recorded were blood
pressure 112/70 mm of Hg and the heart rate was 14 breaths per minute. His body
temperature recorded was also normal along with the oxygen saturation. The only
abnormality that was observed by the nurse was the presence of three open and inflamed
lesions that ranges from size millimeters to large size that is approximately 1.5cm in
diameter. However, there were no other lesions around the scrotum, rectum or inside the
urethra. The nurse also noticed that the glands around his groin were slightly enlarged
(Satterwhite et al., 2013).
As Justin told the clinician that he did not use any protection while having sex with
his partner as she said that she cleared all her STD tests so the first assessment of the patient
will be the screening for the presence or absence of STD (Workowski & Bolan, 2015). The
lesions on the penis can be due to non-STD that are due to the common situations such as
bacterial infection in the hair follicle and genital herpes can be the reason for the formation of

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the blisters. Genital herpes is a medical condition that is caused by the infection of the HSV
or the Herpes Simplex Virus (Muessig et al., 2013). These symptoms can also be due to the
growth of the pubic lice and scabies as well. The screening of the presence or absence of STD
will depend on the blood test for the presence or absence of the Herpes virus. If the virus is
present then only it can be said that the patient is suffering from HSV. In order to be sure
about the process of assessment the viral culture can also be performed (Unemo et al., 2017).
As it is known that the HSV can be asymptomatic then the infection can be identified
by the serological screening. The rationale behind the use of the serologic screening in order
to identify the unrecognized HSV infection that is followed by proper counselling can
prevent transmission of HSV among the individuals and can reduce the rate of future
morbidity (Newcomb et al., 2014). The other tests will include PCR (Polymerase Chain
Reaction) which is an enzyme based reaction in which the piece of DNA of the virus is taken
from the fluids or sores from the genital tract. Cell culture is another method of checking the
presence of HSV in which a cell from the sore or blisters is taken and is checked for the
presence of virus (Muessig et al., 2013). The results of PCR or Cell Culture might be false
negative if the sores have started to heal or the patient is infected recently. The blood test
using the antibodies can also help in the detection of the presence or absence of the HSV 1 or
HSV 2 virus (Workowski & Bolan, 2015).
Role of Sexual Health Team
Sexual health is really a condition of well-being that includes physical, emotional,
mental, social, and spiritual dimensions in relation to the sexuality throughout life (Newcomb
et al., 2014). Sexual health is an inherent item of the health of the human and is based on a
favorable, fair, and have respectful attitude to the sexuality, relationships, and the
reproduction that is free of fear, coercion, stigma, discrimination, shame, and violence
(Sanchez et al., 2013). It involves the capacity to comprehend sexual behavior's advantages,

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hazards, and obligations, disease prevention and care and other negative results, and the
chance of sexual relationship fulfilment. Sexual health is affected by the socioeconomic and
the cultural contexts that promote good results for people, families, and their communities,
including policies, procedures, and services. The stigmatization of individuals with, at
danger, or screened for multiple sexual behavior-related health problems arises from adverse
sexual health outcome messages (Satterwhite et al., 2013). Stigma and misunderstandings
about sexual health can influence both the health care staff and the patients served by them.
Incidentally, when physicians and their clients often fail to discuss publicly the personal
sexuality problems of patients during clinical visits, promoting media sexuality for e.g.,
advertising and entertainment continues to be omnipresent and often sensational (Everett,
2013). If both professionals and the patients could regard sexuality and sexual health
maintenance with a more structured, favourable perspective as something that needs to be
sought and preserved rather than prevented and stigmatized misconceptions about sexual
health could be resolved more readily (Workowski & Bolan, 2015).
Patients may not reveal their sexual orientation, risk behaviour, or other appropriate
data needed to determine their requirements for health care. It can be challenging for
suppliers to provide adequate healthcare in a primary care environment, where there are many
conflicting healthcare priorities during a short meeting (Workowski, 2015). Healthcare
professionals might lack the knowledge, ability, convenience, and experience that provide the
same quality of sexual health care accessible in a sexual health environment as in an STD
clinic. In our research, patients seemed to prefer their sexual health care to the STD clinic ;
we discovered that most patients had access to other kinds of sick care and preventive care
sites, yet they chose the STD clinic for their STD care (Muessig et al., 2013).
Thus, it is important for Justin to seek help from the healthcare team or there is need
to visit the clinic that deals with the patients who are suffering from STD. This will help the