Gonorrhoea Diagnosis - Essay Example

"Gonorrhoea Diagnosis" is a perfect example of a paper on sexual health issues.
AB is a 20-year-old male and he visited the Avenues Medical Center with a chief complaint of “penile yellow discharge.” The assessment starts by collecting subjective data from the patient, where I will use the interview technique. Basically, subjective data is collected in order to provide the basis for categorizing the problems a patient may be having (Shortliffe & Barnette, n.d). The rationale behind collecting subjective data is to help the physician to gain insight and a better understanding of the problem so as to be in a better position to treat the diagnosed problem.

BIOGRAPHIC DATA

Source:  AB is the complainant.

Reason for Seeking Care:  “I experience penile yellow discharge.”

A sexual history of the patient:  The patient claims that he has been indulging in sexual intercourse with his partner for some time now. He also claims that he started to notice a yellow discharge from his genitals about two and a half weeks ago. At first, he thought that it was a just minor problem that will naturally end.

A number of sexual partners:  The complainant claims that he has only one sexual partner.

Issue of protection: AB has also stated that all along, they have been using protection with his partner until recently, about a month ago when they started engaging in unprotected sex after convincing each other that they were now faithful to each other.

The occurrence of the problem: The complainant claims that this is the first time to experience such a problem.

Family history: The patient has also stated that he is not sure if any of the family members have been diagnosed and treated of a sexually transmitted disease like the one he is experiencing. He says she has not discussed the subject of gonorrhoea with any of the family members.

Other symptoms: Apart from penile yellow discharge, the complainant also says that he experiences pains when urinating. This is a symptom of gonorrhoea.  

Historical background of the partner’s sexual health profile: The complainant has indicated that he has no known information about the sexual health of his partner. He suspects that he contracted the disease from her since he started experiencing the problem after their first encounter of having unprotected sex.

Subjective decision: Both partners should be tested for this particular disease     

I will collect objective data for the next part of the assessment. Research has shown that clinical history and symptoms alone are inadequate to diagnose discharge problems hence the need to identify clinical features that are necessary for the diagnosis of such problem (Korenek, Britt & Hawkins, 2002). The following clinical features have been performed.

A burning sensation when urinating; The client said he has been experiencing this pain since he started to notice this problem.

A white, yellow, or green discharge from the penis; the complaint has raised an issue related to penile yellow discharge. This is one of the common symptoms of gonorrhoea in many instances.

Painful or swollen testicles (although this is less common): the client has indicated that so far he has not yet experienced this particular problem.   

Cultures of Chlamydia and gonorrhoea

The other issue is that the cultures for Chlamydia and gonorrhoea were done but the patient was prophylactic and treated for both.

This objective data is collected so as to get the true facts about the symptoms of this particular disease. This will help the physician to prescribe the right treatment to the partner once the disease has been diagnosed.

Health promotion strategies

Since the patient has been diagnosed with gonorrhoea, the right treatment will be administered to her. The physician will prescribe the right medication to the complainant. However, this is not an end in itself since there are also other preventive measures that can be taken by the complainant in order to avoid the occurrence of the same problem. The following health promotional strategies are recommended.

• Avoiding multiple sexual partners
• Getting tested before indulging in unprotected sex
• Encouraging the other partner to go for testing for sexually transmitted diseases symptoms
• Practising safe sex like condom use  
• Acting responsibly by not deliberately spreading the disease to other unsuspecting people
• Education and counselling to persons at risk (Workwoski & Berman, 2014).