Help with physiologic diagnosis for genital herpes

[Monster A GoGo]

I'm a student and we have to do an extensive care map for a patient with herpes. I can NOT use risk for infection or risk for pain. I must have at least 3 diagnoses, one of which must be physiologic, one psychosocial and one that is health promotional. I am beating my head against the wall with this--and it's probably so obvious--but for the life of me, I can NOT come up with a physiological diagnoses. Herpes won't have any bearing on circulation, gas exchange, etc. Any ideas?

THANKS!!!

[mindlor]

What about Impaired skin integrity? (if lesions are active)

[CT Pixie, BSN, RN]

Without more info on the patient other than they have herpes how about

Sexual dysfunction (according to Maslow sex is one of the core basic needs that must be met)

[mindlor]

While herpes may cause sexual dysfunction it is typically not in a physiologic way. This would be more of a psychosocial diag.......

[morte, LPN, LVN]

If they have an active outbreak, you would certainly have skin integrity issues, and possibly pain issues, for the pain you would have to read enough of the chart/MAR to see if that is occurring.

[nurseprnRN, BSN, RN]

side effects of (lifelong) meds?

[Monster A GoGo]

Thank you all for the responses, but I think i'll go with skin integrity! DUH! Why didn't I think of that myself? I'm just stressed out, I guess.

THANK YOU SO MUCH!!!

[Horseshoe, BSN, RN]

While herpes may cause sexual dysfunction it is typically not in a physiologic way. This would be more of a psychosocial diag.......

You don't think having painful genital sores could cause a physiologic problem which could interfere with sexual function?

[mindlor]

The primary problem in my opinion would still be impaired skin integrity.

Also, most cases of herpes are not genital. Ever had a cold sore? That is herpes.....

[mazy]

While herpes may cause sexual dysfunction it is typically not in a physiologic way. This would be more of a psychosocial diag.......

As CT Pixie pointed out, sexual functioning is one of the core basic needs that must be met per Maslow's hierarchy of needs, so that would be a psychsoc dx, which is what Pixie was pointing out. So I'm not sure why you feel the need to correct her.

Depression would also be another psychsoc dx, as well as social isolation.

[mazy]

The primary problem in my opinion would still be impaired skin integrity.

Also, most cases of herpes are not genital. Ever had a cold sore? That is herpes.....

So are chicken pox and shingles. I'm not sure what your point is. The OP is working on a project about genital herpes.

[mindlor]

I really dont want to be a jerk here but there is absolutely nothing in the OPs initial post regarding genital herpes. The stated disorder was "herpes"......the quickest way to miss a question on a test is to read into it yes?

Anyway, I am moving along...

There is a great deal of ambiguity in nursing diagnoses and this is exactly why in the not so distant future, they will cease to exist........