NKANA ACADEMY COLLAGE OF EDUCATION AND HEALTH SCIENCES
LESSON PLAN
CLASSROOM TEACHING
Teacher : Chamatete (Ms)
Subject : Integrated Reproductive Health
Topic : Valvo vaginal infections
Sub-Topic: Candidiasis
Duration : 1 hour
Date : 3rd June
Teaching Resources:
Course : Nursing
Class : Third year students (ZNS 6)
Supervisor : Mrs Mulenga
0
INTRODUCTION
About 70% of women worldwide are affected with candidiasis. Candida albicans is the most common disease-causing fungus. It is a normal
inhabitant of the oral cavity, gastrointestinal tract, and vagina in many people. Women with a healthy vaginal harbor Candida but are
asymptomatic. Certain conditions favor the change from an asymptomatic state to colonization with symptoms.
GENERAL OBJECTIVE
At the end of the lecture/discussion, the students should be able to demonstrate an understanding of Candidiasis and its management.
SPECIFIC OBJECTIVE
At the end of the lecture/discussion, the students should be able to:
1. Define candidiasis.
2. State the predisposing factors.
3. Mention the signs and symptoms.
4. Outline the management of candidiasis.
5. State the preventive measures of candidiasis.
1
Time Specific Content Audio Visual Teachers Student’s Evaluation
objective Aid Activity activity
3 minutes Define Definition of Candidiasis Asking Listening, Taking What is
candidiasis questions and notes and candidiasis?
Candidiasis a fungal or yeast
explaining. answering
infection caused by strains of
questions.
Candida and Candida Albicans
accounts for most cases,
characterized by white, cottage
cheese like discharge
Kumar, 2013).
Candidiasis, commonly called yeast
infection or thrush is a fungal
infection of any of the Candida
species, of which Candida Albicans
is the most
common (CBoH 2004)
Incubation Period: 1-90 day
2
Time Specific Content Audio Visual Teachers Student’s Evaluation
objective Aid Activity activity
10 minutes State the Predisposing Factors Asking Listening, Taking What are the
predisposing questions and notes and predisposing
Generally the predisposing factors
factors explaining. answering factors of
are factors which disturb the
questions. candidiasis?
normal commensal relationship
between host and Candida. These
are:
• Hot Humid weather this
will increase the virginal
moistness.
• Oestrogen use has been
implicated because it
increases atmosphere of the
virgina.
• Pregnancy: this is due to
hormonal changes in
3
Time Specific Content Audio Visual Teachers Student’s Evaluation
objective Aid Activity activity
10 minutes State the pregnancy. Asking Listening, Taking What are the
predisposing questions and notes and predisposing
• Metabolic disorders:
factors explaining. answering factors of
especially diabetes mellitus.
questions. candidiasis?
• Broad spectrum antibiotic
treatment e.g Ampicillin
and many others have been
implicated (they alter the
natural protective organisms
usually present in the
vagina)
• Immune suppressant
therapy
• Immune compromised.
4
Time Specific objective Content Audio Visual Teachers Student’s activity Evaluation
Aid Activity
10 minutes Mention the signs Signs and Symptoms Appendix 1 Asking Listening, Taking What are the
and symptoms questions and notes and signs and
Women Pictures
explaining. answering symptoms of
showing signs
Virginal discharge: The questions. candidiasis?
and symptoms
discharge may be watery or
of candidiasis
thick but has a white, cottage
in women.
cheese–like appearance
vulva excoriation and
oedema
Dysuria
Dyspareunia
Irritation or itching in the
vulvovaginal area.
(Brunner, 2009)
5
Time Specific Content Audio Visual Teachers Student’s Evaluation
objective Aid Activity activity
10 minutes Mention the signs Men Asking Listening, Taking What are the
and symptoms There are often no symptoms, but if questions and notes and signs and
symptoms appear, there may be: explaining. answering symptoms of
Thick, lumpy discharge questions. candidiasis?
under the foreskin,
producing unpleasant odour.
Irritation and soreness of the
penis.
Itchiness
White patches on the glans.
Pain when urinating
Pain during sex
Oral candidiasis
white plaques and pseudo
membranes on oesophageal
mucosa
(Kumar, 2013)
6
Time Specific Content Audio Visual Teachers Student’s Evaluation
objective Aid Activity activity
15 minutes Outline the Management of Candidiasis Asking Listening, Taking What is the
management of questions and notes and management
AIMS
candidiasis explaining. answering of
To Control the infection questions. candidiasis?
To prevent the spread of
candidiasis
To prevent Complications
of candidiasis
INVESTIGATIONS
Physical examination
Vaginal swab which
reveals findings of
Ph of 4.5 or less.
Gram negative spores (oval-
Time Specific Content Audio Visual Teachers Student’s Evaluation
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objective Aid Activity activity
15 minutes Outline the like cells with elongated Asking Listening, Taking What is the
management of pseudohyphae). questions and notes and management
candidiasis explaining. answering of
TREATMENT questions. candidiasis?
Adults:
Fluconazole 150 mg PO stat
(Avoid in 1st trimester of
pregnancy)
Clotrimazole 100 mg
vaginal tablet, 2 tabs intra-
vaginal daily x 3 days
OR
Miconazole 200 mg vaginal
suppository intravaginal
daily x 3 days.
8
Time Specific Content Audio Visual Teachers Student’s Evaluation
objective Aid Activity activity
15 minutes Outline the • Nystatin cream or Asking Listening, Taking What is the
management of pessaries:100,000 I.U twice questions and notes and management
candidiasis a day BD for 10 days explaining. answering of
questions. candidiasis?
Babies
Tetracycline eye ointment
1% applied OID a day for 7
days
Or
Erythromycin syrup
50mg/kg body weight QID
for 14 days.
(Standard Treatment Guidelines,
2013).
9
Time Specific Content Audio Visual Teachers Student’s Evaluation
objective Aid Activity activity
12 minutes State the Preventive measures of Asking Listening, Taking What are the
preventive Candidiasis questions and notes and preventive
measures of explaining. answering measures of
Wear loose pants or cotton
candidiasis questions. candidiasis?
underwear and avoid tight
clothes because tight or
synthetic clothes will stop
air movement and create
moist condition which is
ideal for bacteria.
Avoid using soaps or sprays
in the genital area, as they
cause irritation
Wash your hands before
touching the genital area.
Women should wipe the
10
Time Specific Content Audio Visual Teachers Student’s Evaluation
objective Aid Activity activity
12 minutes State the virginal area from front to Asking Listening, Taking What are the
preventive back after going to the questions and notes and preventive
measures of toilet. explaining. answering measures of
candidiasis questions. candidiasis?
Do not have virginal sex
straight after having anal
sex.
Treat partner if patient has
recurrent infections.
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EVALUATION
1. What is candidiasis?
2. What are the predisposing factors of candidiasis?
3. What are the signs and symptoms of candidiasis?
4. What is the management of candidiasis?
5. What are the preventive measures of candidiasis?
ASSIGNMENT
State 4 complications of candidiasis. Assignment to be handwritten in your books, due date 5 nd July 2025
CONCLUSION
The prevalence of candidiasis continues to be a public health problem worldwide. It affects mostly women rather than men who are usually
asymptomatic. If the immune system is functioning optimally, this type of yeast infection is rarely serious but if the immune system is
dysfunctional the infection may migrate to other organs of the body.
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REFERENCES
Brunner and suddarth(2010), Medical surgical Nursing Textbook, 12th Edition, Lippincott company, Philadelphia, USA.
Kumar(2013), Robbins Basic Pathology, 9th Edition, Elsevier Inc, Philadelphia, USA.
Standard treatment Guidelines (2013), Essential Medicines list and Laboratory supplies for Zambia, New Horizon Printing Press, Lusaka,
Zambia.
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Appendix 1
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