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PREMENSTRUAL TENSIONS SYNDROME (COMMON FINDINGS (fatigue,, bloating (due…
PREMENSTRUAL TENSIONS SYNDROME
Definition
is a recurrent luteal-phase condition characterized by physical, psychological, and behavioral changes of sufficient severity to result in deterioration of interpersonal relationships and normal activity.
CLINICAL MANIFESTATIONS
Headache
lower back pain
fullness of the breasts
mood swings
fatigue
PATHOPHYSIOLOGY
are triggered byhormonal events ensuing after ovulation
The symptoms can begin in the early, mid or late luteal phase and are not associated with defined concentrations of any specific gonadal or non-gonodal hormone.
Metabolites of progesterone formed by the corpus luteum of the ovary and in the brain bind to a neurosteroid-binding site on the membrane of the gamma-aminobutyric acid receptor changing its configuration, rendering it resistant to further activation and finally decreasing central GABA-mediated inhibition.
NURSING MANAGEMENT
it is important to establish stressors in the patient's life and address these.
The patient should be reassured and offered some positive coping mechanisms
Reassure the patient to allay anxiety; refer to psychologist if it is severe
RISK FACTORS
Age
Stress
Genetics
Obesity
Overall health
Depression and Anxiety
COMMON FINDINGS
fatigue,
bloating (due to fluid retention),
weight gain,
breast tenderness,
acne,
sleep disturbances with sleeping too much or too little (insomnia), and.
appetite changes with overeating or food cravings.