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benign gynecological conditions (leimyomas (nursing management (encourage…
benign gynecological conditions
leimyomas
definition
benign smooth muscle tumor that very rarely becomes cancer
pathophysiology
mediated by substances influencing the proliferation of smooth muscle cells and fibroblasts
risk factors
heredity, black women, onset of menstruation at an early age
signs and symptoms
heavy menstrual bleeding, pelvic pain, frequent urination, menstrual periods lasting more than a week
nursing management
encourage clients to increase fluid intake
observations of changes in behaviour or level of conciousness
give medication according to doctor orders
monitor inputs and outputs as well as the characteristics of urine
causes
high level of estrogen and progesterone, when a woman taking birth control pills contain estrogen
endometriosis
definition
condition resulting from the appearance of endometrial tissue outside the uterus and causing pelvic pain
risk factors
family history with endometriosis, polymenorrhoea where menstrual cycle are short and frequent
pathophysiology
deposition of endometrial tissue on abdominal scars during laparotomies in those cases where is existing endometriosis in the pelvic cavity
signs and symptoms
abdomen fullness, constipation, abnormal menstruation, pelvis pain
nursing management
oral contraceptive may also be administered
prescribed analgesic may be given to relieve pain
surgical treatment involves cauterisation or excision of the lesions where possible
causes
retrograde menstruation, transformation of peritoneal cells
ovarian tumours
definition
cancer that forms in ovary
pathophysiology
ovarian cancer forms when errors in normal ovarian cell growth occur . this abnormal cells often goes undetected until it has spread within the pelvis and stomach
signs and symptoms
pelvis pain, change in bowel habits,abdomen fullness, weight loss
risk factors
inherited gene mutation,family history of ovarian cancer, older age, estrogen hormone replacement therapy
nursing care plan
assess the patient for source and site of pain as well as those factors that increase the patients perception of pain
provide education and support to correct fears and misconceptions
assess physiologic and psychological stressors that can contribute to fatigue
give medication according to doctors orders
causes
grow and multiply quickly,creating a mass of abnormal cell
vagina fistulas
definition
an abnormal opening that connects your vagina to another organ
pathophysiology
small-bowel fistulas related to the exposure of nonintestional tissue to intestional contents
risk factors
heredity, black women
signs and symptoms
foul-smelling vaginal discharge, leaking of stool, urinary tract infection, pain in the vulva
nursing management
encourage frequent sitz baths
give medication according to doctors orders
perform vaginal irrigation as ordered and teach patient the procedure
give patient clear liquids as prescribed to limit bowel activity
causes
radiation treatment, bowel disease, traumatic injury