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Leiomyoma image - Coggle Diagram
Leiomyoma 
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Definition
A benign smooth muscle tumor, usually in the uterus or gastrointestinal tract. Also called fibroid
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Nursing care plan 1
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Evidence by
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Small, frequent voiding or absence of urinary output
May be related to
Mechanical trauma, surgical manipulation, presence of local tissue edema, hematoma
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Nursing interventions
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Palpate bladder. Investigate reports of discomfort, fullness, inability to void
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Pathophysiology
Fibroids begin as single or multiple seedlings in the myometrium and grow gradually over a long period.
They may cause presssure in the pelvis resulting in pain ,urinary frequency, urgency and constipation.
The intramural fibroid may also interfere with uterine contraction resulting in abnormal bleeding during menstruation.
This could be menorrhagia,hyper- menorrhoea and metrorrhagia.
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Nursing care plan 2
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May be related to
Concerns about inability to have children, changes in femininity, effect on sexual relationship
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Evidence by
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Expressions of specific concerns/vague comments about the result of surgery; fear of rejection or reaction of significant other
Nursing interventions
Provide time to listen to concerns and fears of patient and SO. Discuss patient’s perceptions of self-related to anticipated changes and her specific lifestyle
Assess the emotional stress the patient is experiencing. Identify the meaning of loss for patient and SO. Encourage patient to vent feelings appropriately
Provide accurate information, reinforcing information previously given
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References
Ferri FF. Uterine fibroids. In: Ferri's Clinical Advisor 2019. Philadelphia, Pa.: Elsevier; 2019. https://www.clinicalkey.com. Accessed April 24, 2019.
Farris M, et al. Uterine fibroids: An update on current and emerging medical treatment options. Therapeutics and Clinical Risk Management. 2019;15:157.
De La Cruz MS, et al. Uterine fibroids: Diagnosis and treatment. American Family Physician. 2017;95:100.