Reproductive Disorders-Student.pptx - Management of...

This preview shows page 1 - 6 out of 19 pages.

Management of Patientswith Reproductive Disorders
Health History and Physical ExamFor women:Menstruation- start, regularity, stop, painPain during intercourse or urinationAbnormal bleeding, discharge, massFor men:Abnormal discharge, mass, bleedingPain during intercourseFor both genders:Chronic illness or surgeriesMedicationsFamily history (cancer especially)Alcohol, tobacco, drug usePhysical exam: Nursing focuses on pt concerns and is present during HCPexam
Menstrual Cycle/ MensesNatural sloughing of the endometrial lining that should take place on aregular monthly schedule (28-32 days) depending on hormone balance,stress, or illnessDysfunctional uterine bleeding (more than every 21 days) occurs whenthere is a hormone imbalance or potential cysts or fibroidsPremenstrual syndrome (PMS)- caused by hormonal imbalance (estrogenand progesterone) occurring 5-7 days before menses startsSymptoms: cravings, irritability, bloating, psychological problems
Perimenopause and MenopausePerimenopause-“around menopause” refers to the time period when awoman’s body is making a natural transition to permanent infertility; thewoman is still fertile at this timeStarts at different ages; may notice signs such as irregularity in 40s, but somehave changes as early as mid-30sEstrogen rises and falls unevenly during this time; menstrual cycle maylengthen or shorten; ovaries may or may not release an egg (ovulate)Symptoms: hot flashes, sleep problems, vaginal drynessTreatment: symptoms reliefMenopause-12 consecutive months without a menstrual period; infertilePostmenopausal-the years following menopause
Breast CancerBSE- should be done monthly, 1 week after menstrual cycle; use the clockmethodMammogram-annually starting at age 40-50yoBenign- typically unattached to surrounding tissue, easily moveable, niceeven border; can be anywhere in breast tissueMalignant- firmly attached to surrounding tissue, not easily movable,irregular borderRisk factors: age, family history, use of HRTBreast feeding seems to lower riskTreatment:Surgery- removal of mass/tumor only, +surrounding tissue, or entire breastRadiation- post-surgery to kill additional cells that may not have been removedChemotherapy – more targeted therapy for specific cells to prevent death ofhealth cells and minimize complications

Upload your study docs or become a

Course Hero member to access this document

Upload your study docs or become a

Course Hero member to access this document

End of preview. Want to read all 19 pages?

Upload your study docs or become a

Course Hero member to access this document

Term
Spring
Professor
N/A
Tags
Chlamydia infection, Uterus, Pelvic inflammatory disease, asymptomatic

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture