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ENDOMETRIOSIS
Clinical Manifestations
The overall accumulation of estrogen and p
ENDOMETRIOSIS
Clinical Manifestations
The overall accumulation of estrogen and prostaglandin in the endometriosis tissues results in inflammation and pain that can be both cyclic and acyclic. Typical symptoms include dysmenorrhea, excessive bleeding during menses, pain during intercourse, and infertility.
Assessment and Analysis
The symptoms of debilitating chronic pain, excessive bleeding, and infertility are the result of the increased vicious cycle of increased aromatase, increased estrogen, and inflammation.
Nursing Diagnoses
• Pain, chronic associated with inflammation and scarring of endometrial implants
• Risk for infertility associated with hormone irregularities and tissue scarring
Nursing Interventions
■ Assessments
• Vital signs
Blood pressure and pulse may be elevated in the patient in pain.
• Pain scale rating
Actions
• Administer medications as ordered: pain medications, GnRH agonists
Pain medications may be necessary in the patient with chronic pelvic pain
Teaching
• Educate about the disease process
Understanding disease action is important in helping the patient manage her disease.
• Educate about medication use
Evaluating Care Outcomes
It is important that the diagnosis and treatment of endometriosis be made early. The mainstay of treatment is through pharmacological method
Based on what you have learned through the materials in this module, develop a 2-to-3-minute video podcast including the following:
symptoms your patient is experiencing
your nursing assessment and diagnostic findings of the patient
recommended treatment
Podcast Instructions
Remember your video introduction in Module 1? You will video your podcast, in the same way, using the link in Canvas.Screenshot of the Canvas menu with the button to click to record and upload highlighted.
To create a video podcast, you may use the Upload/Record Media in Canvas. It can be found in the menu when you go to post a discussion contribution. See the image to the right for where to click. You may also record elsewhere, say on your phone, and then upload. You should develop the content of your post fully, writing down what you plan to say, before recording it. You will need to upload a transcript of your recording with your podcast submission. You may also wish to practice your presentation before recording and uploading.
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