Nursing care plans for Endometriosis



Nursing Interventions for Endometriosis

Endometriosis is a condition that is reflected by the presence and growth of endometrial tissue outside the uterus. The endometrial tissue can grow on the ovaries, fallopian tubes, uterine ligaments forming, or it could be grown in the appendix, colon, ureter and pelvis.

Endometriosis is the presence of endometrial tissue outside the uterine cavity. If there is endometrial tissue within the myometrium is called adenomyosis (internal adenometriosis) whereas when outside of the uterus is called (external endometriorisis).

Endometriosis for about the last 30 years show an increasing incidence. The incidence of between 5-15% can be found among all pelvic surgery. What is interesting is that it is slightly more common in women who are not married at a young age, and did not have many children.

In the United States, endometriosis occurs in 7-10% of the population, usually affects women of childbearing age. The prevalence of endometriosis in infertile women amounted to 20-50% and 80% in women with pelvic pain. There is a family connection, where the risk increased 10-fold in women with first degree relatives who suffer from this disease.

Etiology of endometriosis is not known but there are several theories that have been advanced:

  • In congenital existing endometrial cells outside the uterus.
  • Displacement of endometrial cells through blood circulation or lymph circulation.
  • Menstrual reflux containing endometrial cells into the fallopian tubes, up to the pelvic cavity.
  • Hereditary because the incidence is higher in women whose mothers also have endometriosis. (Mary Baradero et al, 2005).

In general, women with endometriosis have no symptoms. Symptoms generally occur when menstruation and intensified every year because of an enlarged area of endometriosis. The most common symptoms are pelvic pain, dysmenorrhea (painful when menstruation), dyspareunia (pain during intercourse), and infertility (impaired fertility, can not have children).endometriosis

Signs and symptoms of endometriosis include:

1. Pain
2. Abnormal bleeding

Nursing Interventions for Endometriosis

  1. Encourage the patient and her partner to verbalize their feelings about the disorder and its effect on their relationship.
  2. Help the patient develop effective coping strategies.
  3. If the patient bleeds excessively with menses, monitor for signs and symptoms of anemia.
  4. Check hemoglobin level as ordered.
  5. Monitor the patients response to therapy.
  6. Explain all the procedures and treatment options. Clarify any misconceptions about the disorder, associated complications, and fertility.
  7. Because infertility is possible complication, counsel the patient who wants children not to postpone childbearing.
  8. Recommend that the patient have an annual pelvic examination and a Papanicolaou test.
  9. Teach the patient about the adverse effects of pharmacologic interventions.

                                                           A WOMEN WITH ENDOMETRIOSIS:




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