Medical-surgical Nursing Demystified

(Sean Pound) #1

CHAPTER 14 Women’s Health^515



  • Pelvic exam.

  • Ultrasound.


TREATMENTS



  • Watchful waiting since most cysts resolve.

  • Oral contraceptives.

  • Surgery to remove the cyst.


NURSING DIAGNOSES



  • Pain, discomfort

  • Anxiety


NURSING INTERVENTIONS



  • Reassure her that a large majority of cysts resolve.

  • Explain to the patient:

    • Cause of her pain.

    • The menstrual cycle, pain may be worse during ovulation.

    • Medication use.




Pelvic Inflammatory Disease (PID)


PID is a variety of inflammation and infection of the upper genital tract, which
includes the uterus, fallopian tubes, ovaries and other structures. It includes endo-
metritis, salpingitis, oophoritis, tubo-ovarian abscess, and pelvic peritonitis.


WHAT WENT WRONG?


Bacteria from the cervix and vagina migrate to the upper genital tract. Usual organ-
isms include Chlamydia trachomatis,Neisseria gonorrhoeae,Escherichia coli, and


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