chapter 3 women's health promotion across the life span ppt Flashcards
women tend to…
- put children and families first regarding health care
- may go years without a physical exam and preventive screenings
actions to improve health
- eat healthy foods
- maintain normal weight
- exercise daily
actions to improve health
- practice safe sex
- avoid tobacco products
- limit alcohol intake
- obtain preventive care
amenorrhea
absence of menstrual periods
- most common cause: pregnancy
- classifications: primary, secondary
dysmenorrhea
painful menses
- causes: endometriosis, infection, stenosis, fibroids
- managed medically and through health promotion
dysfunctional uterine bleeding
irregular bleeding that occurs in the absence of a pelvic disorder, medical disease, or pregnancy
- treatment depends upon the results of testing: hormone therapy, endometrial ablation
mid-menstrual cycle pain
pain that occurs midway in the menstrual cycle; mittelschmerz
- diagnosed based on symptoms
no treatment
premenstrual syndrome (PMS)
recurrent condition during the luteal phase causing physical, psychological, and behavioral changes that interfere with interpersonal relationships and normal activity
- no definitive treatment
- health promotion
- medications
- supplements
premenstrual dysphoric disorder (PMDD)
severe form of PMS
- medical management with diagnostic tests and medications
endometriosis
lining of the uterus grows outside the uterus
- diagnosed through testing
- no cure but is treated with oral contraceptives or surgery
nursing care menstrual disorders
- health promotion
- dietary adjustments
- adequate exercise
- diagnostic tests
natural family planning
- coitus interruptus
- period abstinence/calendar method
- lactational amenorrhea
barrier methods
prevents sperm from entering the vagina and traveling to the egg
- male condom
- female condom
- spermicides
- sponge
- diaphragm or cervical cap
hormonal contraceptives
progesterone or combinat4es of estrogen and progesterone to prevent ovulation
- safety concerns: ACHES ( warning signs to report)
types of hormonal contraceptives
- combined oral contraceptives
- progestin only pill
- implants: side effects include galactorrhea and hirsutism
- transdermal patch
- vaginal ring
- injectable depot medroxyprogesterone acetate
intrauterine device (IUD)
t shaped device implanted into the uterus
- releases progesterone to suppress ovulation
emergency contraception
use of a drug or device to prevent pregnancy after unprotected sex
- plan b
- plan b one step
copper t IUD
permanent contraception: sterilization - women
- tubal ligation
- essure system: microinsert that creates a tissue barrier blocking sperm from reaching the egg
- hysterosalpingography
permanent contraception: sterilization - men
vasectomy
infertility
failure to conceive after 1 year of unprotected intercourse
- risk factors
- testing and diagnosis
female causes of infertility
- early menopause
- ovulation problems
- reproductive tract abnormalities
- endometriosis
- thyroid problems
- cancer treatment
male causes of infertility
- inadequate sperm production
- problems with delivery of sperm
- exposure to toxins
- exposure to excessive heat
- cancer treatment
infertility treatments
- adjust lifestyle issues
- medications
- hormones
- surgery
- stimulate ovulation with drugs
- intrauterine insemination
- assisted reproductive technology
menopause
final menstrual period that is confirmed with no menses for 12 consecutive months
physical and psychological experiences of menopause
- hot flashes
- night sweats
- vaginal atrophy\
- dyspareunia
- osteoporosis
treatment for menopause
- hormones
- medications
nursing care for menopause
- health promotion teaching
- diet
- exercise
- emotional support
uterine fibroids
most common benign tumor found in women
- also known as myomas and leiomyoma
- cause is unknown
risk factors for uterine fibroids
- heredity
- race
- lifestyle
diagnostic testing used to confirm uterine fibroids
- pelvic exam
- ultrasound
- hysterosonography
- hysteroscopy
- hysterosalpingography
treatment for uterine fibroids
medications
surgery
nursing care for uterine fibroids
teaching
diagnostic tests
emotional support
ovarian cysts
fluid filled sacs in the ovary
- types: follicle cyst, after follicle rupture
causes of ovarian cysts
hormonal imbalances
endometriosis
diagnosis of ovarian cysts
symptoms and by ultrasound
medical management for ovarian cysts
wait and see
surgry
nursing care for ovarian cysts
pain management
teaching
diagnostic tests
emotional support
polycystic ovarian syndrome
caused by different factors working together in the body
- characteristics: increased androgens, insulin resistance, irregular menstrual periods
diagnosis for pcos
symptoms
ultrasound
diagnostic tests
medical management of pcos
medication
lifestyle changes
nursing care for pcos
teaching
emotional support
toxic shock syndrome
life threatening illness caused by staphylococcus aureus or group A streptococcus
treatment for toxic shock syndrome
medication
patient teaching
prolapse
dropping down caused by
- childbirth
- obesity
- hysterectomy
- aging
- increased intra abdominal pressure
types of prolapse
cystocele
rectocele
prolapse of the uterus
prolapse of the vagina
cystocele
causes stress incontinence, urinary retention, overflow incontinence
diagnosis of prolapse
pelvic exam
treatment for prolapse
kegel exercises
pessary
surgery
