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Myoma                                                                         NURSING MANAGEMENT                          ...
SURGICAL MANAGEMENT                                                                             IDEAL MYOMECTOMY    For ...
MEDICAL MANAGEMENT                                                                                 IDEAL DIAGNOSTIC EVALU...
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Myoma nursing, medical, surgical managements

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Myoma nursing, medical, surgical managements

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Myoma nursing, medical, surgical managements

  1. 1. Myoma NURSING MANAGEMENT IDEALAssessment:-pain, menstrual irregularity, possible urinary symptoms, constipation-understanding of condition as benignNursing Dx:  Acute/ Chronic Pain r/t tumor growth  Anxiety  Hopelessness  Ineffective Coping Pattern  Ineffective Sexuality PatternKey Outcomes: Pt will:  Express feelings of comfort  Express feelings of reduced anxiety  Be involved in planning own care  Use available support systems  Express feelings about condition and its effect on sexualityNursing Interventions: o Administer iron and BT as ordered o Encourage verbalization of feelings o Offer emotional help o Help pt develop effective coping strategies o Refer for counselingPatient Education and Health Maintenance  Tell pt to report increase symptoms  Explain effects of operation  Encourage regular follow-up visits
  2. 2. SURGICAL MANAGEMENT IDEAL MYOMECTOMY  For small tumors  Done through hysteroscope HYSTERECTOMY  For large or numerous tumors UTERINE ARTERY EMBOLIZATION  Transvenous procedure in which the blood supply to the myoma is obstructed and the myoma degenerates MYOLYSIS  Laparoscopic procedure to treat fibroids
  3. 3. MEDICAL MANAGEMENT IDEAL DIAGNOSTIC EVALUATION  Ultrasound-identify size and location of myoma  Dilatation and Curretage, Cytology-rule out cancer  Blood Studies-show anemia  Submucosal Hysterosalphingography-detect submucosal myoma  MRI-fibroid imaging  Laparoscopy-visualize subserous biomyomas on the uterine surface  Diagnostic Hysteroscopy-view endocervical canal and lower uterine segment TREATMENT  GnRH antagonist (Lupron) therapy-create hypoestrogenic environmentand try to shink tumors Pelvic examination q 4-6 months to monitor the growth of small biomyomas that produce no symptoms

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