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- 1. By Tamiru .T Temesgn.S NURSING CAREFOR A POSTOPERATIVE PATIENT WITH UTERINE MYOMATOSIS IN THE GYNECOLOGY DEPARTMENT OF A NATIONAL HOSPITAL IN LIMA, 2022
- 2. OUTLINE • Introduction/background • Aim/objective •Methods • Results and Discussion • Conclusion and recommendation • Appraisal (personal reflection about the article) • Relevance to the practice 2
- 3. Introduction/Background • Uterine fibroidsare common benign tumors in reproductive-age women with higher risk in Black women and those with certain health factors. • Symptoms may include heavy bleeding, pelvic pressure, infertility, and urinary issues, though many cases are asymptomatic. • Diagnosis uses physical exams and imaging like ultrasound, hysteroscopy, MRI, and biopsy. • Treatment includes hormonal therapy and surgery based on symptoms and reproductive goals. • Nurses play a key role in recovery through holistic, supportive, and coordinated care. 3
- 4. Objective/aim • To applythe Nursing Care Process (NCP) in a qualitative single-case study to deliver individualized, systematic, and holistic nursing care to a postoperative gynecology patient, assessing her needs, formulating nursing diagnoses, planning, implementing, and evaluating nursing interventions to improve her health outcomes and prevent complications. 4
- 5. Methods (Summary) • Aqualitative single-case study applied the Nursing Care Process (NCP) to provide individualized, systematic care using five stages. • The subject was a 41-year-old female post-hysterectomy patient, selected by convenience in the gynecology unit. • Data collection included observation, interview, chart review, and Gordon’s 11 functional patterns. • Nursing diagnoses were formed using NANDA-I, care planned with NOC/NIC, and interventions evaluated for effectiveness. • NCP enabled personalized, holistic care to address physical, emotional, and spiritual needs, aiming to prevent complications. 5
- 6. RESULTS SUMMARY • Nursinginterventions focused on managing acute pain, anxiety, and sleep pattern disturbances using NIC activities tailored to each diagnosis. • Pain level indicators improved from a baseline score of 2 (substantially compromised) to a final score of 4 (slightly compromised), showing a +2 change. • Anxiety indicators improved from a baseline score of 3 (moderately compromised) to 4 (slightly compromised), showing a +1 change after emotional support interventions. 6
- 7. 7 CONT… • Sleep patterndisturbances improved from a baseline score of 3 (moderately compromised) to 4 (slightly compromised), with reduced difficulty falling asleep, interrupted sleep, and pain (+1 change). • Comprehensive assessment and prioritization of seven nursing diagnoses (especially acute pain, anxiety, and sleep disturbance) allowed effective planning, implementation, and evaluation of individualized nursing care.
- 8. DISCUSSION SUMMARY • Thestudy demonstrated that structured nursing interventions improve patient outcomes in pain, anxiety, and sleep disorders. • Comprehensive assessment using multiple data sources was crucial for accurate diagnosis and care planning. • Prioritizing nursing diagnoses guided focused and effective intervention strategies. • The integration of emotional support and environmental adjustments enhanced patient comfort and recovery. • Continuous evaluation and reassessment ensured 8
- 9. Conclusion • The nursingcare process provides a systematic and logical approach for delivering effective patient care. • Comprehensive and precise nursing assessments enable accurate diagnoses using standardized NANDA-I, NOC, and NIC languages. • Nursing care after total abdominal hysterectomy was complication-free and supported patient recovery. • The care plan guided nursing interventions to meet specific patient needs and ensure quality care. • Structured planning promoted continuity of care and helped prevent potential complications. 9
- 10. 10 Recommendation • Continue includingthe patient's regular sleep/wake cycle and non-pharmacological sleep techniques in care plans to improve sleep quality. • Maintain holistic pain management using both pharmacological and non-pharmacological methods, with ongoing evaluation of pain levels. • Provide emotional support consistently through empathetic communication, reassurance, and anxiety-reducing activities. • Use structured evaluation tools like NOC and NIC to track patient progress and adjust nursing interventions accordingly. • Engage family members in education about care techniques and provide informational materials to support patient recovery and reduce complications.
- 11. Appraisal (personal reflection) •The study highlights the importance of a structured nursing care process using standardized languages for clear diagnosis and management. • Detailed nursing interventions addressing physical and emotional needs show how holistic care improves patient recovery. • Continuous assessment and evaluation were key to adapting care and achieving positive patient outcomes. • Educating the patient and family on techniques like relaxation emphasizes the role of empowerment in nursing. • The study reinforces that effective nursing blends clinical expertise with empathy for comprehensive patient support. 11
- 12. Relevance to thepractice • The study demonstrates how using standardized nursing languages (NANDA-I, NOC, NIC) improves care clarity and communication. • It highlights the value of individualized, evidence-based nursing interventions in managing pain, anxiety, and sleep disturbances. • Emphasizes the importance of continuous patient assessment to tailor nursing care effectively. • Shows how teaching relaxation and coping strategies can enhance patient well-being and recovery. • Reinforces that structured nursing processes contribute to safer, more consistent, and quality patient care. 12
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