2. Presentation: Adult Health Nursing(AHN)
Submitted by: Group 14
Group member: Amna khan And Bilal Ahmed
Submitted to: Sir Wakeel Ahmed
Date: 18-03-2023
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JINNAH COLLEGE OF NURSING
5. Objective:
•After the presentation participants will be able to:
• Define menopause
• Describe the stages of menopause
• Discuss Risk factor of menopause
• Identify the causes of menopause
• Identify the clinical manifestation of menopause
• Explore complications and diagnostic test
• Explain nursing Diagnose and medical management
• Explain intervention and prevention of menopause
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7. Introduction:
• Menopause is derived from the Greek word :
“men” meaning month, which is related to the word moon, and
“pauses ” meaning to cease or stop. In other words, the time
when a woman's monthly cycle ends.
•
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8. Menopause:
The time of life when a woman's ovaries stop producing hormones and
menstrual periods stop. Natural menopause usually occurs around age
of 40 to 50. A woman is said to be in menopause when she hasn't had a
period for 12 months in a row.
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13. Risk factor:
1. Smoking: The onset of menopause occurs 1 to 2 years earlier in
women
2. Family history: Women with a family history of early menopause
may experience early menopause themselves
3. Cancer treatment
4. Hysterectomy
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16. Clinical manifestations:
1. Irregular periods
2. Vaginal dryness
3. Chills and hot flashes
4. Night sweats and sleep problems
5. Mood changes
6. Weight gain
7. Slowed metabolism
8. Thinning hair and dry skin
9. Loss of breast fullness
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17. Complications:
1. Osteoporosis. This condition causes bones to become brittle and
weak, leading to an increased risk of fractures
2. Urinary incontinence
3. Sexual disfunction
4. Weight gain
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18. Diagnostic test:
1. Blood test
2. Urine tests to determine levels of the hormones estradiol
3. Follicle-stimulating hormone (FSH),
4. Luteinizing hormone (LH)
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19. Nursing diagnose:
1. The diagnosis of menopause is clinical, based on the absence of
menses for 12 months, and does not require further testing for
appropriately presenting patient
2. Follicle-stimulating hormone (FSH) and estrogen (estradiol),
because your FSH levels rise and estradiol levels decline as
menopause occurs
3. Thyroid-stimulating hormone (TSH), because an underactive thyroid
(hypothyroidism) can cause signs similar to those of menopause
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20. MEDICAL MANAGEMENT:
Menopause needs no medical treatment. Instead, treatments focus on
releasing your signs and symptoms and checking or managing chronic
conditions that may occur with ageing. Treatments may include:
1. Hormone therapy
2. Vaginal estrogen
3. Low-dose antidepressants
4. Gabapentin (Neurontin , Gralise , others)
5. Clonidine (Catapres , K, apvayothers)
6. Medications to prevent or treat osteoporosis
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21. Nursing intervention:
1. The nurse should educate the patient on the increased risk of heart
disease and emphasize prevention.
2. The women should be encouraged to exercise regularly, eat a healthy
diet, discontinue smoking and maintain a healthy weight.
3. Since menopause can also result in mood changes, a mental health
nurse should offer counsel
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