The document provides information on a total abdominal hysterectomy and bilateral salpingo-oophorectomy (TAH-BSO) surgical procedure. It discusses what the procedure involves, including removing the uterus, cervix, fallopian tubes, and ovaries. Common medical reasons for the procedure are then outlined, such as endometriosis, uterine fibroids, and various cancers. Potential risks and side effects of the surgery and removal of ovaries are also summarized.

8. ANATOMY AND PHYSIOLOGY

17. Assessment Nursing Diagnosis Planning Nursing Interventions Rationale Evaluation S > The patient may verbalized: -problem such as loss of sexual desire - inability to achieved desired satisfaction -conflicts involving values O> the patient manifested: -alteration in relationship with SO -Change of interest in self and others Sexual Dysfunction related to altered body structure and function Short term: After 4 hours of nursing interventions the patient will identify stressors in lifestyle that may contribute to the dysfunction Long term: After 3 day of nursing interventions the patients will verbalize understanding of individual reasons for sexual problems >Establish rapport >Monitor vital signs > Obtain sexual history including usual patterns of functioning and level of desires > Be alert to comments of client > identify current stressors in individual situations > Avoid making value judgments >Establish therapeutic nurse-client relationship >Provide ways to obtain privacy >To gain trust >To obtain maintenance data >To maximize communication and understanding >Sexual concerns are often disguised as humor, sarcasm, or offhand remarks > These factors may be producing enough anxiety to cause depression > They do not help the client >To promote treatment and facilitate sharing of sensitive information >To allow sexual expression for individual between partners without embarrassment Short term: The patient identified stressors in lifestyle that contributes to the dysfunction Long term: The patient verbalized understanding of individual reasons for sexual problems

18. Assessment Nursing Diagnosis Planning Nursing Interventions Rationale Evaluation S> O> the patient manifested: -Weakness -Pallor -with dry and intact dressing on the area. -Pain over the incision -Irritability -Presence of intact dressing Risk for infection secondary to surgical incision Short term: After 4 hours of nursing interventions, the patient shall identify and demonstrate intervention to prevent infection Long term: After 1 day of nursing interventions, the patient will not have infection >Establish rapport >Monitor V.S. >Note signs and symptoms of sepsis >Provide wound healing such as cleaning of wound >Provide care, change dressing as needed >Encourage increase intake of Vitamin C >Encourage deep breathing exercise >To gain trust >To obtain baseline data >To reduce complication and monitor for infection >To reduce risk for infection >To promote healing to the incision >To prevent infection to increase immune resistance >To increase healing of wound Short term: The patient identified and demonstrated interventions to prevent risk of infection Long term: The patient doesn’t experience infection