Perpetual Help College of Manila 1240 V. Concepcion St.
, Sampaloc, Manila
A Case Study On
Presented to: Mrs. Loren Herminigildo, RN, MAN Clinical instructor
In Partial Fulfillment of the Requirements In Related Learning Experience (RLE)
By: Catabui, Reaflor Del Pilar, Czarina Aika F. Esteleydes, Eunice Kristia A. Ferrer, Julius U.
Moreover myoma can be replase in 7-28% of patient after surgical treatment and in certain cases it may even turn to malignant tumor. students will be able to extend and improve their knowledge and understanding with regards to the causes. pelvic pleasure.this procedure removes the uterus. ultraviolent radiation. chronic sub acute and acute inflammation of the uterus and its appendices . Myoma affects one of every woman. however experienced on symptoms.
. while one ovary and one fallopian tube are left in places. one ovary and one fallopian tube. Abortions. effects. cystic formation of avary are the following causes. Although myoma is generally considered to be the slowly growing tumor in 20-40% o the women at the age of 35 and more uterine fibroids of significant sizes with severe clinicical symptoms. However. Hysterectomy has been common therapy in patients who have completed reproduction. this could causes significant morbidity including prolongrd or heavy menstrual bleeding.Introduction
Uterine myoma is the most common tumors of female genitalia tract. Total abdominal Hysterectomy plus bilateral Salphingo OOpherectomy TAHBSO. ¾ of the woman with this condition. stress. long term use of inadequate contraceptive pills.
Objectives General: After this case study. It is the benign tumor of the smooth muscle in the wall of the uterus. they are clinically apparent in up to 25% of the women. cervix. signs and symptoms and nursing implications for Cerebrovascular Infarction for them to be able to attain a comprehensive and thorough learning experience with regards to their study that would benefit not only them but also the readers and for the patients that they will be catering in the future with such kind of disease. Fibroids can be present and be apparent. complications. Myoma commonly called fibroid. and pain in rare cases reproductive dysfunction.
y y y y y y y
Study the patient¶s history of past and present illness Conduct physical assessment Be able to review the anatomy and physiology of the affected organs and system Trace and analyze the pathophysiology of the disease. Construct nursing care plan for the patient. Classify the ordered drugs and associate its action and effects to the patient. Evaluate the client¶s condition from the time of the admission up to the present.
Input and output hourly and record. secure consent for TAHBSO. Cefuroxime 750 mg q 12o IV. Last ordered IVF to complete if the patient is stable.Course in the ward Day 1 A 46 years old female admitted @ OB ward and following orders are given: Admit to ward. D5NM to follow for the next 8 hours. Day 4 There is no objection for discharge. FeSO4 tab once a day and vitamin C 599 g I tab once a day. At 4am. 2010 patient was brought to the operating room and the following post operative orders were given: patrint to the recovery room after procedure. ss enema was given and vital signs monitored every shift. tramadol HCL 100 mg q 8o IV for 3 doses to start. At 4 pm the patient was transfer to ward. mefenamin=c acid q6. At 1pm. Patient was discharged accompanied by sister. Home medications instructed and patient may go home. foley catheter removed c oral medications of cefuroxime 500 mg BID.
Day3 Patient may have clear liquid diet once with flatus and full diet once with bowel movement. after IVF consume D5LR. give cefuroxime IV 1 hour prior to admission. Run present IVF @ 30 gtts/min.
. Monitor vital signs every 15 minutes with O2 inhalation of 4 lpm. Day2 May 4.
the patient should be guided to the prescribed foods as advised by her physician. Educate and instruct the family of the patient of the proper taking of medications on time and the proper wound care to avoid contamination and infection at the surgical site. we have identified and trace some medications and how these drugs affect the patients physiological functioning. Instruct the family of the patient to monitor if there is any sudden change to the patient and report immediately. we were able to trace the history of her disease.Evaluation After few days of conducting thorough study about the case of Patent J. We have come up with the assessment of the patient biological data and physical assessment as well as the medical information with regards to the client¶s condition. In order to attain proper diet. Encourage the patient to have some exercise. Her meals should incluce Vitamin C rich foods for wound healing. Discharge Plan Mefenamic Acid must be given TID O. Encourage ambulation for her early recovery. Inform the patient the importance of proper hygiene from head to toe. D
.D for pain. we have come up with a discharge plan pertaining to the patients recovery. Appropriate therapeutic care well planned and provided to the client and lastly. we were also able to have a clearer view on how the disease the disease affects the patient¶s body by tracing the pathophysiology of the disease. Inform the family of the patient to have her checkup 2 weeks after discharge for the continuity of treatment. Instruct the relative to follow medication regimen. By understanding fully the mechanism and affects of the disease to the patient. Apart from that.