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EVALUA-
No OBJECTIVE ME LEARNING AIDS TION
. ACTIVITY
UTERINE PROLAPSE
The Student 1 Teacher will ------- Define Prolapse
6 DEFINITION:-
will be able to min explain and of uterus.
Uterine prolapse is falling or sliding of the uterus from its normal
define uterine students will
position in the pelvic cavity into the vaginal canal.
prolapse. listen carefully.
1 DEGREE:-
8 The Student Teacher will Explain degrees
mi Chart
will be able to n According to Book According to patient explain degrees of prolapse of
recognize Muscle weakness or relaxation may allow uterus Patient has second with the help of uterus.
degree of to sag or come completely out of body in various degree of uterine chart and
prolapse of stages: prolapse. students will
uterus. 1. First degree: The cervix droops into the vagina. listen carefully
2. Second degree: The cervix sticks to the opening
of the vagina.
3. Third degree: The cervix is outside the vagina.
4. Fourth degree: The entire uterus is outside the
vagina. This condition is also called procidentia.
This is caused by weakness in all of the
supporting muscles.
DIAGNOSTIC TEST:-
spines on straining.
In others, however the external os is visible on
separating the labia.
To diagnose a third degree prolapse, palpation is
essential.
CONSERVATIVE
1. Exercise
Special exercises, called Kegel exercises, can help
strengthen the pelvic floor muscles.
H o w e v e r , s o m e
Not done.
4. Surgical
1. Vaginal hysterectomy with a vaginal vault
suspension
The uterosacral and cardinal ligaments are preserved,
so that they may be used in the support of the vault.
COMPLICATION:-
12 The According to Book According to patient List out
Student
2 Teacher will
Operative: No any complication
complications of
will be able to mi explain and ---
1. Haemorrhage developed at the time
n prolapse of
enumerate students will
2. Trauma of operation or after
complications listen carefully uterus.
operation
Post-operative:
of prolapse of
uterus. 1. Retention of urine due to spasm, oedema and
tenderness of muscle, oedema of urethral wall
2. Haemorrhage
injury
3. Recto- Vaginal fistula following rectal injury
Teacher will What are the
13 1 4. Infertility
The Student explain and measures to
mi ---
will be able to n students will prevent uterine
PREVENTION:-
listen carefully prolase?
Prenatal and postpartum Kegel exercises help in tightening the pelvic floor
musculature. These exercises also help to strengthen the vaginal muscles.
Follow proper and correct lifting techniques, minimize lifting heavy things.
Constipation :
Administered stool softeners/laxatives as prescribed.
Encouraged increase in fluid and fiber intake.
Encouraged early ambulation.
Urinary Incontinence :
Determined if client is aware of incontinence.
Developmental issues/ medical conditions that can impair patient’s
awareness and sensory perception of voiding.
Determined patient’s particular symptoms (e.g. continuous dribbling).
Implemented bladder training for incontinence management by providing
ready acces to bathroom or commode, encouraging adequate fluid intake,
and establishing voiding/bladder emptying.
Sexual dysfunction :
Provided factual information about individual condition involved to
POST-OPERATIVE:
1. Acute Pain
Establishd rapport and assessed pain on pain scale.
Developed communication
Established rapport
Monitored vital signs
Removed wet clothing and wraped her in
warm blanket
Established rapport
Evaluated the need for individual assistance and discuss lifestyle changes
imposed by fatigue state
o IP No: 10744
o Bed No: 16
o Religion: Muslim
SR SPECIFIC TI CONTENT TEACHING A. V. EVALUA-
No OBJECTIVE ME LEARNING AIDS TION
. ACTIVITY
o Surgery done: Abdominal Hysterectomy
o Date of surgery: 3/1/2011
PAST HISTORY:
1. MEDICAL:- Patient has no past history of any major illness like diabetes
mellitus, hypertension, jaundice, heart disease etc.
2. SURGICAL:- No history of any surgeries.
FAMILY HISTORY:-
FAMILY CHART
PERSONAL HISTORY:-
She has not any bad habits like smoking, tobacco chewing etc.
Her sleep pattern is adequate. She likes travelling and cooking.
NUTRITIONAL HISTORY:-
Temperature:
Pulse:
Respiration:
B.P.:
3. Head and Neck:-
FACE:
EYES: Eyes are symmetrical in
size and shape
Visual activity normal
Pupils are reacting to light
Conjunctive is pale in colour
6. Extrimities:-
No edema, numbness or
pain
7. Back:-
No kyphosis, scoliosis or
lordosis
8. Genitalia:-
Redness present
infection
SYSTEMWISE EXAMINATION:-
1. Central Nervous System:
No nausea or vomiting
Sometimes constipation present
Normal passage of stool
5. Musculo-skeletal System:
Full range of motion of all joints
Normal posture
6. Genito urinary system:
Monocytes 2% 2-6 %
Eosinophils 5% 1-6 %
Basophils 0 0-2.5 %
Platelet count 3,14,000/cumm 1,50,000- 4,50,000
/cumm
3. SERUM ELECTROLYTES
5. X-RAY
DATE IMPRESSION
6. URINE EXAMINATION
Crystals Ab
Others Ab
MEDICATION:-
The Student Teacher will Patient’s Enumerate
5 2
will be able to min Pre-operative explain with the medication drugs which
enumerate 1. Tab. Doxy 100 mg orally bd help of s was given to the
medication of 2. Tab Metro 400 mg tds medications and patient?
patient having 3. Tab. Rantac 150 mg bd student will
prolapse of listen carefully
4. Inj Ampoxine 1 gm IV stat
uterus.
5. Inj TT 0.5 ml IV stat
Post-operative
1. Inj Ampoxine 1 gm IV bd
2. Inj Genta 80 mg IV bd
3. Inj Rantac 50 mg IV bd
4. Inj Metrogyl 100 mg IV tds