D.

EVALUATION
Discharge Planning
Medication
Oral contraceptives: Birth control pills may be helpful to regulate the
menstrual cycle, prevent the formation of follicles that can turn into cysts, and possibly
reduce the size of an existing cyst.
Pain relievers: Anti-inflammatories such as ibuprofen or Ketorolac may
help reduce pelvic pain. Narcotic pain medications by prescription may relieve severe
pain caused by ovarian cysts.

Exercise
 Relaxation exercise
 turning to sides every 2 hours if lying in bed for long hours
 do light activities such as walking, or sitting down
 Exercise social interaction with the family

Treatment
Surgical treatments for Ovarian Cysts

Functional ovarian cysts are the most common type of ovarian cyst. They
usually disappear by themselves and seldom require treatment. Growths that become
abnormally large or last longer than a few months should be removed or examined to
determine if they are in fact something more harmful.
Self-Care at Home
Pain caused by ovarian cysts may be treated at home with pain relievers,
including nonsteroidal anti-inflammatory drugs such as ibuprofen (Motrin),
acetaminophen (Tylenol), or narcotic pain medicine (by prescription). Limiting strenuous
activity may reduce the risk of cyst rupture or torsion.

Medical Treatment
Ultrasonic observation or endovaginal ultrasound are used repeatedly and
frequently to monitor the growth of the cyst.

Health Teachings:

 Proper hygiene.
 Proper diet such as eating nutritional foods that are rich in protein and Vit. C to
promote well-being.
 Increase physical activities.
 Avoid eating sweet foods.
 Adequate rest and sleep.

OPD (follow up)

7 days after the patient was discharge, patient should have his follow up
check up on the nearest health center or hospital
Diet
Increase oral fluid intake
Prevent eating of sweet foods
Have a high fiber diet Iron and Vitamin C rich food
CONCLUSION
With the provided management, the diagnostics procedures done and with the therapeutic
care provided by the nurses and with the cooperation of the patient. She had her condition
improved. There were no reports of right lower quadrant abdominal pain . Even the IVF infusions
were already consumed, and the hydration status was adequately maintained. The patient was
able to perform diversional activities which she would need for her fast recovery and to avoid
feeling of boredom. The patient was completely relaxed provided adequate rest and sleep, which
means she was free from stress.

The medications are still continuously taken and are still seen by the attending physician.
The patient had an Iron and Vitamin C rich foods. Though there were a few modifications in her
lifestyle, with the help of her significant others, she was able to cope with it. She was discharged,
went home accompanied by the SO in good condition.

RECOMMENDATION
In view of the following conclusions determined from the study, the following
recommendations should be undertaken:

For the student nurses, this study will serve as a guide on what to do when they encounter
patients with ovarian cyst. It provides information for them to have a reference about clinical
practice. This might help them to broaden their knowledge, skills, and attitude in clinical setting.

For the patients, this study will help them to have knowledge on what are the things they need to
do when they experience this situation. Also, for them to be able to reach the state of being
completely healthy physically, emotionally, psychologically, etc.

For the future researchers, this study will serve as a guide on how they are going to conduct
future research. This will help them dig deeper regarding to this topic and bridge the gap between
this research and the results and findings

REVIEW OF RELATED LITERATURE

An ovarian cyst is a common gynecological problem and is divided into 2 main
categories; physiological and pathological. Physiological cysts are follicular cysts and luteal
cysts. Pathological cysts are considered as ovarian tumors, which might be benign, malignant,
and borderline. Benign tumors are more common in young females, but malignant are more
frequent in elderly females.2 Most ovarian cysts are asymptomatic and disappear spontaneously.
When ovarian cysts are large, they may cause abdominal discomfort. If pressing on the bladder it
may also cause frequency of urination.
They carried out a retrospective chart review of all cases of ovarian cysts diagnosed and
managed at the Department of Obstetrics & Gynecology, King Abdulaziz University Hospital,
Jeddah, Saudi Arabia between January 2010 and August 2014.
There were 244 cases of ovarian cysts during the study period. The age ranged from 3
months to 77 years of age. Out of 244 patients diagnosed, 165 were married (67.4%). Of those,
only 16 patients were pregnant (6.6%). The most common presentation was abdominal pain in
142 patients (58.2%). Only 79.9% were ovarian cysts, and 17.5% were either para-ovarian or
retroperitoneal. The right ovaries were affected in 63.1%, and only 18.9% were bilateral. The
types of ovarian cysts included functional cysts 33.2%, benign cyst-adenoma 19.3%, and dermoid
cysts 12.3%

BIBLIOGRAPHY

BOOK REFERENCES:

Berman, A., Snyder, S. J., & Frandsen, G. (2016). Kozier & Erb’s Fundamentals of Nursing:
Concepts, Process, and Practice. (10th ed.). Pearson Education Limited

Brunner, L. S., Suddarth, D. S., & Smeltzer, S. C. O. (2008). Brunner & Suddarth's textbook of
medical-surgical nursing (11th ed.). Philadelphia: Lippincott Williams & Wilkins.

Brunner, L. S., Suddarth, D. S., & Smeltzer, S. C. O. (2016). Brunner & Suddarth's textbook of
medical-surgical nursing (10th ed.). Philadelphia: Lippincott Williams & Wilkins.

Doenges, M. E., Moorhouse, M. F., & Murr, A. C. (2019). Nurse's pocket guide: Diagnoses,
prioritized interventions, and rationales. (15th ed) Philadelphia, PA: F.A. Davis.

Hinkle, J.L. & Cheever, K.H. (2018). Brunner & Suddarth's Textbook of Medical-Surgical
Nursing (14th ed.). Philadelphia: Wolters Kluwer.

Jensen, S. (2018). Nursing Health Assessment: A Best Practice Approach. (3rd ed.). Lippincott
Williams & Wilkins, Wolters Kluwer

Kozier, B., Erb, G., Berman, A., Snyder, S. J., Frandsen, G., Buck, M., Ferguson, L., Yiu, L., &
Stamler, L. L. (2018). Fundamentals of Canadian Nursing: Concepts, Process, and
Practice. (4th ed.). Pearson Canada Inc.

Marieb, E. N. & Keller, S. M. (2018). Essentials of Human Anatomy & Physiology. (12th ed.).
Pearson Education Limited
Sitzman, K. & Wright, L. (2017). Understanding the Work of Nurse Theorists: A Creative
Beginning. (3rd ed.). Burlington, MA: Jones & Bartlett

Weber, J. (2017). Lippincott Course Point for Weber: Health Assessment in Nursing. (6th ed.).
Lippincott Williams & Wilkins

INTERNET REFERENCES:

Textbook Equity Edition (2013) Anatomy & Physiology. Retrieved from

https://textbookequity.org/Textbooks/anatomy+phys+vol3.pdf