Management:

1. Symptomatic Treatment: Jessica's gynecologist discusses various treatment options to address her
symptoms. These may include nonsteroidal anti-inflammatory drugs (NSAIDs) for pain management and
iron supplements to address any anemia.

2. Hormonal Therapy: In some cases, hormonal therapy such as birth control pills or a hormonal
intrauterine device (IUD) may be recommended to help regulate menstrual bleeding.

3. Myomectomy: If Jessica desires future fertility and her symptoms are severe, a myomectomy (surgical
removal of the fibroids while preserving the uterus) may be considered.

4. Uterine Artery Embolization (UAE): This is a minimally invasive procedure in which the blood supply to
the fibroids is cut off, leading to their shrinkage.

5. Hysterectomy: In cases where symptoms are severe, and fertility is not a concern, a hysterectomy
(removal of the uterus) may be recommended.

Follow-up: Jessica and her gynecologist discuss the various treatment options, weighing the benefits and
potential risks of each. Jessica opts for conservative management initially but agrees to regular follow-up
appointments to monitor the size and symptoms associated with the fibroids. The gynecologist
emphasizes the importance of ongoing communication and reassures Jessica about the benign nature of
uterine fibroids.

Nursing interventions:

1. Symptom management:

- Provide pain relief measures such as administering prescribed analgesics, applying heat packs, or
assisting the patient with relaxation techniques to alleviate pelvic pain. (Timmins, F. & Eley, V. (2015).
Perioperative nurses' knowledge and skills in postoperative pain management.)

- Assist the patient with menstrual management by providing sanitary pads, teaching proper hygiene
practices, and monitoring menstrual flow. (Ilkevitch, N., & Stein, J. (2020). Menstrual Disorders. In
StatPearls [Internet].)

- Collaborate with the healthcare team to implement strategies to manage heavy menstrual bleeding,
such as the administration of medications to control bleeding or surgical interventions if necessary.
(Shuurink-van der Velden, Y. A. E., van Rooij, I. A. J., Grooten, I. J. M., & Brölmann, H. A. M. (2018).
Uterine fibroids: a clinical review. International Journal of Women's Health, 10, 597–606.)
2. Urinary frequency management:

- Encourage the patient to empty her bladder regularly to relieve symptoms of increased urinary
frequency. (Siddiqui, N. Y., & Genders, R. E. (2021). Fibroids. In StatPearls [Internet].)

- Educate the patient about pelvic floor exercises to help improve bladder control. (Griebling, T. L. (2019).
Urologic Nursing. In Corey, A. L. (Ed.), Oncology Nursing: Scope and Standards of Practice (2nd ed.) (pp.
381–409).)

3. Emotional support and education:

- Provide emotional support and empathy to address the patient's concerns and fears related to her
symptoms and diagnosis. (American Nurses Association. (2015). Psychiatric-Mental Health Nursing:
Scope and Standards of Practice (2nd ed.).)

- Educate the patient about uterine fibroids, including their causes, treatment options, and self-care
measures. Provide reliable resources or educational materials for further information. (Centers for
Disease Control and Prevention. (2021). Uterine Fibroids.)

Please keep in mind that these interventions should be implemented in collaboration with the
healthcare team and individualized to the patient's specific condition and needs. Always consult
evidence-based sources and follow your facility's protocols for specific nursing interventions and
references.