gynecologic problems
DESCRIPTION
Powerpoint presentation about introduction to gynecologyTRANSCRIPT
Nursing care of women with the disorders of the reproductive system
Gynecology
• “gyne” or “gynaikos” – woman or female• “logia” – study
• Study of the diseases of women
Gynecology of Infancy and Childhood
• Developmental defects• Anomalies and diseases of the reproductive
organs in females from infants to elderly• Preventive and therapeutic aspects– Preventive aspects is not only desirable but more
of necessity
Developmental Considerations
• Infants/Children– Anatomic consideration (size, shape, structure)– Immature reproductive organs – special
techniques– Possible emotional effect (Parental reaction plays
a role)– Patience, reassurance, avoid things that will cause
pain (Personal competencies)
Developmental Considerations
• Geriatric Patients– Menopause – stress– Physical changes
• Atrophy of reproductive tract• Vulva loses contour and tumescence• Labia shrinks• Vaginal mucosa becomes thinner and
smooth• Uterus gets thinner and firm• Ovaries – firm, small and atrophic• Breast loose fullness and reveals
atrophy
Developmental Considerations
– Subjective changes/symptoms• Menopausal Dyspareunia
– Thinning of the vaginal mucosa, dec. function of mucus secreting cervix and Bartholin’s glands (homologous to bulbourethral glands in males = secretion of mucus)
• Hot flushes – vasomotor phenomena limited to the upper part of the
thorax, head, and neck. Followed by redness and perspiration. – Controlled with the use of estrogen, sedatives or both.
Nursing Management
• History taking– Marital, sexual, obstetrical, surgical,
presenting illness
• Provision of privacy– Curtains, lock room
• Prevention of infection– Asepsis, use of sterile instruments in
exams
• Physical preparation –positioning and draping
Nursing Management
• Psychological preparationIssues:• Association of organs with femininity • Difficulty in accepting manipulation of these organs• Be sensitive to feelings of patient, better preparation• Confidentiality – only to health care team• Encourage pt. to answer completely and as frank as
possible to questions of doctors• Prepare for possible questions that she will be asked
Nursing Management
• Give patient the chance to think through her answers, less pressure, more accurate info• Explain procedures, tests to the patient• Personal competencies of the nurse will help in making
the patient at ease• Ventilation sessions – provide opportunity for the nurse
to correct misconceptions• Privacy
END