About
Removal of uterus; may also remove ovaries ( oopharectomy), fallopian tubes, and cervix.
Assess
Bleeding, incision, vital signs, lung sounds
Complications
Bleeding, urinary retention, surgical menopause if ovaries removed
Post-operative complications- infection, pneumonia, pain, paralytic ileus, constipation, blood clots
Diagnosis
- Sexual dysfunction related to perceived body changes
- Knowledge deficit related to possible surgical intervention
- Acute pain related to surgical procedure
- Constipation related to anesthesia, pain medications
- Ineffective health maintenance related to care after surgery
Goals
- The client will understand pre-, intra-, and post-operative instructions.
- The client will be free from infection.
- The client will be able to normally eliminate urine.
Interventions
- Teach client what to expect prior to, during, and after procedures.
- Teach client coughing and deep breathing exercises to minimize risk of pneumonia.
- Post-operatively, monitor VS every 15 minutes X 2, every 30 Minutes X 2, every 1 hour X 2, than every 4 hours ( may have different guidelines for each clinical agency).
- Monitor voiding amount, color and clarity.
- Monitor vaginal bleeding, notify physician if bleeding increases.
- Notify physician if unable to void greater than 6 hours after removing indwelling catheter.
- Provide proper catheter care; monitor for s/s of infection.
- Initiate early ambulation to minimize risks of complications.
- Administer medicines ( analgesics, stool softeners, hormone replacement, etc.) as ordered.
- Perform assessments every 4-8 hours to monitor for complications ( circulation, oxygenation, auscultation, etc).
- Monitor for signs/ symptoms of complications.
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