الأربعاء، 29 أغسطس 2018

320-Menopause

About
Normal aging process of women's health characterized by the inability to reproduce, end of menses, and a decrease in estrogen.
Assess
Changes in menstruation frequency and timing, hot flashes, night sweats, mood changes, memory loss, vaginal dryness
Complications
Treatment specific complications; sexual dysfunction; stress urinary incontinence
Diagnosis
  • Ineffective sexual patterns related to inadequate lubrication
  • Ineffective thermoregulation related to changes in hormone levels
  • Impaired comfort related to "hot flashes"
Goals
The client will state understanding of normal aging process and symptom management,
Interventions
  • Assess last menstrual period and symptoms.
  • Administer estrogen therapies, alternative agents, or other medications as ordered.
  • Teach client about medications and potential contraindications and side effects.
  • Teach client to use lubricants during intercourse and to prevent vaginal tearing/ dryness.
  • Encourage exercise, healthy eating, and increased intake of calcium and vitamin D.
  • Teach client how to do kegel exercises to prevent stress urinary incontinence.
  • Encourage client to verbalize feelings about body changes and changes in sexual functioning.
  • Monitor for signs/ symptoms of complications.

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