About
Pain with menses, increased bleeding with menses.
Assess
Age of menarche, obstetric history, contraceptives, pain, pattern of menstruation, associated factors with pain, timing of pain
Complications
Dysfunctional uterine bleeding, treatment specific complications, sexual dysfunction
Diagnosis
- Acute pain related to cramping
- Impaired comfort related to excessive bloating or fluid retention
- Fear related to loss of large amounts of blood
- Deficient fluid volume related to large volumes of blood loss
Goals
- The client will state a decrease in pain.
- The client will identify pharmacological and nonpharmacological methods to reduce symptoms.
Interventions
- Assess onset, length, palliative measures, and type of symptoms.
- Incorporate dietary measures to manage symptoms.
- Encourage exercise, adequate rest, relaxation techniques.
- Administer medications ( NSAIDS, ovulation suppression meds, birth control pills, etc.) as ordered.
- Teach the client side effects and rationale for use of medication( s).
- Encourage alternative methods to relieve pain including heat, massage, distraction.
- Monitor for signs/ symptoms of complications.
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