power point presentation from BSN 3 FISHER of FILAMER CHRISTIAN COLLEGE, ROXAS CITY CAPIZ.

1. Diseases of the Reproductive Organ A presentation by Group 6 Azarcon,Raymond Paul Blances, Lorgie Dayao, Mildalene Faelangco, Joywiline Ferrer, Ma Gressia Pimentel, Roselyn

2. Female Reproductive Organ

3. ENDOMETRIOSIS

4. Endometriosis Video Presentation

5. Schematic Diagram (During menstrual period) Endometrial cells are stimulated by the ovarian hormones Some of the endometrial debris exits the uterus passing the fallopian tube attach to peritoneal surface invade tissues endometriosis

10. OVARIAN CYSTS

11. It is any collection of fluid, surrounded by a very thin wall, within an ovary. Any ovarian follicle that is larger than about two centimeters is termed an ovarian cyst. An ovarian cyst can be as small as a pea, or larger than a cantaloupe. Ovarian Cyst

17. Promotive Eat proper diet Regular check up Regular exercise Preventive Regular pelvic examination Regular check up with the physician Rehabilitative Follow up check up Check for bleeding

19. DYSMENORRHEAL

20. DYSMENORRHEAL Dysmenorrhea refers to the syndrome of painful menstruation..Dysmenorrhea is severe, frequent cramping during menstruation. Pain occurs in the lower abdomen but can spread to the lower back and thighs. 2 types: Primary dysmenorrhea. Secondary dysmenorrhea .

22. Schematic Diagram During Menstrual Cycle Sloughing endometrial cells Release of Prostaglandins Strong myometrial contraction Constrict blood vessels (uterus) Ishemia and pain DYSMENORRHEA

24. >Oral contraceptives , which block monthly ovulation and may decrease menstrual flow, may also relieve symptoms. >Nonsteroidal anti-inflammatory agents: These drugs are highly effective in treating dysmenorrhea, especially when they are started before the onset of menses and continued through day 2. >Acute pain related to severe muscle spasms >Impaired comfort related to pain >Ineffective role performance related to severe discomfort >Risk for situational low self-esteem related to pain-> Impaired social interaction related to severe discomfort- Medical Intervention Nsg. Diagnosis

27. PRE-MENSTRUAL DYSPHORHIC DISORDER

28. Premenstrual Dysphoric Disorder Premenstrual dysphoric disorder (PMDD) is a diagnosis used to indicate serious premenstrual distress with associated deterioration in functioning. PMDD is characterized by depressed or labile mood, anxiety, irritability, anger, and other symptoms occurring exclusively during the 2 weeks preceding menses.

34. VAGINAL FISTULAS

36. Schematic Diagram Ureterovaginal Fistula Dissection around the infundibulopelvic ligament/ ligation of the uterine vessels The ureter may become injured Unexpected pelvic hemorrhage Ureteral injury Ureterovaginal fistula

42. Nursing Interventions Promotive - encourage women to have prenatal check ups - encourge pregnany women to deliver in hospitals or clinics Preventive -educational programs about the causes of the diseases for rural areas Curative - may need to give medicine or wound care to heal the tissue before surgery to client as prescribed by the physician. Rehabilitative - Patients are seen 2 weeks after discharge for evaluation of wounds and bowel habits. -Offer sips of clear liquids to patient on the first postoperative day. - Early ambulation is beneficial for the patient -instruct patient to refrain from sexual activity or any physical activity more strenuous than a slow walk for 3 weeks.

43. UTERINE PROLAPSED

44. Uterine prolapsed means your uterus has descended from its position in the pelvis farther down into your vagina. Uterine Prolapsed

45. Schematic Diagram Menopause, multiparity, child birth trauma, chomic straining Decrease in circulating estrogen Lose of elasticity and ability to support of supporting structure of the pelvic floor Relaxation and Prolapsed of urogenital organs

49. Diagnostics Preoperative - Ensure the patient's bladder and bowel are empty before surgery -obtain informed consent Intraoperative -insert catheter Postoperative - prevent bladder distension -removed catheter as ordered by the physician and as soon as client is ambulatory -monitor bleeding Instruct and teach the patient to: -keep bladder empty by voiding every 2 hours to avoid placing pressure along the suture line - avoid any exercise or heavy lifting -refrain from intercourse for 6 weeks after her discharge from the hospital. - avoid causes of increased intra-abdominal pressure, such as constipation, weight lifting, and cigarette smoking, for at least 3 months.

52. Pelvic exercises and pessaries are the current mainstays of nonsurgical management of patients with UP. - Gellhorn pessaries is most often used for patients with significant UP and a large introital diameter who have not obtained relief with other pessaries - Hysterectomy - performed by way of incisions through the vaginal wall into the pelvic cavity and supportive structure. The uterus is removed from its supporting brood, round, and uterosacral ligaments. The supprting ligaments are then attached to the vaginal cuff to maintain vaginal length. -The 3 common vaginal procedures to suspend the prolapsed vaginal apex are sacrospinous ligament fixation, modified McCall culdoplasty, and iliococcygeus fascia suspension. Medical Interventions Nursing Diagnosis

54. RECTAL PROLAPSED

57. Exams and Tests -A Defecogram (a test that evaluates bowel control) may help distinguish between a mucosal prolapsed and a complete prolapsed. -It is confirmed by Sigmoidoscopy (inspection of the colon with a viewing instrument called a endoscope) - Barium Enema

63. IMPERFORATED HYMEN

67. Nursing Diagnosis >Amenorrhoea >Haematometra >Dyspareunia >Hydrometrocolpos >Haematocolpos

68. Surgical Intervention Hymenectomy A Hymenectomy (hymenotomy) surgical removal or opening of the hymen. Preoperative . Preoperative pelvic and abdominal ultrasound to view the kidneys and urinary tract as many patients with hematocolpos have pelvic adhesions which could lead to ureteric obstruction and hence subsequent renal failure. Postoperative Ibuprofen or other nonsteroidal anti-inflammatory drugs (NSAIDs) may be prescribed for the cramping. Topical lidocaine jelly is recommended for the vaginal orifice.

69. Medical Interventions Medical Therapy After initial presentation and suspected diagnosis of an obstructive anomaly, the use of continually-administered oral contraceptive pills to suppress menses allows symptomatic relief and essential time needed to obtain further diagnostic studies. In addition, the use of nonsteroidal anti-inflammatories can provide pain relief.

71. TOXIC SHOCK SYNDROME

72. Toxic shock syndrome (TSS) is a rare, often life-threatening illness that develops suddenly after an infection and can rapidly affect several different organ systems, including the lungs, kidneys, and liver. Toxic shock syndrome commonly causes a red strawberry tongue. This woman with toxic shock syndrome developed a flat, red, sunburn-like-rash. This rash causes the skin to peel 1-2 weeks after the illness. What is toxic shock syndrome?

73. Schematic Diagram Presence of Strep/Stap Produces Endotoxins Binding of MNC II with T cell receptors Polyclonal T cell activation Cytokine storm- related to the immune system Multi system disease (Lungs, Liver and Kidney)

78. Nursing Diagnosis and Interventions Nursing Diagnosis Anxiety Fluid volume deficit Fatigue Hyperthermia Nursing Interventions Monitor signs of dehydration Increase fluid intake