Term
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Definition
Presence of endometrial tissue implanted outside uterine cavity, primarily in pelvis
Pelvic area is primary site, but found in other areas including lung, abdomen or bladder
Peak incidence between 20 and 45 years
Affects > 10% childbearing aged women in US
30% of women with severe menstrual cramping have ________. |
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Term
| Endometriosis (Diagnostic test) |
|
Definition
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Term
| Endometriosis Etiology and Pathophysiology |
|
Definition
Multifactorial disorder with probable autoimmune component
Implanted tissue responds to hormones and leads to cyclic bleeding.
Results include inflammation, scarring, adhesion formation in the peritoneum and generally pelvic pain
Delaying childbearing increases risk for __________ and infertility |
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Term
| Endometriosis (Treatment medical) |
|
Definition
NSAID
Oral contraceptives that may decrease bleeding/amenorrhea),
progestin's (Depo) or other agents that suppress endometrial growth, ovulation and bleeding (GnRH agonist such as Lupron) |
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Term
| Endometriosis (Treatment surgical) |
|
Definition
Laparoscopy either abdominal
vaginal resection or ablation with or without concurrent use of hormones |
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Term
| Endometriosis (Nursing Diagnoses) |
|
Definition
Pain r/t peritoneal irritation of ________.
Ineffective coping r/t depression regarding infertility or pain |
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Term
| Endometriosis (Outcomes of Care Evaluation) |
|
Definition
Patient reports approaches that effectively decrease pain
Patient able to discuss condition and treatment options |
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Term
| Endometriosis (Management Plan) |
|
Definition
Patient assessment, care and teaching regarding pain issues and desire for fertility.
Mild pain:NSAID's Moderate Pain: OC’s
Severe Pain: GnRH agonists or Lupron Debilitating Pain: TAH with BSO
Reinforce practitioners explanation of pharmacological care and surgical options so patient can make an informed choice. |
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Term
|
Definition
| pelvic pain r/t menses and abnormal uterine bleeding (may be asymptomatic) |
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