Nursing Care Plan Dysfunctional Uterine Bleeding
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ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION Subjective: “Natakot ako bigla na lang akong dinugo” as verbalized by the patient. Objective: Restlessnes s. Increased tension. Feelings of helplessness Fear related to change in health status. Dysfunction al uterine bleeding is abnormal uterine bleeding in the absence of clinical or ultrasonogra phic evidence of structural abnormalitie s, inflammation , or pregnancy. Treatment is usually with oral contraceptiv es. Dysfunctiona l After 4 hrs. Of nursing intervention s, the patient will report fear and anxiety are reduced to a manageable level. Independent: Identify patient’s perception of threat represented by the situation. Encourage patient to acknowledge and express fears. Provide opportunity for discussion of Defines scope of individual problem, separate from physiologica l causes, and influences choice of intervention . Provides opportunity for dealing with concerns, clarifies reality of fears, and reduces anxiety After 4 hrs. Of nursing intervention s, the patient was able to report fear and anxiety are reduced to a manageable level.
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Transcript of Nursing Care Plan Dysfunctional Uterine Bleeding
ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATIONSubjective:“Natakot akobigla na langakong dinugo” asverbalized by thepatient.
Objective:Restlessness.Increasedtension.Feelings ofhelplessness
Fear related tochange inhealth status.
Dysfunctionaluterine bleeding isabnormal uterinebleeding in theabsence of clinicalorultrasonographicevidence ofstructuralabnormalities,inflammation, orpregnancy.Treatment isusually with oralcontraceptives.Dysfunctionaluterine bleeding(DUB), the mostcommon cause ofabnormal uterinebleeding, occursmost often inwomen > 45 (>50% of cases) andin adolescents(20% of cases).The cause isusually estrogen
After 4 hrs.Of nursinginterventions,the patientwill reportfear andanxiety arereduced to amanageablelevel.
Independent:
Identify patient’sperception ofthreatrepresented bythe situation.
Encouragepatient toacknowledge andexpress fears.
Provideopportunity fordiscussion ofpersonal feelingsor concerns andfutureexpectations.
Defines scopeof individualproblem,separate fromphysiologicalcauses, andinfluenceschoice ofintervention.
Providesopportunity fordealing withconcerns,clarifies realityof fears, andreduces anxietyto manageablelevel.
Familymembers haveindividualresponses towhat ishappening, andtheir anxietymay becommunicatedto patient,intensifying this
After 4 hrs.Of nursinginterventions, thepatient wasable toreport fearand anxietyare reducedto amanageablelevel.
productionunopposed byprogesterone,which can lead toendometrialhyperplasia. Theendometriumsloughs andbleedsincompletely,irregularly, andsometimesprofusely or for along time.Endometrialhyperplasia,particularlyatypicaladenomatoushyperplasia,predisposes toendometrialcancer.
Identify previouscoping strengthsof the patient andcurrent areas ofcontrol or ability
Encourage use ofrelaxationtechnique likedeep breathing,guided imagery
emotion.
Focusesattention onowncapabilities,increasingsense ofcontrol.
Provides activemanagement ofsituation toreduce feelingsof helplessness
