Uterine Fibroids: A case study


Uterine fibroids, progestogen and estrogens, glandular functionalis, leiomyomas, Hormones, depression, vaginal hysterectomy, spinal anesthesia, urinary catheter, postoperative stage, mental health, occupational therapist, Physiotherapists, gynecologist


Janet Jacksonis a 40yearoldwoman. She is a single parent with three teenage children. She has been experiencing symptomswhich has led to a diagnosis ofuterine fibroids (leiomyomas).

Janet has a history of depressionand is a heavysmoker.Janet was admitted to hospital for a vaginal hysterectomy via spinal anaesthesia. After 2 hours in the post-anaesthetic recovery room (PARU) shewas transferred to the ward.She has an indwelling urinary catheter insitu and patient controlled analgesia.In relation to Janet Jackson:Discuss theaetiology and pathophysiologyof thepatient’s presenting condition(LO1; LO3).Critically discuss the underlying pathophysiologyof the patient’s post-operative deterioration.Prioritize, outlineand justifythe appropriate nursing management of the patient during this time (LO1; LO2; LO3; LO5: LO6)

Identify three (3) members of the interdisciplinary healthcare team, apart from the primary medical and nursing team, who you would involve in the care of the patient before their discharge and provide justification for their involvement. (LO1; LO4: LO5; LO6


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