CARE PLAN Patient: Doris Bowman Admitted on: 3/17/2021 Medical Diagnosis: Uterine leiomyomas (fibroids) Nursing Assessment Subjective: Patient states: "I just had surgery; it hurts in my belly." Patient states: "Pain level, It's pretty bad, I'd give it a 6" Objective : Vital Signs Heart rate: 95, Blood pressure: 118/67 mm Hg. PMID: 18823754, Viswanathan M, Ansari MT, Berkman ND, et al. Age. Sometimes, uterine fibroids can cause complications. In women undergoing hysterectomy for treatment of uterine fibroids, the least invasive approach possible should be chosen. To ensure comprehensive retrieval of relevant studies, we will search MEDLINE via PubMed, the Cumulative Index to Nursing and Allied Health (CINAHL), EMBASE, and the Cochrane Library to identify relevant publications. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Surgical treatment includes hysterectomy, myomectomy, uterine artery embolization, and magnetic resonance-guided focused ultrasound surgery. Morcellation should not be used in women with suspected or known uterine cancer. Fibroids are benign tumors that originate from the uterine smooth muscle tissue (myometrium) whose growth is dependent on estrogen and progesterone.5,6 Fibroids are rare before puberty, increase in prevalence during the reproductive years, and decrease in size after menopause.6 Aromatase in fibroid tissue allows for endogenous production of estradiol, and fibroid stem cells express estrogen and progesterone receptors that facilitate tumor growth in the presence of these hormones.5 Protective factors and risk factors for fibroid development are listed in Table 1.79 The major risk factors for fibroid development are increasing age (until menopause) and African descent.7,8 Compared with white women, black women have a higher lifetime prevalence of fibroids and more severe symptoms, which can affect their quality of life.10, Uterine fibroids are classified based on location: subserosal (projecting outside the uterus), intramural (within the myometrium), and submucosal (projecting into the uterine cavity). Mayo Clinic, Rochester, Minn. May 23, 2019. All rights reserved. The procedure is performed while you're inside an MRI scanner. Patients who have underwent surgery for a hysterectomy, which is the removal of the female reproductive organs, are at risk for infection and may experience grieving . We will assess the applicability of findings reported in the included literature to the general population of women with uterine fibroids by determining the population, intervention, comparator, and setting in each study and developing an overview of these elements for each intervention category. After locating a uterine fibroid, your doctor uses another thin device to send several small needles into the fibroid.
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