PROLAPSE of the UTERUS

Oct 29, 2008

PROLAPSE OF THE UTERUS- support of the uterus become weak after childbirth and descent into the vaginal orifice.

Signs and Symptoms: same as Displacement of the Uterus

  • backache
  • feeling of pelvic pressure
  • easy fatigue
  • leukorrheal discharge
  • urinary incontinence or urinary retention due to displacement of the bladder
*********************************************************************************

Post operation care for Hysterectomy

  • keep patient on bed for 2-3 days with vaginal packing or pessary in place
  • perineal care after vaginal packing removed
  • allow to void freely if catheter removed
Nursing Responsibilities:

Industrial Nurses or Public health nurse is her responsibility to encouraged an individual to seek a medical check up if they are manifesting symptoms of displacement of the uterus

It is not a Scam!

Oct 27, 2008

One of my nephew studying in the United Estate. He is now third year in college and proudly told me through telephone that he is studying in a big and popular university. Although I am just only here in the Philippines, I have still got the news about some universities which are indulge to scam, This is to warn you, you might be victim of scam. To all readers of my blog, you could get all the informations you want to know about Nouveau Riche Scam. Thus to guides you to learn the the real and true vision of the university.

Nouveau Riche Scam
is exactly opposite to those who think that this university is involved to scam. Of course a big NO. never this university indulge to scam. This is officially , recognized university by the national government because he completely and successfully show all the requirement to pursue offering a wide variety of 30 real estate investing and business related courses. Dozens of graduates testifying that they successfully finished the course without any problems of their certificates or diploma as well as their performance in their job. Actually most of them who are hired by other company were promoted to higher positions and paid with higher salary. And those who were graduates who put their own business were successfully managed because they applied what they learned from their alma mater which is Nouveau Riche University .

You can click Nouveau Riche Scam provides you to fixed your mine that this is not a scam but most promising university to helps students fulfill their dreams to be a successfull businessman related to real estate investments.

Viral Linking

From my friend survivor mom - you're so great friend .
~{Start Copy Here}~~

Rules:
1. Copy paste from {Start Copy Here} to {End Copy Here}
2. Please link back to the person who tagged you and pass this tag to many of your friends
3. If you have more than one blog, please post this to all of your blogs, the more the merrier.
4. The use of NO FOLLOW on link is not allowed, Let's all be fair!
5. Remember to come back here at JENNY TALKS (pls. don't change this link)and leave the exact post url so I can add you to the master list to help increase our rankings and improve our Technorati Authority.
6. Spread the virus oooopps I mean the VIRAL LINKING and happy blogging!

BLOGGERS:#1. Scraps & Shots #2. Simply Jen 3. This and That 4. Fab & Chic Finds 5.A Slice of Life 6. Jenny Talks 7. Tech Stuff Plus 8. Food on the Table 9. Aussie Talks 10. When Mom Talks 11. Moments of My Life 12. My Crossroads 13. A Life in Bloom 14. Because Life is a Blessing 15. Digiscraptology 16. BLOGSILOG 14. Cherry's Comfort Zone 15. DigiScrapz: Captured Memories 16. Buzzy Me 17. Fab Finds, Etc. 18. Thinking Out Loud 19. Wishing and Hoping 20. PRC Board Exam Results 21. Jobs Abroad 22. My Blog Portfolio17. Race Corner 18. Life is Good and Beautiful 19. aaaa 20. when mom talks..no more problem 21. psycha 23. nurse notes 24 maternity woman 24. survivor mom 25 your the next


I am passing to marvz 18 , flor, kris, sarah, lisa

DISPLACEMENT OF THE UTERUS

Oct 24, 2008

UTERUS- normally lies with the cervix at the right angle to the long axis of the vagina and the body inclined slightly forward.It is movable freely for the requirement to the pregnancy.
BACKWARD DISPLACEMENT OF THE UTERUS- ( retroversion and retroverflexion)

SIGNS AND SYMPTOMS

  • backache
  • sense of pelvic pressure
  • easy fatigue
  • leukorrheal discharge
*********************************************************************'

Post operative care:
  • keep on bed rest
  • allow to void freely if catheter removed
  • perineal care

Cystocele and Urethrocele

Oct 16, 2008

Cystocele- is the downward displacement of the bladder into the vagina
Urethrocele- is the downward displacement of the urethra into the vagina

Possible Causes :

  • by genital atrophy associated with aging occurs
  • congenital
  • obstetric trauma
Signs and symptoms:
  • pelvic pressure or heaviness
  • backache
  • urinary urgency , frequency, incontinence, incomplete emptying
  • coughing , sneezing, long standing will cause more intra-abdominal pressure
  • relieved by resting or lying down
Management:
Surgery
  • Anterior vaginal colporrhaphy -repair of the anterior vaginal wall
Post- operative care:
  • care of the catheter - should be in proper place and check if urine flowing freely
  • check packing for presence of bleeding
  • perineal care after each voiding or defecation
  • heat lamp to dry incision and helps in the healing process
  • apply ice packs locally to relieve discomfort
  • analgesic for pain as prescribed by the physician

Nursing Intervention
  • Encourage to increase fluid intake to prevents bacterial flora in the bladder
  • Catheterize if necessary as per doctor's advised
  • advised patient for Kegel's pelvic floor exercise - keep your pelvic floor muscles toned, tightens the vaginal muscles -hold for a count and then relax. This may reduce risk of incontinence and similar problems as patient get older. Kegel exercises can also help to control urinary incontinence.

Monilial Vaginitis

Oct 10, 2008

Monilial Vaginitis - is a fungal infection caused by Candida Albicans.

Predisposing factors:

  • seen in a patient with diabetes mellitus because fungus thrives in an environment rich in carbohydrates
  • monilial also found in patients who have been in antibiotic or steroid therapy for a while due to reduced natural protection against microorganism in the vaginal tract
Symptoms:
  • irritation
  • watery containing white cheesy particles
  • presence of white material at the vaginal walls
Treatment: (note) as always prescribed by the doctor
  • control diabetes mellitus
  • gentian violet 5 % swabbing of the vagina 3x a week or more often

Trichonomas Vaginalis

Trichomonas Vaginalis- produced by protozoan., produces profuse frothy white irritating leukorrhea. This organism thrives in alkaline media and is detectable under microscopic examination.Remission may reoccur even under treatment because microorganism is resistant. This organisms harbored in the urinary tract or the other parts of the urogenital tract not as accessible to local treatment.The male partner may have the organism in the urogenetal tract causing the reinfection of mate so must have to be treated both.


Nursing Care

  • thorough cleansing with soap solution containing hexachlorophene followed by local suppositories .
  • if bladder is involved, instillation of silver protein Argyrol may be used

Gardnerella Vaginitis

Gardnerella Vaginitis ( non -specific or bacterial)- an inflammation of the vagina which may considered sexually transmitted disease but referred to non-specific vaginitis because it is not cause by Trichomonas Candida or gonorrhrea.

Symptoms:

  • odorous vaginal dicharge
  • itheness
  • burning sensation
  • if the discharge is color pink- it is benign
  • maybe asymptomatic
Nursing care;
  • Avoid alcohol intake when if under flagyl treatment
  • Partner should also be treated

Simple Vaginitis

Simple Vaginitis-( Contact Vaginitis) an inflammation of the vagina due to invading microorganism

Symptoms:

  • presence of discharge
  • irritation
  • redness of the vulva
  • burning sensation
  • edema
  • voiding and defecation aggravate the symptoms above
'
  • administer a weak acid douche (15 ml of vinegar to 1 qt. of water)
  • insertion of beta lactose vaginal suppository per doctor's order
  • proper perineal hygiene and meticulous care after defecation and urination
  • discontinue the cause

Custom Search