GYNECOLOGY

 

Gynecology is a branch of medicine that deals with women, their diseases and hygiene.

 

NURSING INTERVENTIONS:

 

      Give psychological support to the patient and her family.

      Encourage patient for the corresponding Pap-Smear.

      Assess abdominal pain.

      Encourage patient for a vaginal examination.

      Monitor the vital signs of the patient: Blood pressure, temperature, pulse and respirations.

      Assess history of last menstrual period, sexual contacts and pregnancy status.

      Assess for past sexually transmitted diseases.

      Explain that sexual contacts may have to be notified to obtain treatment to prevent transmission or reinfection.

      Discuss contraceptive use. Condoms can reduce the transmission of STD (According to the disease):

      Position patient in sitting position as often as possible to promote drainage and comfort.

      Administer oral and topical analgesics for pain as prescribed, administer antibiotics as prescribed.

      Assess for medication effects/ side effects.

      Assess inflammation of the vulva.

      Hydrate the patient as ordered.

      Pipe a vein.

      Start and check the IV infusion.

      If doctors prescribe Hysterectomy, prepare the patient for the surgical procedure.

      Provide the adequate diet.

      Assess bleeding from abdominal or vaginal incision.

      Cure of the wound daily.

      The patient must be in complete rest and then encourage sitting up and progressive ambulation to relieve abdominal distension.

      Provide information of possible changes in sexual response. Some women are relieved that intercourse can no longer result in pregnancy and may find sex more enjoyable. Others may have difficulty reaching orgasm post-procedure.

      Give sanitary education in relation with diet, vitamins, and iron supplements, and possible complications.