Uterine Fibroids - Nursing Interventions Acute Pain

A uterine fibroid is a leiomyoma (benign (non-cancerous) tumor from smooth muscle tissue) that originates from the smooth muscle layer (myometrium) of the uterus. Fibroids are often multiple and if the uterus contains too many leiomyomata to count, it is referred to as diffuse uterine leiomyomatosis. The malignant version of a fibroid is extremely uncommon and termed a leiomyosarcoma.

Other common names are uterine leiomyoma,myoma, fibromyoma, fibroleiomyoma.

Fibroids are the most common benign tumors in females and typically found during the middle and later reproductive years. While most fibroids are asymptomatic, they can grow and cause heavy and painful menstruation, painful sexual intercourse, and urinary frequency and urgency. Some fibroids may interfere with pregnancy although this appears to be very rare. (wikipedia)

Nursing Diagnosis Acute Pain related to inflammation due to the addition of mass in the uterus
Objectives:
  • Pain can be reduced or lost
Expected outcomes are:
  • Pain scale (1-10) = 1-3.
  • Respiration = 16-24 beats / minute.
  • Pulse  = 60 -100 beats / min.
  • Expression showed no signs of pain and seemed to relax.
1. Observation of a pain scale (1-10)
Rational: Observation of a pain scale is necessary for us to know the level of pain experienced by the client so that we can provide appropriate interventions for clients.
2. Find the area, location, and intensity of pain
Rational: To determine the location of pain, pain in the abdomen may indicate the likelihood of complications
3. Give a sitting position while hugging a pillow or a position in the sense of comfort by the client
Rational: It can provide comfort to the client.
4. Give instruction in relaxation techniques and deep breathing techniques
Rational: relaxation and deep breathing techniques to increase comfort and reduce the level of pain experienced by the client
5. Encourage clients to use a warm compress
Rational: Warm compresses can increase vasodilation of blood vessels at the site of pain so that pain can be reduced.
6. Collaboration in the delivery of analgesics and antiemetics, as indicated when necessary.
Rational: The provision of analgesia is necessary if the client is a pain scale of 7-10, this analgesic increase relaxation, decrease attention to pain, and control the adverse action.
7. Provide information about the use of analgesics that are prescribed or not prescribed
Rational: The specific instructions about the use of drugs, increasing awareness of safe use and side effects.
8. Evaluation of vital signs.
Rational: To determine the condition of clients after the intervention so that it can be done to determine further action.
 

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