Based on her complaints as well as physical examinations, I can conclude that the diagnosis for this patient is Pelvic Floor Dysfunction (PFD). According to the International Urogynecological Association, there are multiple common diagnosis for PFD. It includes pelvic organ prolapse and urinary tract infection (Haylen, 2010). Three factors that contribute to this are childbirth, aging, and obesity. Eleanor’s increase in childbirth made her more prone to this disease. As a woman who gave birth twice, she is more likely to gain this disease compared to a person who only gave birth once. Childbirth causes the pelvic floor to change, therefore causing a possible dysfunction in that area (Bartling, 2016). Now that Ms. Eleanor is 88 years old, she is more susceptible to gaining this disease because as women grow older they’re more likely to get it. Obesity also plays a role in this diagnosis, and because she is on regular medication for hypertension, we can infer that she’s overweight. Urinary incontinence, stress urinary incontinence, increased daytime urinary frequency, nocturnal enuresis, vaginal bulging, and …show more content…
In the beginning I inferred that Eleanor may be overweight due to her hypertension medications. It’s important to change her lifestyle by losing weight, because obesity is one of the causes of pelvic floor dysfunction. When the muscles in the pelvic region does not contract properly, it is known as Pelvic floor dysfunction. Pelvic floor exercises will help increase contractions and improve coordination (Jundth, 2015). This treatment will also help improve urinary incontinence or stress incontinence. Surgery should be the last resort if the pelvic floor exercise treatment fails. The reason for so is because of the multiple side effects such as bladder perforation, persistent bladder emptying dysfunction, and internal bleeding (Jundth,
Anterior pelvic tilt is the top of the pelvis rotating forward such as the ASIS are forward relative to the pubic symphysis. In the frontal plane it looks as if the posterior part of the pelvis is swayed backwards. As dancers we try to work through this resistance and achieve the greatest turn out possible. In order for us to gain greater turn out while standing we often try to open the hips more by sabotaging our alignment, sending the pelvis into anterior pelvic tip. Although you can achieve greater turn out this way, it ruins the aesthetic and makes the deep outward rotators less effective. This means that if you tried to perform a simple tendu to the front, you would not be able to stay turned out through the foot during the exercise. Anterior pelvic tilt also limits a dancer’s execution when doing a back battement.
Even though she is an elderly woman, she is still a strong and an independent person: "Quickly he checked her apartment for any signs of memory loss or depression. He found none and immediately felt relief. The apartment smelled of soap and Lysol, the signs of an old woman who wouldn't tolerate nonsense." (p. 116).
Gynaecological surgery refers to surgery performed on the female reproductive system For the purpose of this essay, I am going to discuss the role of the midwife in the care and management of a woman who has undergone a hysterectomy. Hysterectomy is the surgical removal of the uterus (Oxford Dictionary of Nursing, 2014). It is major gynaecological surgery and the immediate post operative period is a very important time for recovery. As with every surgery, there are the associated risks attached. According to O'Connor et al, 2004, there is a 2% risk of infection, haemorrhage 0.5% and mortality 6-11 per 1000 regardless of which surgical method is used for the hysterectomy. Therefore, I am going to use relevant literature and guidelines to discuss
Hoehl, James J. (1998,Winter). Archives of the American Academy of Orthopaedic Surgeons: Sexual Dysfunction and the Elderly. (vol.2,no.1)[Online.]
or any issues with her urine production. Mrs. L stated that she does not urinate excessively and that she has never noticed an extreme change in color of her urine. A urinary tract infection or yeast infection is not something that Mrs. L said she has experienced in the past. Mrs. L stated that she is not currently sexually active because of her age and it is more difficult than it used to be. She has never had any sexually transmitted infections or other issues with her genital health. Mrs. L stated that she does have arthritis in her feet and hips. She has never had a muscle tear or tore a ligament or tendon. Mrs. L also said that she has never had any issues with her ACL. Her back surgeries are the only things Mrs. L stated that have been
According to Steen and Marchant (2007), 60-70% of women will require sutures after vaginal delivery. A common morbidity of lacerations in the perineum is acute pain (Steen et al., 2007). Indeed, many women who have had birth related lacerations have decreased mobility, difficulty sitting comfortably, or fear of defecation due to pain (Steen et al. 2007). Furthermore, this pain may impede a mother from breastfeeding, focusing on newborn care and can lead to increasing irritability (Steen et al., 2007).
J.P., a 58 year old female, presents to the Emergency Room on March 18th. She has a past medical history of cervical cancer, atheroembolism of the left lower extremity, fistula of the vagina, peripheral vascular disease, neuropathy, glaucoma, GERD, depression, hypertension, chronic kidney disease, and sickle cell anemia. She complains of right lower extremity pain accompanied by fatigue, a decreased appetite, increased work of breathing, burning urination, and decreased urine output for three days. Upon admission, a complete physical assessment was performed along with a blood and metabolic panel. The assessment revealed many positive and negative findings.
Endometriosis appears to be caused by multiple factors such as the implantation of endometrial tissue outside of the endometrium, immune dysfunction, abnormal hormonal signaling, and genetics.
...ith prolapsed organs. Maintaining a healthy diet to include lots of fruits and vegetables and fiber is the best way to prevent constipation as well as drinking plenty of fluids. It has been recommended to drink half your body weight in ounces every day to maintain a healthy inner eco system. Drinking plenty of water helps maintain balance of hormones, bowel functions and cellular health. Other preventive measures can be taken when heavy lifting is required, be sure to used legs when lifting heavy objects or while working out. Proper lifting techniques will also prevent other injuries. By maintaining a healthy weight you will also prevent undue pressure on lower pelvic floor muscles. By practicing good prevention techniques not only will the pelvic floor be in good health but the rest of the body will benefit as well. Here’s to pelvic floor health! W/C 1184
One of the most common infections that occur in the urinary system is UTIs or Urinary Tract Infection. A UTI is when bacteria gets into the urinary system, either externally or from the digestive tract, and causes pain and irritation in the urinary tract (Friedl, n.d.). UTIs are typically treated with antibiotics. A common disease of the urinary system is incontinence, which is when you lose some or all of your bladder control (Friedl, n.d.). This can also cause retention problems, which is when you have trouble releasing urine from the bladder (Friedl, n.d.). Incontinence can be treated with medication and exercise that can help to retrain the muscle around the bladder and urethra area (Friedl, n.d.). Interstitial cystitis (IC), also known as painful bladder syndrome (BPS), is a type of chronic bladder condition that is primarily found in women (Zimmermann, 2016). IC can cause bladder pressure and pain, bladder scarring, and can cause less elasticity in the bladder (Zimmermann, 2016). Another form of inflammation in the urinary system is Prostatitis, the swelling of the prostate gland. Prostatitis is significant in that it only occurs in men and is often caused by advanced age (Zimmermann, 2016). It is generally cured by antibiotics. Kidney stones are an extremely painful condition that occurs in the urinary system when chemicals in the urine become
According to epidemiological studies conducted in 1997, the disease typically afflicts white, educated women in their early to mid-40s. The spectrum of symptom severity, however, can vary from person to person. Some people experience the urge to urinate (up to 70 times per day), while others endure bladder pressure or, in severe cases, unremitting bladder pain.
Elimination pattern varies among family members. No bowel or bladder problems. They all have regular bowel movements and voids frequently without complaints. The mother and daughter exercises at least three days per week. The father, who can be unbalanced at times, walks every day for one hour. If there is no one at home to accompany him, he will do so by himself and this has been going on for two years without a problem. While walking he stays in touch with family members every fifteen minutes. Due to his illness, he is unable to do other forms of exercises. He however enjoys going to the movies and shows with his wife and
future career, that is to be an obstetrician, also known as an OB/GYN. Some of the topics that will be discussed in my paper are those pertaining to exactly what an obstetrician is and the requirements that are needed in order to become an obstetrition. These requirements will include the pyhsical and phsyschological personality traits of a potential obstetrician. The type of schooling that is nessecary, including the preperation that is available at Middlesex County College, and the average number of years that it takes in order to become an obstetrician. The demand for obstetricians will also be researched, along with the different promotional ranks that are available. Starting salaries, as well as potential salaries will be explained. The reasons as to why a career in obstetrics appeals to me and the other possible career choices that I may decide to persuade in the future.
Upon her review of systems Mary denies any recent vision changes, headache, shortness of breath, chest pain, dizziness or loss of consciousness. She also denies any abdominal pain, nausea, vomiting, or diarrhea. Rarely does Mary get constipated. She reports a normal appetite and eating pattern with occasional binges. There were no changes in motor strength reported, nor any sensory changes. It was revealed that she does complain of severe mood changes as well as hot flashes as a result of going t...
An obstetrician is one thing, and a gynecologist is another. The job is combined together, but the two branches can be worked separately. An obstetrician is a physician who focuses and is trained in the management of pregnancy, labor, and pueperium (the period following childbirth). A physician who has specialized and trained in the health of the female reproductive system is a gynecologist. The reason the jobs are combined is because they’re both all about women. Obstetricians and Gynecologists are physicians who provide general medical care to women. They equip medical care associated with pregnancy or childbirth, and they diagnose, treat, and help prevent diseases, especially those affecting the female