New Era University
College of Nursing
A Case Study on
Status Post Salphingo-oophorectomy
Ovarian New Growth probably Benign, Nulligravid
Pulmonary Tuberculosis V
In Partial Requirement in
Nursing Care Management 104 - Related Learning Experience
Submitted By:
Tortoles, Princess Jaira
Trinidad, Ernesto
Tumaneng, Rozel
Tumbaga, May Cristel
Valdez, Phoebe
Valera, James Patrick
BSN-3B2 Group 4B
2011-2012
,I. Introduction
A. Background of the Study
The ovary is a common site for cysts, which may be simple enlargements of
normal ovarian constituents, the graafian follicle, or the corpus luteum, or they may
arise from abnormal growth of the ovarian epithelium. An ovarian cyst is any collection
of fluid, surrounded by a very thin wall, within an ovary. Any ovarian follicle that is larger
than about two centimeters is termed an ovarian cyst. An ovarian cyst can be as small
as a pea, or larger than an orange.
Ovarian cysts affect women of all ages. The vast majority of ovarian cysts are
considered functional (or physiologic). This means they occur normally and are not part of a
disease process. Most ovarian cysts are benign, meaning they are not cancerous, and many
disappear on their own in a matter of weeks without treatment. While cysts may be found
in ovarian cancer, ovarian cysts typically represent a harmless (benign) condition or a normal
process. Ovarian cysts occur most often during a woman's childbearing years. In the US,
ovarian cysts are found in nearly all premenopausal women, and in up to 14.8% of
postmenopausal women. (http://www.emedicinehealth.com)
Some ovarian cysts cause problems, such as bleeding and pain. Surgery may be
required to remove cysts larger than 5 centimeters in diameter.
Some or all of the following symptoms may be present, though it is possible not
to experience any symptoms: Dull aching, or severe, sudden, and sharp pain or
discomfort in the lower abdomen (one or both sides), pelvis, vagina, lower back, or
thighs; pain may be constant or intermittent—this is the most common symptom,
Fullness, heaviness, pressure, swelling, or bloating in the abdomen, Breast tenderness,
Pain during or shortly after beginning or end of menstrual period., Irregular periods, or
abnormal uterine bleeding or spotting, Change in frequency or ease of urination (such
as inability to fully empty the bladder), or difficulty with bowel movements due to
pressure on adjacent pelvic anatomy, Weight gain, Nausea or vomiting, Fatigue,
Infertility, Increased level of hair growth, Increased facial hair or body hair, Headaches,
Strange pains in ribs, which feel muscular, Bloating and Strange nodules that feel like
bruises under the layer of skin. (Wikipedia.com)
Cancer of the ovary is 12th overall, and ranks 5th among females. An estimated
2,032 cases will occur in 1998. Incidence increase starting at age 40. (doh.gov.ph)
Tuberculosis, MTB or TB (short for tubercle bacillus) is a common and in many
cases lethal infectious disease caused by various strains of mycobacteria, usually
,Mycobacterium tuberculosis. Tuberculosis usually attacks the lungs but can also affect
other parts of the body. It is spread through the air when people who have an active
MTB infection cough, sneeze, or otherwise transmit their saliva through the air. Most
infections in humans result in an asymptomatic, latent infection, and about one in ten
latent infections eventually progresses to active disease, which, if left untreated, kills
more than 50% of its victims.
The classic symptoms are a chronic cough with blood-tinged sputum, fever, night
sweats, and weight loss. Diagnosis relies on radiology (commonly chest X-rays), a
tuberculin skin test, blood tests, as well as microscopic examination and microbiological
culture of bodily fluids. Treatment is difficult and requires long courses of multiple
antibiotics. Social contacts are also screened and treated if necessary. Prevention relies
on screening programs and vaccination, usually with Bacillus Calmette-Guérin vaccine.
One third of the world's population is thought to be infected with M. tuberculosis,
and new infections occur at a rate of about one per second. In 2007 there were an
estimated 13.7 million chronic active cases, 9.3 million new cases, and 1.8 million
deaths, mostly in developing countries. In addition, more people in the developed world
contract tuberculosis because their immune systems are more likely to be compromised
due to higher exposure to immunosuppressive drugs, substance abuse, or AIDS.
(Wikipedia.gov)
II. Objectives
By the end of the proposed period for the meeting of client’s information and
interviews, the group aims to:
General
a. share the information that the group had experienced and encountered
base on the standard principles in Related Learning Experience.
b. identify the early symptoms and manifestations of the disease and raise
awareness of those who are at risk of the condition.
Specific
Knowledge
a. identify the risk factors and as well as the signs and symptoms of the
disease
b. discuss the underlying pathophysiology of the disease in relation with
the client’s condition.
c. explain the rationale behind nursing procedures
, Skills
a. plan the nursing management appropriate to and for the improvement
of the client’s condition.
b. implement the nursing actions with effectiveness and efficiency.
Attitude
a. establish good working relationship with the client and significant others
b. develop the insight on how to deal with patients with gynecological
problems
III. Scope And Delimitations
This case study was focused on the assessment of the health status of the client
with Ovarian Cyst, probably Benign, who was confined from July 9 to July 14, 2011 at
the Obstetric Ward of Quezon City General Hospital, as well as during the hospital
exposure of Group 4B from July 11-13, 2011. The data gathered for the study are based
on the patient’s chart, laboratory results, observations, and interview with the patient
and her family. However, previous findings and information regarding the client’s
condition from the preceding consultations at East Avenue Medical Center were not
included in the study due to less allotted time for data gathering.
College of Nursing
A Case Study on
Status Post Salphingo-oophorectomy
Ovarian New Growth probably Benign, Nulligravid
Pulmonary Tuberculosis V
In Partial Requirement in
Nursing Care Management 104 - Related Learning Experience
Submitted By:
Tortoles, Princess Jaira
Trinidad, Ernesto
Tumaneng, Rozel
Tumbaga, May Cristel
Valdez, Phoebe
Valera, James Patrick
BSN-3B2 Group 4B
2011-2012
,I. Introduction
A. Background of the Study
The ovary is a common site for cysts, which may be simple enlargements of
normal ovarian constituents, the graafian follicle, or the corpus luteum, or they may
arise from abnormal growth of the ovarian epithelium. An ovarian cyst is any collection
of fluid, surrounded by a very thin wall, within an ovary. Any ovarian follicle that is larger
than about two centimeters is termed an ovarian cyst. An ovarian cyst can be as small
as a pea, or larger than an orange.
Ovarian cysts affect women of all ages. The vast majority of ovarian cysts are
considered functional (or physiologic). This means they occur normally and are not part of a
disease process. Most ovarian cysts are benign, meaning they are not cancerous, and many
disappear on their own in a matter of weeks without treatment. While cysts may be found
in ovarian cancer, ovarian cysts typically represent a harmless (benign) condition or a normal
process. Ovarian cysts occur most often during a woman's childbearing years. In the US,
ovarian cysts are found in nearly all premenopausal women, and in up to 14.8% of
postmenopausal women. (http://www.emedicinehealth.com)
Some ovarian cysts cause problems, such as bleeding and pain. Surgery may be
required to remove cysts larger than 5 centimeters in diameter.
Some or all of the following symptoms may be present, though it is possible not
to experience any symptoms: Dull aching, or severe, sudden, and sharp pain or
discomfort in the lower abdomen (one or both sides), pelvis, vagina, lower back, or
thighs; pain may be constant or intermittent—this is the most common symptom,
Fullness, heaviness, pressure, swelling, or bloating in the abdomen, Breast tenderness,
Pain during or shortly after beginning or end of menstrual period., Irregular periods, or
abnormal uterine bleeding or spotting, Change in frequency or ease of urination (such
as inability to fully empty the bladder), or difficulty with bowel movements due to
pressure on adjacent pelvic anatomy, Weight gain, Nausea or vomiting, Fatigue,
Infertility, Increased level of hair growth, Increased facial hair or body hair, Headaches,
Strange pains in ribs, which feel muscular, Bloating and Strange nodules that feel like
bruises under the layer of skin. (Wikipedia.com)
Cancer of the ovary is 12th overall, and ranks 5th among females. An estimated
2,032 cases will occur in 1998. Incidence increase starting at age 40. (doh.gov.ph)
Tuberculosis, MTB or TB (short for tubercle bacillus) is a common and in many
cases lethal infectious disease caused by various strains of mycobacteria, usually
,Mycobacterium tuberculosis. Tuberculosis usually attacks the lungs but can also affect
other parts of the body. It is spread through the air when people who have an active
MTB infection cough, sneeze, or otherwise transmit their saliva through the air. Most
infections in humans result in an asymptomatic, latent infection, and about one in ten
latent infections eventually progresses to active disease, which, if left untreated, kills
more than 50% of its victims.
The classic symptoms are a chronic cough with blood-tinged sputum, fever, night
sweats, and weight loss. Diagnosis relies on radiology (commonly chest X-rays), a
tuberculin skin test, blood tests, as well as microscopic examination and microbiological
culture of bodily fluids. Treatment is difficult and requires long courses of multiple
antibiotics. Social contacts are also screened and treated if necessary. Prevention relies
on screening programs and vaccination, usually with Bacillus Calmette-Guérin vaccine.
One third of the world's population is thought to be infected with M. tuberculosis,
and new infections occur at a rate of about one per second. In 2007 there were an
estimated 13.7 million chronic active cases, 9.3 million new cases, and 1.8 million
deaths, mostly in developing countries. In addition, more people in the developed world
contract tuberculosis because their immune systems are more likely to be compromised
due to higher exposure to immunosuppressive drugs, substance abuse, or AIDS.
(Wikipedia.gov)
II. Objectives
By the end of the proposed period for the meeting of client’s information and
interviews, the group aims to:
General
a. share the information that the group had experienced and encountered
base on the standard principles in Related Learning Experience.
b. identify the early symptoms and manifestations of the disease and raise
awareness of those who are at risk of the condition.
Specific
Knowledge
a. identify the risk factors and as well as the signs and symptoms of the
disease
b. discuss the underlying pathophysiology of the disease in relation with
the client’s condition.
c. explain the rationale behind nursing procedures
, Skills
a. plan the nursing management appropriate to and for the improvement
of the client’s condition.
b. implement the nursing actions with effectiveness and efficiency.
Attitude
a. establish good working relationship with the client and significant others
b. develop the insight on how to deal with patients with gynecological
problems
III. Scope And Delimitations
This case study was focused on the assessment of the health status of the client
with Ovarian Cyst, probably Benign, who was confined from July 9 to July 14, 2011 at
the Obstetric Ward of Quezon City General Hospital, as well as during the hospital
exposure of Group 4B from July 11-13, 2011. The data gathered for the study are based
on the patient’s chart, laboratory results, observations, and interview with the patient
and her family. However, previous findings and information regarding the client’s
condition from the preceding consultations at East Avenue Medical Center were not
included in the study due to less allotted time for data gathering.
