Menopause - Answer the cessation of menses for at least 12 months usually taking place
between the ages of 41-59
What causes menopause? - Answer age related hormonal changes such as decrease in
estrogen
S/S of menopause - Answer Hot flashes
Atrophic vaginitis (thinning, drying and inflammation of vaginal walls)
shrinking of labia
dyspareunia (painful intercourse)
increased vaginal pH (decreased vaginal secretions and dryness)
incontinence
Mood swings
changes in sleep patterns/decreased REM sleep
Decreased bone density
Decreased skin elasticity, loss of genital hair
migraine headaches
breast tissue changes and irregular menses
Nursing interventions for menopause - Answer education about condition & s/s, Hormone
replacement therapy and how to administer, nutrition (decrease calories and fats, increase fiber
and whole grains, adequate fluid intake), encourage physical activity and muscle toning
exercises, routine screenings (mammogram, bone density, annual GYN visit, colonoscopy),
smoking cessation
Menopause treatments - Answer Hormone replacement therapy (estrogen, progesterone,
progestin)
*clients with uterus should use estrogen and progestin, clients w/o uterus should use estrogen
only
Oral contraceptives
CAM (complementary and alternative medicine) therapies - natural estrogen, aromatherapy,
acupuncture, B3 and B6 for hot flashes, yoga, phytoestrogens (dandelion, alfalfa sprouts, black
beans, soy beans
Complications of menopause - Answer osteoporosis
Myocardial infarction