Nursing care for patients with cervical endometriosis in the gynecology service of a national hospital in Huánuco

Abstract

Introduction: Endometriosis is the abnormal expansion of endometrial glands and stroma in other areas of the body, these can cause hemorrhage, inflammation and fibrosis. The main complication is decreased fertility, between 50% to 75% of women. Objective: Determine the nursing activities for a patient with cervical endometriosis. Methodology: Qualitative publication, with a single clinical case design based on the nursing care process (PAE) method, Marjory Gordon's assessment guide was applied to a 39-year-old patient who presented with pain in the lower abdomen, postcoital bleeding and pruritus. Results: Eight nursing diagnoses were identified, prioritizing (00132) Acute pain r/c biological harmful agent m/p analgic position, expression of pain, moaning, defensive behavior and VAS 8/10. The interventions carried out improved the bleeding process; Given the problem of hemorrhage complication, the results are still indefinite due to the few hours of intervention and evaluation. Conclusion: The clinical characteristics of the patient corresponding to cervical endometriosis and the risk factors that increase the possible complication were identified. It is important to apply preventive actions against the risk of bleeding caused by endometriosis. This entire process framed in the PAE that identified main problems and risks allowed the development of a personalized care plan to provide adequate, timely care that covers basic needs, improving the skills of the nursing professional using the NANDA I, NOC, NIC, and the collaboration problems of Linda Carpenito's Area Model