Chronic pelvic pain (CPP) has been accepted for centuries as a ‘normal’ symptom women experience as part of menstruation. However, CPP can have a detrimental impact on the overall quality of life women experience, extending beyond their physical health, affecting their mental, social and financial wellbeing. The most commonly reported gynaecological cause of CPP is endometriosis- prevalent in approximately 10% of the female population. This particular condition is characterised by the abnormal growth of endometrial cells outside of the uterus, as well as on the surrounding pelvic and abdominal tissues. With only very limited and invasive methods of diagnosis currently available, in addition to a lack of education provided on this condition, many women are inclined to simply ‘suffer in silence’, demoting this recurring pelvic discomfort to the status of a “female problem”. This uninhibited complacency is reflected in the delayed diagnosis of endometriosis which on average, is 7-10 years after it has first developed, which only increases the severity of the disease. Moreover, these associated personal and communal costs of endometriosis have inspired me to further investigate the current methods of diagnosis and treatment offered for patients with endometriosis in addition to researching other technologies being developed….
Therefore, the scope of information provided is limited to essential information directly related the purpose providing women facts about endometriosis. The facts are brief enough to what the health consumer can reasonably learn in the time allowed. The headings are clearly stated which makes the information provided on this pamphlet easy to follow and promotes learning and interaction among women. This information can aid women to understand about their diagnosis and empower them to make an informed decision. 1,2,2
Long term condition (LTC) is a health problem that cannot be cured, at present, but can be managed by medication or therapies’ (Snodden., 2010: p1). There are more than 15 million people in England that are suffering from long term conditions (Department of Health., 2013). Long-term conditions are more common in older people. The percentages of people of over 60 having a LTC is 58 per cent compared to under that is 14 per cent (Department of Health, 2012). LTC is also more predominant in more deprived groups, such as the poorest social class as it has 60 per cent higher prevalence than of those in the richest social class. (Department of Health, 2012).
A multidisciplinary approach is taken to provide safe, effective treatment while minimizing patient risk. Patients are treated due to chronic pelvic pain issues, with or without subfertility considerations. The FNP can prescribe NSAIDS to address pelvic pain issues. Steroid hormone derived medications like oral contraceptives are also prescribed to suppress growth and activity of the endometrial implants and provide cycle control. If this approach is ineffective, gonadotropin-releasing hormone (GnRH) agonists like Leuprolide can be prescribed for up to a year to significantly decrease estrogen levels, thereby decreasing chronic pelvic pain (Solnik, 2015). However, the FNP can also counsel hormone therapy to reduce menopausal effects on bone mineral density and serotonin reuptake inhibitors (SSRIs) to address vasomotor symptoms like hot flashes Another effective hormonal pharmaceutical therapy includes progesterone like medroxyprogesterone acetate and anti-progestin. As well, in advanced disease the FNP may elect to implant the levonorgestrel intrauterine device (IUD) as a progestin derived alternative (Schenken,
Women often feel unprepared for the degree of perineal pain that they experience postnatally and its impact on activities of daily living, reporting feelings of isolation and lack of support throughout the postnatal period (Herron-Marx, Williams and Hicks, 2007a), therefore, encompassing community and hospital based midwifery care. Enduring perineal pain has long-term implications including depression (Pairman et al., 2011), with evidence supporting that the delivery of postnatal care is too short, as some women experience pain up until three months postnatally suffering in silence as there is no appropriate professional input (Whapples, 2014).
After review of the clinical information provided by NY Presbyterian Hospital-Columbia University, the Medical Director has denied your admission to NY Presbyterian Hospital-Columbia University. It was determined that the clinical information did not justify an inpatient stay. Acute inpatient hospitalization was not medically necessary. Medicare admit diagnosis hematemesis and Abdominal pain with past medical history of chronic low back pain related to Lumbar-5 disc bulge on frequent non-steroidal anti-inflammatory medications, gastroesophageal reflux disease, prior gastritis, iron deficiency anemia. You are a 59 year old female who presented to the emergency room with a complaint of abdominal pain, nausea, and vomiting for 3 days prior to your hospital admission. You reported diffuse
There is no cure, but treatments help with pain and infertility. They include pain medicines, hormone treatments, and surgery. The health care providers will consider several factors when determining the best treatment for endometriosis symptoms, including: your age, how severe your symptoms are, how severe the disease is, and whether you want children. It
Aside from being told they are too young to have the disease, many teenagers who think they may have endometriosis are said to be crazy, as Ballweg says in her book, “A disease that will be chalked up to psychosomatic problems by some because they lack awareness about endo… one can understand why endo is very challenging for those with it, particularly teenagers” (Ballweg 241). In an experiment, 4,000 women were interviewed, and 61% were originally told nothing was wrong, where 69% of these were gynecologists themselves. More funding and research will lead to more awareness, and problems such as these can be avoided in the future, if the necessary things are done for improvement today.
Chronic pain in older adults is defined as ‘‘an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage, for persons who are either aged (65 to 79 years old) or very aged (80 and over) and who have had pain for greater than 3 months’’ (Lynch, 2000, p.270). The consequences of chronic pain may also be related to impaired activities of daily living (ADLs), physical disability, accidents, gait abnormalities, polypharmacy, and cognitive decline in older adults (Mantyselka et al., 2001; Kaye et al., 2010; Shega et al., 2010). Therefore, chronic pain has negative affects on older adults, their families, and social relationships.
Chronic bodily pain occurs for a number of reasons, such as nerve damage from a vehicle accident, steroid-induced bone pain from cancer treatment, and many other health problems. This kind of pain is defined as discomfort that lasts more than 12 weeks. It often makes daily activities challenging and significantly less enjoyable, potentially resulting in sadness and depression because you never feel “right.”
There is good news for prolapse rectum sufferers. You can evade the condition via food! Your diet can categorically affect your prolapse.
Chronic pain is a major medical and social issue that affects millions of people, their families, the workforce and society in general. Although definitions may vary, it is generally accepted that chronic pain originates in actual or potential tissue damage and lasts longer than six months after the initial damage has healed. The Gateway Control of Pain Theory best explains the pathophysiology of pain and which also explains why thought out emotions influences pain perception. Central Sensitization theorizes that the memory effect of repeated pain sensation maybe source of chronic pain. Because chronic pain has an physical and emotional element the treatment of it requires a holistic approach. The Concept Theory of Nursing explains how nursing
Chronic pain is a type of pain that lasts or recurs for at least six months. You may have chronic headaches, abdominal pain, or body pain. Chronic pain may be related to an illness, such as fibromyalgia or complex regional pain syndrome. Sometimes the cause of chronic pain is not known.
Not many women know what exactly endometriosis is, because no one does research on it. There was only twenty one reported cases of endometriosis over seventy years ago (Begley and Glick 76), although today there are more than five million cases reported in the U.S. Endometriosis is
Many women experience enormous changes with their bodies. Endometriosis is a disorder of the reproductive system. It is often a painful disorder which tissue that normally lines the uterus grows outside of the uterus. This disorder often involves the ovaries, bowels or the tissue lining the pelvis. In the menstrual cycle normally the lining of the uterus thickens, and breaks down which causes bleeding with each menstrual cycle. When this occurs in an abnormal area such as the ovaries, bowel or tissue lining the pelvis, the tissue becomes inflamed, irritated, then soon develops into scar tissue.
This paper is going to talk about how to deal with chronic pain. First of all, this paper will explain what chronic pain means by providing the foremost chronic pain encountered in life such as low back, joints, or other kinds. Next, this paper will cover why it is important to address conditions related to chronic pain, and will explore methods and strategies showing how to cope with continuing pain. Finally, this paper will share some predictable outcomes and a conclusion.