• Therapeutic communication
• Remember your ABCs
• Uterine leiomyoma - assessment,
benign, slow-growing solid tumor that occurs from the
... [Show More] overgrowth of smooth muscle and connective tissue in the uterus. It is also
called fibroids or myomas. Heavy vaginal bleeding.
• Erectile dysfunction- causes, treatment
“impotence”
Causes
Inflammation of the prostate, urethra, or seminal vesicles Prostatectomy surgery
Pelvic fracture Lumbosacral injury
Vascular disease like hypertension
Chronic neurological condition (Parkinson’s, MS) Endocrine disorder like DM or thyroid disorder Smoking and alcohol
Drugs – antihypertensive Poor health
Tx.
Medication—teach about vasodilation effects Vacuum constriction device
Injections with vasodilating drugs Penile implants (prostheses)
• Education related to treatment for HPV/cervical cancer
HPV vaccine
• Breast cancer- preventative screenings, risk factors, diagnostic tests, education
Risk factors
Genetic
Hx of previous breast cancer Dense breast tissue
Early age at dx.
Female sex.
Age over 65.
First relative with breast cancer.
Late menopause. Nulliparity after 30 (not having kids), early period starts Male (testicular disorder)
Use or oral contraceptive. High fat diet & Low fiber diet Alcohol & Smoking
Exposure to low level radiation Hormone replacement therapy Obesity
African American, Puerto Ricans female
Diagnostic tests
• Biopsy the only definitive way to detect BC
MRI, ultrasounds (better view of clients with dense breasts), CT and X-ray Breast self-exam (palpable tumor or lesion)
Biopsy
Genetic testing (BRCA2 and 2), HER2 (excess normal genes that cause cell replication).
Mammography, tomosynthesis (3D mammography)-visualization of lesion. Nuclear imaging- breast specific gamma imaging
Positron emission mamo.
Serum testing (liver enzymes, serum Calcium, alkaline phosphatase)
• Increased lifts can indicate liver metastasis, calcium and phosphatase – bone metastasize.
• Mammogram – masses too small to palpate, small dose of radiation exposure [Show Less]