Nursing Case Study (H-Mole)

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I. Introduction 1
II. Objectives2
III. Anatomy and Physiology 3-4
IV. Definition of Terms 5
V. Baseline Data 6
VI. Nursing History (Gordon’s Functional Health) 7-9 VII. Health History 10-11
VIII. Assessment (Cephalo- Caudal) 12-14
IX. Laboratory and Radiology 15-16
X. Pathophysiology 17
XI. Nursing Care Plan
* Acute Pain 18-19
* Fluid Volume Deficit 20-21
* Risk for Ineffective Coping 22 XII. Drug Study
* Propranolol Hydrochloride 23
* Cefuroxime Sodium 24
* Propylthiouracil (PTU) 25
* Paracetamol 26
* Mefenamic Acid 27
XIII. Health Teaching (M.E.T.H.O.D.) 28
XIV. Bibliography/ References 29

Every married couple wishes to have a child because there are unfortunate couples that can’t have even one. If the woman is pregnant everyone is very excited towards the baby especially the father. But what if the baby in your womb that you thought you has is not actually a real one; but a cluster of H-mole. The fetus or developing baby, the placenta (or after-birth), which has many functions including the feeding of the baby and the removal of its waste products. The placenta is made of millions of cells called trophoblasts. These two parts normally develop together, in parallel, the end result being a healthy baby and a placenta which is no longer needed, so the latter is expelled just after the baby is born (afterbirth). In trophoblastic disease there is an abnormal overgrowth of all or part of the placenta, causing what is called a molar pregnancy or hydatidiform mole. The term seems strange but is similar to that used for a harmless growth on the skin, which is also called a mole. Although a hydatidiform mole is not cancer and rarely even becomes cancerous, it can behave in similar ways. Most of the treatment is aimed at stopping the disease process long before any of these things happen. In the case presented, client discovered that she has an H-mole after having an ultrasound in the CLMMRH.The importance of studying this disease is for us women, enable for us to learn the complications that we may experience during our pregnancy state though this disease is of unknown cause, we will be able to know the precipitating factors and predisposing factors that may affect us and be prone to the risk of having molar pregnancy. The researchers intend to deepen the understanding about hydatidiform mole. Our goal is to impart what we have learned during the exposure to others that they may be aware of this dysfunction of the reproductive system and even in simple ways they can apply it in their lives.


General objectives:
After 1-2 hours of case presentation, the student-nurses will be able to: * Justify how the nursing process was applied and utilized in the case of client with H-mole. * Integrate the knowledge learned in rendering effective independent nursing care to future exposures to client with similar conditions.

Specific Objectives:
After 1-2 hours of case presentation, the student-nurses will be able to: * Discuss briefly the anatomy and physiology of the female reproductive system. * State patient’s Gordon’s Functional Health and health history. * Review client’s cephalocaudal assessment.

* Discuss the pathophysiology of H-mole in relation to patient’s care. * Formulate effective nursing care plans as a basis for proper implementation of nursing interventions. * Perform appropriate nursing interventions for specific patient’s complaints and signs and symptoms of the disease which the patient’s manifests. * Conduct accurate drug study for each drugs used.

* Construct a structured health teaching...
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