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Decision Making in Practice
Pages 6 (1506 words)
Decision Making In Practice Name Institution This paper discusses and analyses my decision making during my management of a patient who had undergone Total Abdominal Hysterectomy/ Bilateral Salpingo- oophorectomy (TAH BSO). I will outline the nursing care and management on the patient and how this relates with legal, ethical and professional issues.
Overview Total Abdominal Hysterectomy (TAH) This refers to the excision of the uterus and cervix. This procedure is indicated in a variety of conditions including ovarian cancer, cervical dysplasia, pelvic relaxation, uterine prolapse, endometriosis and uterine fibroids (leiomyomas). About 10% of TAH is done for cancer, but the remaining 90% is performed due to non emergency and non cancerous reasons. This procedure may also be performed in when a patient continually experiences unusual pelvic pain. TAH ensures that a woman is not able to bear children again. The procedure is of advantage as it allows a total examination of the abdomen and pelvis, hence, it allows for the investigation of cancer and other unclear growths. Statistics reveal that approximately 300 women out of 100,000 women in the US undergo TAH. Even in non emergency and non cancerous conditions, TAH poses remarkable challenges for omen and health care practitioners (Anspach 2009, p65). During TAH, the uterus and cervix are detached from the fallopian tubes, upper vagina, ovaries, and the adjoining connective tissue and blood vessels. As a result of this, complications arising from the procedure are likely to be marked. ...
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