8 TAHBSO Nursing Care Plans
Total abdominal hysterectomy bilateral salpingo oophorectomy (TAHBSO) is the removal of entire uterus, the ovaries, fallopian tubes and the cervix. TAHBSO is usually performed in the case of uterine and cervical cancer. This is the most common kind of hysterectomy. Removal of the ovaries eliminates the main source of the hormone estrogen, so menopause occurs immediately.
View the surgical procedure for TAHBSO
Post-operative nursing care for patients who underwent TAHBSO would include:
- Determines patient’s immediate response to surgical intervention.
- Monitor patient’s physiologic status.
- Assess patient’s pain level and administers appropriate pain relief measures.
- Maintains patient’s safety(airway, circulation, prevention of injury)
- Administer medication, fluid and blood component therapy, if prescribed.
- Assess patient’s readiness for transfer to in hospital unit or for discharge home based on institutional policy.
This post includes several nursing care plans for post-TAHBSO patients.
1 Acute Pain
Due to surgical procedure done that needs a surgical incision there will be presence of trauma in the area that signals an actual tissue damage and inflammation, this damage will cause an inflammation of the nerves when the nerves are affected, there will be the presence of pain.
| Assessment | Nursing Diagnosis | Planning | Nursing Interventions | Rationale | Evaluation |
| Subjective: The patient may verbalized:“My incision is hurts”Objective: The patient manifested : -irritability -impaired physical mobility -disturbed sleep pattern -facial mask -diaphoresis -restlessness -facial grimaces | Acute pain secondary to surgical operation | Short term:After 4 hours of nursing interventions, the patient’s pain scale will decrease 10/10 to 5/10Long term:After 1 day of nursing interventions, patient’s pain will diminish and perform activities like side movement and leg bending | Establish rapportEmphasize ordered dietMonitor vital signsProvide comfort measure Encourage deep breathingProvide safety measure Develop communication review procedures/expectations and tell client when treatment will hurt Administer analgesics as indicated to maximal dosage as needed | To gain trustTo encourage patient not to eat untolerated foodTo obtain baseline dataTo satisfy the confinement of patientTo inhibit pain To prevent from injury To alter pain and diminish emotional stress To reduce concern of unknown and associated muscle tension To maintain acceptable level of pain. | Short term:The patient’s pain scale decreased 10/10 to 5/10Long term:The patient’s pain diminished and performed activities like side movements and leg bending |
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it helped me a lot because I'm a student midwife
@nivan
Glad to know that!
:D keep on
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very good..!!! as a nursing student, you helped me a lot. it answered my question. very good very good!!!! thank you thank you.
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