Menopause is the cessation of menstruation. It results from a complex syndrome of physiologic changes caused by declining ovarian function. It occurs when the loss of ovarian function results in the permanent termination of menstrual periods. The transitional period leading up to this irreversible event is called the climacteric and is characterized by the decline in the number of ovarian follicles, which also becomes less responsive to gonadotropic hormonal stimulation, and by the decrease of estrogen production by the ovaries until there is not enough to cause the endometrium to grow and shed.
Nursing Care Plans
Nursing management of menopause is symptomatic. Estrogen replacement therapy is the most advantageous treatment for symptoms, but it’s not suitable for all patients as it has some adverse effects and risks.
Here are six (6) nursing care plans (NCP) and nursing diagnosis for patients with menopause:
- Disturbed Sleep Pattern
- Sexual Dysfunction
- Risk for Injury
- Stress Urinary Incontinence
- Risk for Infection
- Situational Low Self-Esteem
Disturbed Sleep Pattern
Disturbed sleep patterns are common for women experiencing menopause due to hormonal changes and other associated symptoms, such as hot flashes, night sweats, and mood disturbances. These factors can disrupt the normal sleep-wake cycle and lead to difficulty falling and staying asleep. Nursing care plans for menopausal women may involve addressing underlying causes of sleep disturbance, providing education on sleep hygiene and relaxation techniques, and considering pharmacological interventions as appropriate.
- Disturbed Sleep Pattern
May be related to
- Symptoms of menopause
- Psychological stress
Possibly evidenced by
- Hot flashes
- Interrupted sleep
- Emotional mood swings
- Decreased REM sleep
- The patient will be able to sleep without interruption and will express feelings of being rested.
- The patient will be able to perform techniques to promote sleep.
- The patient will identify factors that prevent restful sleep or disrupt sleep.
- The patient will be able to achieve and maintain an adequate amount of sleep to facilitate maximal functioning.
- The patient will be able to establish a sound sleep pattern.
Nursing Assessment and Rationale
1. Assess patient’s sleep pattern and changes, naps, amount of activity, awakenings and frequency, and patient’s complaints of lack of rest.
Provides information to alleviate sleep deprivation in relation to age-related changes and identifies and establishes plan of care.
2. Monitor for complaints of pain or discomfort.
Identification of causative factors of frequent awakenings helps facilitate changes in sleep patterns.
Nursing Interventions and Rationales
1. Provide calm, quiet environment, closing curtains, adjusting lighting, and so forth.
Helps to promote conducive atmosphere for restful sleep. External stimuli may interfere with going to sleep and increase awakenings in elderly patients because sleep is usually of less intensity.
2. Administer medications to promote normal sleep patterns as ordered.
Medications may be required to achieve rest during hospitalization. Hypnotics induce sleep, while tranquilizers reduce anxiety.
3. Instruct the patient to practice slow deep breathing whenever a hot flash starts; instruct also on other relaxation techniques.
Relaxation and deep breathing may help alleviate the discomfort caused by a hot flash.
4. Provide warm drinks, extra cover, warm bath prior to bedtime, and so forth.
Ritualistic procedures may prevent breaks in established routines and promote comfort and relaxation prior to sleep.
5. Instruct patient to avoid stimulants like caffeinated drinks, stressful activity, and so forth prior to sleep.
Overstimulation prevents patient from falling asleep.
6. Help patient with relaxation techniques, guided imagery, muscle relaxation, meditation, and so forth.
Relaxation techniques frequently help promote sleep.
7. Instruct patient to avoid alcohol prior to bedtime.
Although alcohol may cause sleepiness, it interrupts sleep later in the night.
Recommended nursing diagnosis and nursing care plan books and resources.
Ackley and Ladwig’s Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning Care
We love this book because of its evidence-based approach to nursing interventions. This care plan handbook uses an easy, three-step system to guide you through client assessment, nursing diagnosis, and care planning. Includes step-by-step instructions showing how to implement care and evaluate outcomes, and help you build skills in diagnostic reasoning and critical thinking.
Nursing Care Plans – Nursing Diagnosis & Intervention (10th Edition)
Includes over two hundred care plans that reflect the most recent evidence-based guidelines. New to this edition are ICNP diagnoses, care plans on LGBTQ health issues and on electrolytes and acid-base balance.
NANDA International Nursing Diagnoses: Definitions & Classification, 2021-2023
The definitive guide to nursing diagnoses is reviewed and approved by the NANDA International. In this new version of a pioneering text, all introductory chapters have been rewritten to provide nurses with the essential information they need to comprehend assessment, its relationship to diagnosis and clinical reasoning, and the purpose and application of taxonomic organization at the bedside. A total of 46 new nursing diagnoses and 67 amended nursing diagnostics are presented.
Nurse’s Pocket Guide: Diagnoses, Prioritized Interventions, and Rationales
Quick-reference tool includes all you need to identify the correct diagnoses for efficient patient care planning. The sixteenth edition includes the most recent nursing diagnoses and interventions from NANDA-I 2021-2023 and an alphabetized listing of nursing diagnoses covering more than 400 disorders.
Nursing Diagnosis Manual: Planning, Individualizing, and Documenting Client Care
Identify interventions to plan, individualize, and document care for more than 800 diseases and disorders. Only in the Nursing Diagnosis Manual will you find for each diagnosis…. subjectively and objectively – sample clinical applications, prioritized action/interventions with rationales – a documentation section, and much more!
All-in-One Nursing Care Planning Resource – E-Book: Medical-Surgical, Pediatric, Maternity, and Psychiatric-Mental Health
Includes over 100 care plans for medical-surgical, maternity/OB, pediatrics, and psychiatric and mental health. Interprofessional “patient problems” focus familiarizes you with how to speak to patients.
Other recommended site resources for this nursing care plan:
- Nursing Care Plans (NCP): Ultimate Guide and Database MUST READ!
Over 150+ nursing care plans for different diseases and conditions. Includes our easy-to-follow guide on how to create nursing care plans from scratch.
- Nursing Diagnosis Guide and List: All You Need to Know to Master Diagnosing
Our comprehensive guide on how to create and write diagnostic labels. Includes detailed nursing care plan guides for common nursing diagnostic labels.
Other care plans and nursing diagnoses related to reproductive and urinary system disorders:
- Acute Glomerulonephritis | 4 Care Plans
- Acute Renal Failure | 6 Care Plans
- Benign Prostatic Hyperplasia (BPH) | 5 Care Plans
- Chronic Renal Failure | 10 Care Plans
- Hemodialysis | 3 Care Plans
- Hysterectomy (TAHBSO) | 6 Care Plans
- Mastectomy | 15 Care Plans
- Menopause | 6 Care Plans
- Nephrotic Syndrome | 5 Care Plans
- Peritoneal Dialysis | 6 Care Plans
- Prostatectomy | 6 Care Plans
- Urolithiasis (Renal Calculi) | 4 Care Plans
- Urinary Tract Infection | 4 Care Plans
- Vesicoureteral Reflux (VUR) | 5 Care Plans