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relieving drugs

Unless a total hysterectomy is done, the patient needs to understand that all other treatments offer relief and not cure. The nurse needs excellent communication skills to teach, inform, and support the patient. Care focuses on strategies to relieve pain and discomfort, to support the patient during a stressful time, and to provide patient education. The pain of endometriosis can be mild or severe. Unless the patient has other underlying diseases, she will generally be managed on an outpatient basis until surgical intervention is needed. To relieve pain, instruct the woman that over-the-counter analgesics such as acetaminophen are preferable to nonsteroidal anti-inflammatory drugs (NSAIDs) and aspirin because of the latter's tendency to increase bleeding. Some patients obtain relief from cramping by lying on the side with the legs bent, taking warm baths, or using a heating device on the lower abdomen. Make sure that the patient uses heating devices on a low setting to prevent burns. Caution the patient with acute abdominal pain from unknown causes not to use a heating pad because of the risk of a perforated appendix.

Assess the woman's cultural and ethnic influences, which will play a part in her understanding and subsequent coping with endometriosis. Be emotionally supportive. Provide interested couples with information on the Endometriosis Association, Resolve (a support, education, research group for infertile couples), and newer techniques for infertility management. Encourage the couple to talk openly about the disease and its effects on their sexual compatibility, and urge the woman to tell her partner about any discomfort during sexual intercourse to minimize misunderstandings. Encourage the couple to try different positions during sexual intercourse to find those most comfortable for the woman.

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51 Tips for Dealing with Endometriosis

51 Tips for Dealing with Endometriosis

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