Upgrade to remove ads
Gerontological Nursing, ch. 23, Reproductive System
Terms in this set (31)
Benign prostatic hyperplasia
Nonmalignant enlargement of the prostate gland that commonly occurs with age.
Impotence; problems in achieving or sustaining an erection for intercourse. Not a normal outcome of aging.
Atrophies due to hormonal changes. There is a flattening of the labia and loss of subcutaneous fat and hair.
Becomes thin and vaginal environment is drier and more alkaline.
Cervix, uterus, fallopian tubes, and ovaries
Atrophy. They also decrease in size.
Atrophy and reduction in testicular mass.
Fluid ejaculated usually remains the same although it contains lesser amounts of living sperm.
Annual gynecologic exam
Includes a pap smear, is essential for the older woman. She should also be knowledgeable about self-examination of the breasts.
Men with prostatic hypertrophy
Should be examined at least every 6 months to ensure that a malignancy has not developed.
Routine PSA testing
In men with no history of prostate cancer in not recommended as the harms outweigh the benefits.
The interview should cover
Pain, discharge, and sexual dysfunction.
It is important to ensure that older women know how to perform breast self-examination and that older men know how to perform testicular self-examination.
Vulvar problems in the aged
May reflect serious disease processes such as diabetes, hepatitis, leukemia, and pernicious anemia.
The term used to describe vulvar infection associated with hypertrophy or atrophy. Age-related changes cause the vulva to be more fragile and more easily susceptible to irritation and infection.
Sitz baths, local applications of saline compresses, and steroid creams may be included in the treatment plan.
Although pruritus commonly occurs with vulvitis, it may be a symptom of a vulvar tumor.
Vaginal infection and treatment
Itching, foul-smelling discharge, and postcoital bleeding are symptoms associated with vaginal infection. Treatment could include topical estrogen creams and estrogen replacement therapy. Nurses should advise the older woman to avoid douches and the use of perfumed soaps and sprays to the genitalia, wear cotton underwear, keep the genital area clean and dry, and use lubricants when engaging in intercourse.
Cancer of the Vagina
Because chronic irritation can predispose women to vaginal cancer, those who have chronic vaginitis or who wear a pessary should obtain frequent Pap smears.
Problems of the cervix
With age, the cervix becomes smaller, and the endocervical epithelium atrophies. Occasionally, the endocervical glands can seal over, causing the formation of nabothian cysts. As secretions associated with these cysts accumulate, fever and a palpable tender mass may be evident.
Cancer of the cervix
The incidence of cervical cancer peaks in the fifth and sixth decades of life and thereafter declines.
Cancer of the endometrium
Cancer of the endometrium is not uncommon in the older woman. It is of higher incidence in obese, diabetic, and hypertensive women. Any postmenopausal bleeding should give rise immediately to suspicion of this disease.
Cancer of the ovaries
Only responsible for 5% of malignant disease in older women, although it is the leading cause of death from gynecologic malignancies. Although ovarian cancer is less common than endometrial or cervical cancer, it is more deadly when it does occur.
Cystocele, rectocele, and prolapse of the uterus are the types most likely to occur. These herniations can make intercourse difficult and uncomfortable.
Experience dyspareunia more frequently than women who have given birth.
Annual mammograms are recommended for women starting at age 40, and then at age 75, every 2 to 3 years unless otherwise recommended by a health care provider.
Benign prostatic hyperplasia
Most older men have some degree of benign prostatic hyperplasia, which causes approximately one in four of them to have dysuria. Men are reluctant or embarrassed to seek prompt medical attention and may develop kidney damage by the time symptoms are severe enough to motivate them to be evaluated. Treatment can include prostatic massage, the use of urinary antiseptics and, if possible, the avoidance of diuretics, anticholinergics, and antiarrhythmic agents.
Prostate surgery recovery
Typically, sexual intercourse is avoided for about 1 month postoperatively, after which time the patient can usually return to previous sexual function. It is not unusual for complete return of sexual function to take as long as 1 year.
Cancer of the prostate
Benign hypertrophy should be followed closely because it is thought to be associated with prostatic cancer, the symptoms of which can be similar. Symptoms such as back pain, anemia, weakness, and weight loss can develop as a result of metastasis.
Tumor of the penis, testes, and scrotum
The resemblance of this growth to a chancre can cause a misdiagnosis or reluctance on the part of the patient to seek treatment. Testicular tumors are uncommon in older people but are usually malignant when they do occur; testicular enlargement and pain and enlargement of the breasts are suspicious symptoms.
Scrotal masses, usually benign, can result from conditions such as hydrocele, spermatocele, varicocele, and hernia.
THIS SET IS OFTEN IN FOLDERS WITH...
Gerontological Nursing, ch. 16 Comfort and Pain Ma…
Gerontological Nursing, ch. 31 Cancer
Gerontological Nursing, ch. 15 Rest and Sleep
Gerontological Nursing, ch. 14 Nutrition and Hydra…
YOU MIGHT ALSO LIKE...
Female Reproductive Diseases
Male Reproductive Disorders - Ch. 59 Med Surg
Chapter 54 Female reproductive problems
STUDY BREAST AND STI
OTHER SETS BY THIS CREATOR
Ch. 84: Penicillins
Chapter 32: Antidepressants
MMSE, CAM, GDS, Acute Confusion
OTHER QUIZLET SETS
Anatomy of motion
To Kill a Mockingbird Chapters 1-2
social Studies Benchmark