Page 276 - 2021 IDMT Digital
P. 276
DYSMENORRHEA
Introduction:
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• RI ZRPHQ DUH DIIHFWHG DW VRPH WLPH
o KDYH LQFDSDFLWDWLQJ SDLQ
• 3DLQ LV SURGXFHG E\ XWHULQH YDVRFRQVWULFWLRQ DQR[LD DQG VXVWDLQHG FRQWUDFWLRQV
PHGLDWHG E\ SURVWDJODQGLQV
Subjective:
• 6LJQV DQG 6\PSWRPV
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2IWHQ UDGLDWLQJ WR WKH EDFN DQG LQQHU WKLJKV
o 0D\ ODVW IRU RU PRUH GD\V
o 0D\ EH DVVRFLDWHG ZLWK
1DXVHD GLDUUKHD KHDGDFKH DQG IOXVKLQJ
Objective:
• 3K\VLFDO ([DP
o 3HOYLF H[DP LV QRUPDO EHWZHHQ PHQVHV
o ([DP GXULQJ PHQVHV PD\ SURGXFH GLVFRPIRUW
1R SDWKRORJLF ILQGLQJV
Assessment:
• 'LIIHUHQWLDO
o 8WHULQH ILEURLGV VRPHWLPHV SDOSDEOH
o (QGRPHWULRVLV GLVDEOLQJ SDLQ GXULQJ PHQVHV PD\ FDXVH G\VSDUHXQLD DQG
UDGLDWH WR DEGRPHQ
o 3,' SHOYLF SDLQ IHYHU FHUYLFDO PRWLRQ WHQGHUQHVV
Plan:
• 16$,'s
o 6KRXOG EH VWDUWHG GD\V EHIRUH H[SHFWHG PHQVHV DQG FRQWLQXed XQWLO
PHQVHV VWRS
• &RQWLQXRXV XVH RI RUDO FRQWUDFHSWLYHV RU 0LUHQD ,8' WR VXSSUHVV PHQVWUXDWLRQ
Patient Education:
• )ROORZ XS $FWLRQV
o 5HWXUQ LI VRDNLQJ D WDPSRQ RU SDG SHU KRXU
o 5HWXUQ LI PHGLFDWLRQV DUH QRW FRQWUROOLQJ V\PSWRPV RU V\PSWRPV DUH LPSDLULQJ
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Preceptor Directive:
• Green Directive: Routine Review by Preceptor IAW AFI 44-103
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