1. The client/caregiver can define hysterectomy.
   1. A total hysterectomy is the removal of the uterus and cervix (may be performed through the abdomen or the vagina).
   2. A panhysterectomy is the removal of the uterus, fallopian tubes, cervix, and ovaries.
   3. Removal of the uterus results in cessation of menstruation.
2. The client/caregiver can list indications for hysterectomy.
   1. Reasons or indications for hysterectomy could be
      • Uterine fibroids
      • Endometriosis not responding to medication or surgery
      • Uterine prolapse
      • Cancer of the uterus, cervix, or ovaries
      • Vaginal bleeding that persists despite treatment
3. The client/caregiver understands postoperative instructions.
   1. Perform abdominal muscle-strengthening exercises.
   2. Provide care of abdominal incision by washing with soap and water.
   3. Avoid vigorous activities and heavy lifting until permission is given by the surgeon.
   4. Avoid constipation with stool softeners, increased fluids, and diets high in fiber.
   5. Avoid constrictive clothing.
   6. Avoid sitting for prolonged periods.
   7. Avoid tub baths or sexual activity until permission is given by the surgeon.
   8. Report heavy vaginal bleeding, fever, foul odor, pain, purulent drainage, and so forth.
   9. Take medications as ordered.
   10. Provide perineal care.
       1. Wash with soap and water.
       2. Wipe from front to back.
       3. Change pad frequently
       4. May use sitz baths or ice packs as ordered.
   11. Keep follow-up appointments.
4. The client/caregiver is aware of possible postoperative complications.
   1. Symptoms, such as hot flashes, headache, nervousness, palpitations, fatigue, and depression
   2. Wound dehiscence (especially if the client is obese)
   3. Thrombophlebitis
   4. Infection
   5. Urinary tract infection
   6. Pneumonia
   7. Constipation
   8. Urinary retention

Resources

American College of Obstetricians and Gynecologists Resource Center
www.acog.org

National Women’s Health Information Center
800-994-9662

References

Ackley, B. J., & Ladwig, G. B. (2006).Nursing diagnosis handbook: A guide to planning care. St. Louis: Mosby Inc.
Canobbio, M. M. (2006). Mosby’s handbook of patient teaching. St. Louis: Mosby Inc.
Perry, A., & Potter, P. (2006). Clinical nursing skills & technique. St. Louis: Mosby Inc.
Timby, B. K., & Smith, N. C. (2003). Introductory medical-surgical nursing (8th ed.). Philadelphia: J. B. Lippincott Williams & Wilkins.