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859-2 Women's Health: Diaphragm
859-2 Women's Health: Diaphragm
7
Nursing
Graduate
12/03/2011

Additional Nursing Flashcards

 


 

Cards

Term

Diaphragm

 

MOA

Definition

Barrier- blocking (physical) and killing (chemical) sperm, used with spermacide

 

 

Term

Risks

 

 

Definition

Few serious complications

 

Irritation of skin/vagina- if this occurs use this method less frequently

 

Vaginal or Urinary infection

 

TSS

 

possible difficulty with removal

 

unintended prgnancy

Term

Benefits

 

 

Definition

Can be used for short and long term or intermittently

overall low medical risks

no systemic effects

Possible reduces STI risk

Female initiated

 

Term

Dose- How to use

 

When to insert?

 

Leave in for at least __ hrs following sex

 

Max hrs you can leave in?

 

More than one sex act?

Definition

Needs to be in place before sex

 

leave in at least 6hrs after sex

 

Do not leave in more than 24hrs

 

If more than 1 sex act reapply spermacide before each act

Term

Pt Edu

Go over how to use

When do you need to refit?

Where should it fit?

Oil based lubricants?

 

 

Definition

Needs refit after 10lb weight change and after pregnancy

 

Fits in posterior fornix and behind pubic arch

 

Oil based lubricants are risk for decreasing the integrity of a latex based produt

Term

Trouble Shooting

 

Fitting- How to?

 

Back-up methods

 

Recurrent UTI or vaginal infections

 

Definition

Use index and middle finger to measure from posterior fornix to pubic arch- pick larger as opposed to smaller

 

Discuss male condom use and emergency contraception as diaphragm only works when in-if pt forgets/doesn't use she need back-up

 

Consider refitting with a smaller size or alternative rim style- or chaning method

Term

Most Common Complaint

 

Not many reported but some possible:

Definition

high pt compliance required- if this method does not work for pt discuss other options

 

difficulty inserting or removing- show her how, have her try in the office; possibly change methods

 

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