Application of Weidenbach and Levine's Conservative Theory to Assessmentabnormal Uterine Bleeding with Hypovolemic Shock
Abstract
Abnormal uterine bleeding (AUB) is a broad term for changes in the regularity, duration or volume of menstrual bleeding. Physical and psychological problems that PUA patients may experience and emergency complications such as hypovolemic shock. Nursing actions that can be taken for PUA patients include comprehensive assessment management. The purpose of this study was to describe the nursing assessment of PUA patients using Levine's conservation theory approach combined with Weidenbach's theory. This study uses a case study method with a focus on the application of Wiedenbach and Levine's theory in providing assessment of PUA patients with anxiety and monitoring physical and psychological aspects. The case studied involved a 15-year-old adolescent with PUA presenting with hypovolemic shock. By applying Wiedenbach's and Levine's conservative theories, nurses can conduct a comprehensive assessment of mothers of PUA patients with hypovolemic shock.
References
Albin, I., & Handayani, M. (2023). Perdarahan Uterus Abnormal . GALENICAL, 2(6), 65–79.
Alligood, M. R. (2017). Nursing Theorists and Their Work-E-Book: Nursing Theorists and Their Work-E-Book. . Elsevier Health Sciences.
ASA. (2015). Practice guidelines for perioperative blood management: an updated report by the american society of anesthesiologists task force on perioperative blood management. Anesthesiology, 121, 241–275.
Bravender, T., & Emans, S. J. (1999). MENSTRUAL DISORDERS. Pediatric Clinics of North America, 46(3), 545–553. https://doi.org/10.1016/S0031-3955(05)70136-X
Cheong, Y., Cameron, I. T., & Critchley, H. O. D. (2017a). Abnormal uterine bleeding. British Medical Bulletin, 123(1), 103–114. https://doi.org/10.1093/bmb/ldx027
Cheong, Y., Cameron, I. T., & Critchley, H. O. D. (2017b). Abnormal uterine bleeding. British Medical Bulletin, 123(1), 103–114. https://doi.org/10.1093/bmb/ldx027
Davis E, & Sparzak PB. (2023). Abnormal Uterine Bleeding. In: StatPearls. Https://Www.Ncbi.Nlm.Nih.Gov/Books/NBK532913/.
Eichelberger, L. W. (2015). Understanding the Work of Nurse Theorists. Jones & Bartlett Publishers.
FRIBERG, B., KRISTIN ÖRNÖ, A., LINDGREN, A., & LETHAGEN, S. (2006). Bleeding disorders among young women: A population‐based prevalence study. Acta Obstetricia et Gynecologica Scandinavica, 85(2), 200–206. https://doi.org/10.1080/00016340500342912
Gayet-Ageron, A., Prieto-Merino, D., Ker, K., Shakur, H., Ageron, F.-X., Roberts, I., Kayani, A., Geer, A., Ndungu, B., Fawole, B., Gilliam, C., Adetayo, C., Barrow, C., Beaumont, D., Prowse, D., I’Anson, D., Balogun, E., Miah, H., Shakur, H., … Pepple, T. (2018). Effect of treatment delay on the effectiveness and safety of antifibrinolytics in acute severe haemorrhage: a meta-analysis of individual patient-level data from 40 138 bleeding patients. The Lancet, 391(10116), 125–132. https://doi.org/10.1016/S0140-6736(17)32455-8
Jentzer, J. C., Schrage, B., Patel, P. C., Kashani, K. B., Barsness, G. W., Holmes, D. R., Blankenberg, S., Kirchhof, P., & Westermann, D. (2022). Association Between the Acidemia, Lactic Acidosis, and Shock Severity With Outcomes in Patients With Cardiogenic Shock. Journal of the American Heart Association, 11(9). https://doi.org/10.1161/JAHA.121.024932
Kashani, K., Omer, T., & Shaw, A. D. (2022). The Intensivist’s Perspective of Shock, Volume Management, and Hemodynamic Monitoring. Clinical Journal of the American Society of Nephrology, 17(5), 706–716. https://doi.org/10.2215/CJN.14191021
Khan, A., Sarma, D., Gowda, C., & Rodrigues, G. (2021). The Role of Modified Early Warning Score (MEWS) in the Prognosis of Acute Pancreatitis. Oman Medical Journal, 36(3), e272–e272. https://doi.org/10.5001/omj.2021.72
Khoirunnisa, K., Allenidekania, A., & Hayati, H. (2020). Effectiveness of a Conservation Energy Model for Febrile Neutropenia in Children with Cancer. Pediatric Reports, 12(11), 8697. https://doi.org/10.4081/pr.2020.8697
Kızılcan Çetin, S., Aycan, Z., Özsu, E., Şıklar, Z., Ceran, A., Erişen Karaca, S., Şenyazar, G., & Berberoğlu, M. (2023). Evaluation of Abnormal Uterine Bleeding in Adolescents: Single Center Experience. Journal of Clinical Research in Pediatric Endocrinology, 15(3), 230–237. https://doi.org/10.4274/jcrpe.galenos.2023.2022-10-7
Koch, E., Lovett, S., Nghiem, T., Riggs, R., & Rech, M. A. (2019).
Shock index in the emergency department: utility and limitations
. Open Access Emergency Medicine, Volume 11, 179–199. https://doi.org/10.2147/OAEM.S178358Levine, M. E. (1967). The Four Conservation Principles of Nursing. Nursing Forum, 6(1), 45–59. https://doi.org/10.1111/j.1744-6198.1967.tb01297.x
Levine, M. E. (1988). Antecedents from Adjunctive Disciplines: Creation of Nursing Theory. Nursing Science Quarterly, 1(1), 16–21. https://doi.org/10.1177/089431848800100106
Levine, M. E. (1996). The Conservation Principles: A Retrospective. Nursing Science Quarterly, 9(1), 38–41. https://doi.org/10.1177/089431849600900110
Levy, M. M., Fink, M. P., Marshall, J. C., Abraham, E., Angus, D., Cook, D., Cohen, J., Opal, S. M., Vincent, J.-L., & Ramsay, G. (2003). 2001 SCCM/ESICM/ACCP/ATS/SIS International Sepsis Definitions Conference. Critical Care Medicine, 31(4), 1250–1256. https://doi.org/10.1097/01.CCM.0000050454.01978.3B
Lier, H., Bernhard, M., & Hossfeld, B. (2018). Hypovolämisch-hämorrhagischer Schock. Der Anaesthesist, 67(3), 225–244. https://doi.org/10.1007/s00101-018-0411-z
Liu, Y., Liu, J., Fang, Z. A., Shan, G., Xu, J., Qi, Z., Zhu, H., Wang, Z., & Yu, X. (2012). Modified shock index and mortality rate of emergency patients. World Journal of Emergency Medicine, 3(2), 114. https://doi.org/10.5847/wjem.j.issn.1920-8642.2012.02.006
Munro, M. G., Critchley, H. O. D., & Fraser, I. S. (2018). The two FIGO systems for normal and abnormal uterine bleeding symptoms and classification of causes of abnormal uterine bleeding in the reproductive years: 2018 revisions. International Journal of Gynecology & Obstetrics, 143(3), 393–408. https://doi.org/10.1002/ijgo.12666
Mutschler, M., Paffrath, T., Wölfl, C., Probst, C., Nienaber, U., Schipper, I. B., Bouillon, B., & Maegele, M. (2014). The ATLS® classification of hypovolaemic shock: A well established teaching tool on the edge? Injury, 45, S35–S38. https://doi.org/10.1016/j.injury.2014.08.015
Ozcan, S., & Eryilmaz, G. (2021). Using Levine’s conservation model in postpartum care: a randomized controlled trial. Health Care for Women International, 42(4–6), 794–814. https://doi.org/10.1080/07399332.2020.1797038
Pamungkas, E. D., Setyowati, S., & Afiyanti, Y. (2023). Application of the Levine Theory and Health Belief Model in Anemia and Thrombocytopenia in Pregnancy: A Case Report. Malaysian Journal of Nursing, 14(03), 209–215. https://doi.org/10.31674/mjn.2023.v14i03.025
Pearce, E. (2009). Anatomi dan fisiologi untuk paramedis. PT. Gramedia Pustaka Utama.
Rahmawati, V. Y. (2022). Aplikasi Teori Keperawatan Wiedenbach Dan Kolcaba Pada Ibu Dengan Persalinan Kala Dua Memanjang: Case Study. Jurnal Kesehatan Holistic, 6(1), 12–26. https://doi.org/10.33377/jkh.v6i1.110
Torabi, M., Moeinaddini, S., Mirafzal, A., Rastegari, A., & Sadeghkhani, N. (2016). Shock index, modified shock index, and age shock index for prediction of mortality in Emergency Severity Index level 3. The American Journal of Emergency Medicine, 34(11), 2079–2083. https://doi.org/10.1016/j.ajem.2016.07.017
Wardani, R. A. (2017). Karakteristik Wanita Dengan Perdarahan Uterus Abnormal di Poli Kandungan Rumah Sakit Angkatan Laut Dr Ramelan Surabaya Tahun 2016. Hang Tuah Medical Journal, 15(1), 65–74. https://doi.org/10.30649/htmj.v15i1.23
Zarzaur, B. L., Croce, M. A., Fischer, P. E., Magnotti, L. J., & Fabian, T. C. (2008). New Vitals After Injury: Shock Index for the Young and Age × Shock Index for the Old. Journal of Surgical Research, 147(2), 229–236. https://doi.org/10.1016/j.jss.2008.03.025.
Copyright (c) 2024 Indonesian Journal of Global Health Research
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
