· Patient info: · J. M., 33 year-old female, complaint of irregular menstrual cycle, acne, weight gain, difficulty sleeping, and facial hair growth · Most Urgent Nursing Diagnosis: · Metabolic Disorder related to irregular menstrual cycles, hormonal imbalance, and weight gain

Concept Map – text alternative

· Patient info:

· J. M., 33 year-old female, complaint of irregular menstrual cycle, acne, weight gain, difficulty sleeping, and facial hair growth

· Most Urgent Nursing Diagnosis:

· Metabolic Disorder related to irregular menstrual cycles, hormonal imbalance, and weight gain

· Treatments:

· Education on disease process (Ackley, et al., 2020)

· Counseling on nutrition and lifestyle changes

· Blood and ultrasound tests: confirmed diagnosis (Newland, 2019)

· Refer to endocrinologist for progesterone hormone

· Outcomes:

· Patient will: Maintain weight within normal range for height and age

· Improve dietary intake and physical activity(Ackley, et al., 2020)

· Nursing Diagnosis 2:

· Disturbed Body Image related to weight gain, acne, and facial hair growth (Ackley, et al., 2020)

· Treatments:

· Referral to Endocrinologist- Medication to reduce facial hair growth (Maduro, 2018)

· Nutrition and lifestyle changes: exercise promotion and nutrition counseling

· Referral to Dermatologist- acne treatment

· Outcomes:

· Patient will: Verbalize ways to enhance appearance

· Adhere to treatments that will promote health

· Improve dietary intake and physical activity (Ackley, et al., 2020)

· Nursing Diagnosis 3:

· Depression related to weight gain of 12 lbs. and interrupted sleep

· Treatments:

· Encourage 7-9 hours of sleep each night (Beboodi & Saffari, 2012)

· Encourage sleep routine and ways to decrease stimuli – meditation

· Encourage physical activity and nutrition counseling (Melnyk)

· Outcomes:

· Patient will: Verbalize techniques to reduce stimuli at bedtime

· Patient will: Maintain a daily journal to better recognize emotions

· Patient will: Make an appointment to conduct a sleep study

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