Discussion – Endometriosis

Endometriosis is a chronic inflammation of the uterus, causing the endometrial tissue to fall outside the uterus and leading to pelvic pain and risk for infertility (Chapron et al., 2019).

Etiology

The actual causes of endometriosis remain uncertain. However, the development of the condition is linked to hormonal, neurological, and immunological factors that mostly contribute to the development of the symptoms of endometriosis (Saunders & Horne, 2021). These underlying factors are believed to interact with various aspects of the individual’s internal and external environment to influence the development of endometriosis.

Epidemiology

Endometriosis is classified as a common gynecological condition. It is currently estimated to affect around 10 percent, roughly around 190 million of the women at their reproductive age (World Health Organization, 2023). Women at their early reproductive age are at an increased risk of developing the condition compared to other age groups. Regardless, endometriosis is a syndrome that can affect women of any age.

Pathophysiology

Endometriosis lesions can occur spontaneously in menstruating species such as humans (Saunders & Horne, 2021). Due to the fluctuations in hormones across the menstrual cycle, inflammation occurs in the endometrial tissue. The inflammation causes the development of scar tissue, which can then lead to the growth of endometrial tissue and fall outside of the uterus (Saunders & Horne, 2021).

Clinical Manifestations

Endometriosis is commonly manifested in chronic pelvic pain (cyclical and non-cyclical), pain during sexual intercourse, and menstruation periods (Saunders & Horne, 2021). Other notable symptoms of the condition are painful defecation and urination, nausea, depression, and issues with getting pregnant.

Work-up

Endometriosis can be diagnosed using diagnostic imaging technologies such as transvaginal ultrasound and magnetic resonance imaging (MRI) (Chapron et al., 2019). The work-up for endometriosis also considers the patient’s medical and family history regarding the condition. Diagnosis can also include physical examinations of the uterus and pelvis.

Non-Pharmacological and Pharmacological Management

Endometriosis can be managed using either non-pharmacological and pharmacological management methods or a combination of both. The non-pharmacological methods of managing endometriosis involve changes in the patient’s lifestyle, including eating habits and activity levels. The patient can also opt for physical therapy to improve the condition’s outcomes.

Pharmacological options include non-steroidal anti-inflammatory drugs (NSAIDs) and analgesics such as ibuprofen and naproxen (World Health Organization, 2023). Other hormonal regulation methods include combined oral contraceptives, gonadotropin-releasing hormone (GnRH) agonists, and aromatase inhibitors (Saunders & Horne, 2021). Surgery also remains an option for managing endometriosis.

Education and Follow-up

Since endometriosis is majorly unpreventable, education involving knowledge of the condition, the need for early and regular check-ups, and the need for treatment are necessary to prevent complicated outcomes. After treatment, it is important to follow up on the patients to ensure the treatment is successful, as well as provide support throughout the treatment period. Patients should be provided with information about the condition, its potential impact on fertility, and available interventions.

Conclusion

Endometriosis is a significant gynecological syndrome with unknown etiology. Education, early diagnosis, treatment, and follow-up are required to prevent complications, pain, and infertility.

References

Chapron, C., Marcellin, L., Borghese, B., & Santulli, P. (2019). Rethinking mechanisms, diagnosis and management of endometriosis. Nature Reviews Endocrinology 2019 15:11, 15(11), 666–682. https://doi.org/10.1038/s41574-019-0245-z

Saunders, P. T. K., & Horne, A. W. (2021). Endometriosis: Etiology, pathobiology, and therapeutic prospects. Cell, 184(11), 2807–2824. https://doi.org/10.1016/J.CELL.2021.04.041

World Health Organization. (2023). Endometriosis. WHO. https://www.who.int/news-room/fact-sheets/detail/endometriosis.

ORDER A PLAGIARISM-FREE PAPER HERE

We’ll write everything from scratch

Discussion – Endometriosis

Discuss Etiology, Epidemiology, Pathophysiology, Clinical Manifestations, Work-up, Nonpharmacological and Pharmacological management Education,and Follow-up for the diagnosis of Endomeotrosis . 500 words

Collaboration and Leadership

Hello and welcome to this collaboration and leadership reflection presentation. In this video, we will discuss healthcare collaborations and the role of nurses in collaborative approaches. Collaborative paradigms in healthcare have been lauded for their superiority in ensuring optimal care outcomes and improved patient experiences. Nurses maintain significance in interdisciplinary healthcare teams as their input and leadership help improve patient experiences and optimize clinical outcomes.

During my clinical rotation at Southwest Community Hospital, I was part of the team that piloted an outreach program on diabetes prevention. The program drew all stakeholders within the healthcare environment and the community. Nurses’ roles during the program included screening for diabetes, following up on known diabetics, and educating community members on preventive measures for diabetes. The program succeeded in several ways: first, the mobilization was excellent, and the turnout was also high. Second, all healthcare professionals within the hospital were also in attendance. Third, the outreach program also managed to achieve most of its goals. However, there were several delays in the flow of information. Notably, the chain of command was not adequately established during the program. There was no one to report to; sometimes, healthcare professionals involved in the program acted independently.

Nonetheless, the nursing team was proactive during the process. Nurses involved in the program were able to utilize their reflective practice skills to bridge the gap in communication between the stakeholders involved and ensure that the team remained on course. Reflective nursing practice allows them to use their strengths to guide an in-process activity. In this exercise, nurses bridged the apparent communication gap within the healthcare team.

Poor collaborations can be detrimental to human resources and financial management. Poor collaboration results in poor strategy execution, time wastage, disengagement of staff, and reduced team cohesion and morale. According to Szierbowski-Seibel et al. (writing in 2019), inefficiencies in human resource management have been implicated in reduced team cohesiveness and disengagement, which are a consequence of poor collaborations. In addition, financial resource management is also impacted when organizational strategies are not executed accordingly and time is wasted during organizational operationalization. Gilles et al. (writing in 2020) demonstrate that poor collaboration impedes an organization’s financial success as it reduces operational efficiencies. All these result from poor collaboration between stakeholders within the organization.

Accordingly, establishing collaborative leadership is pivotal in healthcare. Buljac-Samardzic et al. (writing in 2020) state that the best practice leadership strategies that improve collaboration include creating transparency in decision-making, building trust within the organization, adopting a shared purpose for all stakeholders, effective communication, and establishing a framework for conflict resolution. Healthcare leadership plays a role in ensuring collaborative approaches to care processes. In 2022, the authors McLaney, Morassaei, Hughes, Davies, Campbell, & Di Prospero pointed out that leaders are responsible for advancing competencies in healthcare and fostering a collaborative approach that ensures the attainment of the desired clinical outcomes. Employing the leadership best practices outlined may enable them to achieve this goal.

Further, interprofessional collaborative strategies foster teamwork and synergize healthcare processes. According to Buljac-Samardzic et al. (writing in 2020), the best interdisciplinary collaborative strategies include encouraging open communication, sharing knowledge and insights on clinical challenges, fostering a supportive team climate, respect, role definition, and mutual trust. Also, Dhawan (writing in 2016) notes that collaborative paradigms maintain superiority because of their diverse care approach and the ability to utilize vast and varying resources in care provision. It is, therefore, important that healthcare systems adopt a collaborative approach to care provision.

As I conclude, it is essential to note that healthcare collaborations maintain significance in the healthcare landscape. As healthcare leaders and crucial components of the healthcare provision, nurses should embrace the collaborative paradigm in healthcare. They should also employ the best leadership and collaborative strategies that foster good interprofessional collaborations. As demonstrated above, poor collaboration is detrimental to human and financial resource management and undesirable in healthcare.

Thank you for watching.

References

Buljac-Samardzic, M., Doekhie, K., & van Wijngaarden, J. (2020). Interventions to improve team effectiveness within health care: a systematic review of the past decade. Human Resources for Health, 18(1). https://doi.org/10.1186/s12960-019-0411-3

Dhawan, A. (2016). Collaborative Paradigm of Preventive, Personalized, and Precision Medicine with Point-of-Care Technologies. IEEE Journal of Translational Engineering in Health and Medicine, 4, 1-8. https://doi.org/10.1109/jtehm.2016.2635126

Gilles, I., Filliettaz, S., Berchtold, P., & Peytremann-Bridevaux, I. (2020). Financial Barriers Decrease Benefits of Interprofessional Collaboration within Integrated Care Programs: Results of a Nationwide Survey. International Journal of Integrated Care, 20(1), 10. https://doi.org/10.5334/ijic.4649

McLaney, E., Morassaei, S., Hughes, L., Davies, R., Campbell, M., & Di Prospero, L. (2022). A framework for interprofessional collaboration in a hospital setting: Advancing team competencies and behaviors. Healthcare Management Forum, 35(2), 112-117. https://doi.org/10.1177/08404704211063584

Szierbowski-Seibel, K., Wach, B., & Kabst, R. (2019). The Collaboration of Human Resource Management and Line Management–An International Comparison. Organization Management Journal, 16(4), 262-277. https://doi.org/10.1080/15416518.2019.1679076

ORDER A PLAGIARISM-FREE PAPER HERE

We’ll write everything from scratch

Collaboration and Leadership

Assessment 1: Collaboration and Leadership Reflection Video
1
ASSESSMENT INSTRUCTIONS
For this assessment, you will create a 5-10 minute video reflection on an interprofessional collaboration experience and a brief discussion of an interprofessional collaboration scenario and how it could have been better approached.