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I. Objectives

A. General Objectives
At the end of 20-30 minutes of health teaching, the learners will be able to
know the condition, potential complications and result of TAHBSO in the body,
and the therapeutic regimen that can be given on it.

B. Specific Objectives
After 20-30 minutes of health teaching, the learners will be able to:

1. Understand what TAHBSO is.
2. Know the causes and effects of TAHBSO.
3. Pin down the factors that may affect client’s response to

1. Enumerate the things that might help control hypertension.
2. Identify what organs are the most affected by TAHBSO.

1. Have the courage to do the immediate primary care when
handling post TAHBSO patient.

II. Readiness to Learn

The learners are responsive, conscious, and aware for their surroundings.
They are eager to know more about TAHBSO and its effect on the body. They are
willing to share their time to learn more about TAHBSO.

III. Capability to Learn

The learners are fully conscious. The learners can understand and
comprehend medical and nursing terms since they are exposed to these kinds of
word. They show good memory recognition.

IV. Methodology
The method to be used in delivering information is the simplest way of
discussing the topic as to where the learners would understand it- using visual
aids. Using a good communication mode- speaking Tagalog in between
explanations to give emphasis on the topic being discussed- is also a contributing

TAHBSO stands for total abdominal hysterectomy and bilateral salphingo-

oophorectomy. It basically means having all your female reproductive organs removed. It
involves an incision in your lower abdomen similar to a Caesarean scar (along the bikini
line). However, if there's a mass that's very big, the gynecologist may want to do a
vertical incision. You usually get a general anaesthetic for this procedure, but some
patients can have it done under an epidural if a general anaesthetic is unsafe.
Hysterectomy is often performed on cancer patients or to relieve severe pelvic pain from
things like, endometriosis or adenomyosis..

Hysterectomy is also used as a last resort for postpartum obstetrical hemorrhage or

uterine fibroids that cause heavy or unusual bleeding and discomfort in some women.

Transsexuals undergoing sex reassignment surgery as part of a female-to-male (FTM)

transition commonly have hysterectomies and oophorectomies to remove the primary
sources of female hormone production.

Health Teaching


This is the removal of the uterus including the cervix as well as the tubes and
ovaries using an incision in the abdomen. A hysterectomy is the surgical removal of the
uterus. Hysterectomy may be total, as removing the body and cervix of the uterus or
partial, also called supra-cervical. Salpingo refers specifically to the fallopian tubes
which connect the ovaries to the uterus. Oophorectomy is the surgical removal of an
ovary or ovaries. Hysterectomy is also referred to as surgical menopause.

Causes of TAHBSO:

Heavy bleeding

- Environmental and lifestyle factors affecting our hormones and sending the
uterus mixed messages.
- Reflect irregularities of the endometrium


- The glandular endometrial lining of the uterus invades the bulk of the uterine
muscle wall


- Their growth is probably fueled by estrogen

Nursing Management:


1. Interprets and upholds policies and procedures as determined by administrative

2. Identify knowledge and skills of peri-operative nursing.
3. Identifies nursing care problems through pre-operative visit and assist in the
solutions and

4. Ensures quality of care through proper use of instruments, equipments and
5. Observes proper positioning of the patient and maintaining the dignity of the
As well, thus, providing maximum safety and comfort.
6. Identifies, prepares and send specimen obtained during operation for
7. Assess patient’s stability and should know to report to the attending
8. Carries out doctor’s post-operative order diligently.
9. Observes, checks and record patient assessment and refer when necessary.
10. Administers post-operative care.
11. Submits sundry report and account for the supplies and equipment used.
12. Responsible for the upkeep, Maintenance and care of equipment and
13. Informs appropriate personnel when supplies are needed or equipment and
instruments are out of order.


1. Responsible for all the safekeeping of patient’s personal belongings endorse by

OR nurse.
2. Responsible for endorsing such items to patient’s relatives or floor nurse.
3. Diligently carries out doctor’s orders as soon as possible.
4. Check and record vital signs-blood pressure, pulse rate, O2 saturation,
respiratory rate, temperature, color and condition of skin, if can move extremeties
every 15 minutes (or as often as possible or as indicated by the patient’s
condition) on the Nurse’s Post Anesthesia Record.
5. Observes and records neuro vital signs for neurological cases on the
Neurological Vital Signs Form provided by the unit.
6. Observes keenly the patient’s who might undergo post-operative complications
like bleeding, shock, respiratory distress, thyroid storm and cardiac arrest.
8. Notifies the anesthesiologist/AMD immediately for any unusual symptoms
manifested by the patient.

Nursing Considerations:

- Encourage to prepare for surgery in advance to increase the chances of a

positive experience for the client.
- Help the patient identifies measures she can take to boost her nutrition, reduce
her recovery time, and balance her hormones hormones
- Help the patient examine and modify his lifestyle.

Conclusion and Recommendation:

We, therefore conclude that the health teaching made above will benefit the
learners greatly and will help them deal with the disorder equipped with full knowledge.