Polycystic Ovary Syndrome IHP Student's Name * First Middle Last Suffix This field is required. Please complete the following fields: First,Last. PhotoAccepted file types: jpg, gif, png, jpeg, Max. file size: 100 MB.DoB Month Incorrect Value for Month field Day Incorrect Value for Month field Year Incorrect Value for Month field Please enter a valid date. GR/LevelDaycareEEPKKN010203040506070809101112Post-GraduateWould you like to add the student's ID number? Yes No ID Campus/Building Would you like to add the student's homeroom number and teacher's name? 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Yes No ContactContact Name Add RemoveRelationship Add RemoveContact Phone Number Add RemoveContact Phone Type Add RemoveContact Phone Number Add RemoveContact Phone Type Add RemoveContact Name RelationshipChoose one:ParentGuardianOtherContact Phone Number Contact Phone TypeChoose OneHomeMobileWorkFaxContact Phone Number Contact Phone TypeChoose OneHomeMobileWorkFax Add More Treating Physician Add RemovePhysician Phone Number Add RemovePhysician Fax Number Add RemoveTreating Physician Physician Phone Number Physician Fax Number Add More Preferred Hospital City MEDICAL DIAGNOSIS(ES)Add a medication or procedure? Yes No MEDICATIONS/PROCEDURES Medication/Procedure Strength Dose ModeChoose one:OralTopicalInhaledIntranasalSQNebulizerSublingualRectalIMIVSched/PRN?Choose OneScheduledPRNTime Frequency If PRN, administer for Medication/Procedure Add RemoveStrength Add RemoveDose Add RemoveMode Add RemoveSched/PRN? Add RemoveTime Add RemoveFrequency Add RemoveIf PRN, administer for Add Remove Add More MEDICAL HISTORYASSESSMENT NursingList InterventionList OutcomesList Nursing Diagnosis: Imbalanced Nutrition: More Than Body Requirements Related to insulin resistance and hormonal imbalances that contribute to weight gain or difficulty losing weight Related to increased appetite or cravings for high-sugar or high-fat foods, potentially exacerbating weight issues Interventions The school nurse will collaborate with a dietitian to provide age-appropriate guidance on maintaining a balanced diet, focusing on whole foods, complex carbohydrates, lean proteins, and healthy fats. The school nurse will ensure that the student has access to nutritious meals and snacks throughout the school day. The school nurse will work with PE teachers to ensure that the student participates in appropriate physical activities that promote healthy weight management. The school nurse will offer resources on how insulin resistance and hormonal imbalances affect weight, and discuss strategies for managing weight healthily. Expected Outcomes The student will demonstrate improved awareness of healthy eating habits and make healthier food choices. The student will maintain a healthy weight or achieve gradual weight loss through a balanced diet and regular physical activity. Nursing Diagnosis: Risk for Impaired Skin Integrity Related to hormonal changes in PCOS can cause acne, excessive hair growth, or skin irritation. Related to medications, such as oral contraceptives or anti-androgens, may cause skin dryness or irritation. Interventions The school nurse will encourage regular checks of the student’s skin for signs of acne, irritation, or ingrown hairs, and ensure that treatments (topical medications, prescriptions) are followed correctly. The school nurse will educate the student on a daily skincare routine that includes gentle cleansing, avoiding harsh scrubs, and using appropriate topical treatments. The school nurse will promote the importance of drinking plenty of water to maintain healthy skin. The school nurse will work with the student’s healthcare team to assess the effectiveness of current skin treatments and medications. Expected Outcomes The student will maintain healthy skin with minimal signs of irritation or acne. The student will consistently follow a skincare routine to manage PCOS-related skin issues. Nursing Diagnosis: Acute Pain Related to pain associated with ovarian cysts, which may cause pelvic discomfort or cramping. Related to irregular or heavy menstruation cycles, which may result in dysmenorrhea (painful menstruation). Interventions The school nurse will regularly assess the student’s pain using an age-appropriate pain scale and monitor for changes in severity or duration. The school nurse will administer or assist with medications as prescribed, such as NSAIDs for menstrual pain, and offer comfort measures such as heating pads for cramping. The school nurse will teach the student relaxation techniques, such as deep breathing or mindfulness, to help manage pain and stress. The school nurse will coordinate with the student’s healthcare provider to adjust medications or treatment options if pain becomes frequent or severe. Expected Outcomes The student will report reduced pain levels and discomfort during menstruation or when experiencing pelvic pain. The student will utilize both pharmacological and non-pharmacological methods effectively to manage pain. Nursing Diagnosis: Risk for Anxiety Related to emotional stress related to the physical changes and symptoms of PCOS, such as acne, weight gain, and irregular periods. Related to anxiety about fertility concerns or long-term health consequences related to PCOS. Interventions The school nurse will offer a listening ear for the student to discuss any concerns or anxiety related to their condition and changes they are experiencing. The school nurse will teach the student coping strategies, such as deep breathing exercises, yoga, or journaling, to help manage anxiety. The school nurse will ensure that the student has a comfortable and safe space to express any emotional concerns and refer to counseling services if needed. The school nurse will explain how PCOS can be managed effectively, helping the student feel more in control and less anxious about their condition. Expected Outcomes The student will demonstrate reduced anxiety and use learned coping strategies effectively to manage stress. The student will engage in school activities with increased confidence and emotional well-being. Nursing Diagnosis: Risk for Altered Body Image Related to PCOS-related physical symptoms, such as excess facial or body hair, weight gain, and acne, which may affect the student’s self-esteem and body image. Related to emotional distress from societal or peer pressures about appearance and health. Interventions The school nurse will offer a supportive environment where the student can express concerns about their appearance and body image and help them develop a positive self-image. The school nurse will, with approval, educate peers about PCOS and the visible symptoms to promote understanding and empathy. The school nurse will support the student in developing coping mechanisms to manage any negative feelings related to body image. The school nurse will recommend counseling or support groups where the student can talk to others with similar experiences to enhance their body image and self-esteem. Expected Outcomes The student will develop a positive body image and demonstrate improved self-esteem. The student will actively participate in school activities without feeling self-conscious about their physical appearance. Nursing Diagnosis: Deficient Knowledge Related to lack of understanding of PCOS, its symptoms, and the management of the condition. Related to misconceptions about the impact of PCOS on long-term health (e.g., fertility, diabetes risk). Interventions The school nurse will offer age-appropriate educational materials about PCOS, including its symptoms, causes, and treatment options. The school nurse will educate the student on managing PCOS-related symptoms, including the importance of regular physical activity, a balanced diet, stress management, and medication adherence (if applicable). The school nurse will ensure that the student and family understand the healthcare plan, including necessary medical visits and treatments. The school nurse will provide periodic check-ins with the student to answer any questions or concerns about their health and PCOS management. Expected Outcomes The student and caregivers will demonstrate a clear understanding of PCOS and its management strategies. The student will be able to manage symptoms effectively and follow the recommended treatment plan. Nursing Diagnosis: Risk for Fertility Concerns Related to PCOS can affect menstrual cycles and ovulation, leading to concerns about future fertility. Related to emotional distress related to the potential impact of PCOS on reproductive health. Interventions The school nurse will offer counseling referrals for the student to discuss any emotional concerns about future fertility and reproductive health. Expected Outcomes The student will understand the potential impact of PCOS on fertility and feel empowered to make informed decisions about future reproductive health. The student will have a clear understanding of treatment options and feel supported emotionally. Would you like to add another nursing diagnosis? Yes No Nursing DiagnosisNursing DiagnosisAdd your own nursing diagnosisInterventionsAdd your own nursing interventionsExpected OutcomesAdd your own expected outcomesNursing Diagnosis Add RemoveInterventions Add RemoveExpected Outcomes Add Remove Add More EVALUATIONNOTESIHP Developed ByName First Last Title Date Month Day Year Please enter a valid date. Do you want to include physician and parent signature lines? Yes Download IHP Clicking this button will download this IHP to your computer and return you to the blank IHP. Return Clicking this button will return you to the IHP to make changes.
