Total abdominal hysterectomy bilateral salpingo oophorectomy (TAHBSO) is the removal of entire uterus, the ovaries, fallopian tubes

and the cervix. TAHBSO is usually performed in the case of uterine and cervical cancer. This is the most common kind of hysterectomy. Removal of the ovaries eliminates the main source of the hormone estrogen, so menopause occurs immediately. Post-operative nursing care for patients who underwent TAHBSO would include: Determines patients immediate response to surgical intervention. Monitor patients physiologic status. Assess patients pain level and administers appropriate pain relief measures. Maintains patients safety(airway, circulation, prevention of injury) Administer medication, fluid and blood component therapy, if prescribed. Assess patients readiness for transfer to in hospital unit or for discharge home based on institutional policy. This post includes several nursing care plans for post-TAHBSO patients. 1 Acute Pain Due to surgical procedure done that needs a surgical incision there will be presence of trauma in the area that signals an actual tissue damage and inflammation, this damage will cause an inflammation of the nerves when the nerves are affected, there will be the presence of pain. 2 Hypothermia Hypothermia is the sudden decrease of temperature. It is due to different factors such as exposure to cool environment, aging or medications. In a surgical procedure hypothermia occurs due to exposure to the cool environment in the OR. Anesthesia also affects body temperature. Inadequate clothing like the OR gown also contributes to heat loss. 3 Hyperthermia Organisms releases endotoxin which stimulates the release of pyrogens from the leukocytes resetting the bodys internal thermostat to febrile level then there will be activation of hypothalamus which will result to an increase in epinephrine and heparin, vasoconstriction of cutaneous vessels. Then heat will be produce as peripheral vasodilation results in skin flushing and skin which is warm to touch. 4 Anxiety Due to upcoming surgical procedure patients are usually experiencing anxiety. The brain signals our body part to initiate responses such as fatigue, nausea and abdominal pain. 5 Fatigue Due to poor physical condition after surgical procedure, body insist demands of nutrition and oxygen that results to fatigue 6 Sexual Dysfunction Dysfunction of the female reproductive system can produce depression and even anxiety. The patient experiences this due to deficient knowledge about the dysfunction and the decrease in sexual desire. 7 Risk for Infection The skin considered as the first line of defense against any foreign organism when surgical procedure impaired the skin, possible entry of microorganism therefore may cause infection 8 Risk for Deficient Fluid Volume Decrease intravascular, interstitial, or intracellular fluid refers to dehydration. Fluid volume deficit or hypovolemia occurs from a loss of body fluid or the shift of fluids into the third space or reduced fluid intake. Common sources for fluid loss are the gastrointestinal tract, polyuria and increased perspiration. It also occurs to patient who undergone surgery. In an operation the patient is losing too much body fluid through blood loss that can lead to deficient flui