1. What is the diagnosis for her discomfort and pain?

The diagnosis for this patient’s condition is a stage 2 pelvic organ prolapse and vaginal atrophy (Secor, 2023). This is based on her subjective assessment which included being post-menopausal, 4 vaginal deliveries, pain/dragging sensation in the lower abdomen/back while sitting/standing which is relieved when laying down. Urinary frequency, occasional incontinence, and chronic constipation that requires frequent digital assistance to push stool out. The objective findings that support the diagnosis include vulval anatomical changes that indicate vaginal atrophy. When the patient is supine, she has mild prolapse. Standing causes the cervix to fall where it can be felt/seen at the introitus level. Also, it shows large posterior wall prolapse and minimal anterior wall prolapse.

  1. How would you manage this patient?

There are several treatment options we can consider when a patient presents with pelvic organ prolapse. They can include doing nothing if the symptoms are not severe or bothersome, conservative measures such as pelvic floor exercises or a pessary device all the way to surgical interventions (van der Vaart et al., 2022). This patient is 83 years old; she is healthy, and active. However, her symptoms have become painful, she is having urinary problems, and chronic constipation. I would suggest she try pelvic floor exercises to help strengthen the surrounding muscles, but this may not be effective at this stage. A pessary could be a valid option for the patient. This device is custom made to fit each person and is designed to hold the pelvic organs in place preventing pain, urinary, and bowel complications (van der Vaart, 2022). The device can cause discomfort if the pelvic muscles are too weak. She could be a candidate for surgical intervention, but the risks may outweigh the benefit at her age (van der Vaart et al., 2022).

Are you struggling to create a sound and comprehensive nursing paper? Do you feel overwhelmed with the amount of time and effort it takes to write a good piece? Are you looking for the best nursing paper writing service that can assist you in your nursing paper needs? Look no further than our skilled team of professional writers who specialize in providing high-quality papers with the best nursing paper writing services reviews. Make your order at

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now