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Project Description
Pelvic pain can be more common in women than in men due to several factors. A female has several more organs in her pelvis, and
those organs are together in the lower left quadrant. Pelvic pain is often mistaken as a woman exaggerating menstrual cramps,
appendicitis, irritable bowel syndrome, ectopic pregnancy, pelvic infection, ruptured ovarian cysts, ovarian torsion, interstitial
cystitis(IC), and other pelvic disorders.
Across the globe for 1/10 women, this pelvic pain is endometriosis. The pain from endometriosis and interstitial cystitis can feel like
an appendicitis attack, but the pain tends not to be recognized by society. Because of this, the average time for a woman to receive
an official endometriosis diagnosis is 10 years.
When a woman hits the 10 year mark, she may have irreversible damage of multiple internal pelvic organs, including bladder,
intestines, colon, appendix, and gall bladder. Endometriosis can be very aggressive in causing permanent damage. It has been found
is every organ but the spleen. Endometriosis is the 3rd leading cause for infertility.
Any woman old enough to menstruate should not be ignored while in chronic pain, deserves appropriate care, and the best quality of
life possible.
Aim
Promote better care for general pelvic pain in girls and women, narrow down what may be causing pain, and advocating for
appropriate care.
Girls and women experience best results when early detection of endometriosis and diagnosis are sought after.
Potential endometriosis patients can be empowered through education to prevent long term, debilitating effects.
Target Audience
Delivery Options
Instruction for this project will be delivered with an online option, as well as a workshop option.
This option is chosen because endometriosis is a worldwide epidemic that needs more attention and research.
The online method will be able to reach a wide audience, and the workshop will facilitate sharing local resources
No referral
No insurance
Of 100 women, 66% of women have tried dietary changes to reduce pelvic pain, and the popular item removed was gluten. 33% have
not considered a dietary intervention
Necessary Recommendations:
The largest gap was not what I expected to it, which I foresaw as a diet need, but it turns out that more women could be benefiting
from pelvic floor therapy.
Method:
Literature research
Interviews
Surveys
Observations
Secondary Audience
Medical Community.
Insurance Companies.
Spouses & other family members.
Schools.
Sorority National offices.
Girl Scouts.
99.9% Female.
Menstruating age and older, in chronic pain.
42% of women age 25-34; 33% age 35-44.
Most work part time or full time; but 12% of survey
reports disabled and unable to work.
More than 55% go to the doctor 5 or more times a
year.
Wide education range and work experience.
Most are able to walk, and gentle lifting.
Entry Characteristics
Contextual Analysis
o Women are exaggerating severity of menstrual
cramps.
Orienting Context
Goals that the learners will have for this instruction are
the following:
o Reduce pelvic.
o Determine the source of the pelvic pain.
o Find proper medical intervention.
Learners perceived utility of the instruction:
o Will be welcomed as useful information to help
them leverage the medical community.
o Will help empower them to make life style
changes.
o Will empower to use their network to find the
best providers.
Learners perception of accountability of the
instruction:
o Will be a higher engagement because the pelvic
pain can interfere with the quality of life.
The following are the learners potential
misconceptions towards pelvic pain:
o Pelvic pain is normal.
Instructional Context
Technology Inventory
Transfer Context
INSTRUCTIONAL OBJECTIVES
Project Goal
Help women identify and learn about unexplained pelvic pain; then minimize pain through wellness and
diet, manage, and find appropriate care.
Terminal Objective: Upon completion of the instruction, the learner will be able to recognize pelvic pain.
(Cognitive-Knowledge).
Enabling Objectives:
Recognize pelvic pain & symptoms.
Know where endometriosis can grow, and long term effects.
Recognize it is not normal to be in pain for your period, for cramps, for ovulating, and for intercourse.
There is no such thing as a bad period.
Killer cramps are not normal.
Terminal Objective: Upon completion of the instruction, the learner will be able to (CognitiveComprehension and Application).
Enabling Objectives:
List pelvic pain symptoms.
Track pelvic pain symptoms.
Be able to identify family members with pelvic pain, and possibly their diagnosis.
Identify other common medical conditions that accompany endometriosis.
Notice if certain foods trigger pain.
Try an anti-inflammatory diet or elimination diet.
Terminal Objective: Upon completion of the instruction, the learner will be able to create wellness
routines and healthy habits. (Cognitive-Comprehension and Application).
Enabling Objectives:
Learn stretches/yoga.
Have a walking or swimming schedule.
Heat and Cold therapy.
Epsom salt baths.
Vitamins.
Diet changes.
Make and take an Epsom salt, baking soda, and vinegar bath.
Learn stretching.
Heat and cold therapy.
Terminal Objective: Upon completion of the instruction, the learner will be able advocate for the best
possible care. (All domains).
Enabling Objectives:
Understand treatment options and solutions to manage pain.
Pelvic floor therapy.
Know the difference between ablation and excision surgeries.
Be able to ask for a referral for an excision specialist, and to pelvic floor therapy.
Enabling
Objective
Recognize
pelvic pain &
symptoms.
Level on
Blooms
Taxonomy
Knowledge,
Comprehension,
Application
Fact,
concept,
principle,
rule,
procedur
e,
interpers
onal, or
attitude?
Facts,
Concepts,
Processes
Deliver
y
Method
Learner Activity
Learners will be given a short pretest, with a check sheet. They will be given 5 minutes to
check off line items that they perceive as included in pelvic pain.
Next, learners will sit in small groups. Each group will have a wipe board, dry erase marker
and dry eraser.
They will be shown power point slides, then asked to guess percentage of women (with
suspected/confirmed endometriosis) experiencing daily symptoms, then write the number
on the wipe board.
The percentage will be revealed, a short presentation about the specific pelvic symptom
will follow, and there will be a short discussion.
Learners will be able to recognize and list pelvic symptoms, as well as given an opportunity
to work through examples.
Learners will be given a worksheet listing pelvic symptoms, and an area to write examples
during the presentation and discussions to bring to their medical practitioner.
This will address irritable pelvic issues, such as bowel syndrome, constipation, urinary tract
infections(check results for blood in urine), recurrent vaginal infections, interstitial cystitis,
and menstrual pain.
(Group
presentati
on/lecture
,
selfpaced, or
small
group)
Small Group,
and
Presentation.
Could also be
self-paced for
online
access.
Enabling
Objective
Identify other
common
medical
conditions that
accompany
endometriosis.
Level on
Blooms
Taxonomy
Knowledge,
Comprehension,
Application
Fact,
concept,
principle,
rule,
procedur
e,
interpers
onal, or
attitude?
Facts,
Concepts,
Processes
Deliver
y
Method
Learner Activity
(What would learners do to master this objective?)
Learners will have a matching game of pairing other common medical conditions that
accompany endometriosis, and symptoms. The can work alone, or in a small group.
The percentage of women (with suspected/confirmed endometriosis) experiencing other
chronic health issues will be revealed in a short presentation reviewing the game.
Each person will have a worksheet to list and describe their personal symptoms; write
questions and concerns throughout the presentation.
Learners will be given a worksheet listing other medical symptoms and conditions, and an
area to write examples during the presentation and discussions to bring to their medical
practitioner.
This will address other body systems, such as recurrent upper respiratory tract infections,
asthma, allergies, hypothyroidism, arthritis, cancer.
(Group
presentati
on/lecture
, selfpaced, or
small
group)
Presentation
Could also be
self-paced for
online
access.
Be able to
identify family
members with
pelvic pain,
and possibly
their
diagnosis.
Knowledge,
Comprehension,
Application
Facts,
Concepts,
Processes
Self Paced
REFERENCES
Fischer, Col. John R. (no date). Diagnosis & Management of Endometriosis: Pathophysiology to Practice
(PDF).
https://www.apgo.org/elearn/endo/endomonon2.pdf
Rosser, Matthew. (8-10-2015). Misery Loves Company(blog). Retrieved from:
http://endo-update.blogspot.co.uk/2015/08/misery-loves-company.html?m=1
Nezhat, Cameron. (2012). Where Does Endometriosis Grow? (Website). Retrieved from:
http://www.nezhat.org/endometriosis/endometriosis_occur.php
Janssen Pharmaceuticals, Inc. (2014). (PDF). Retrieved from:
http://www.orthoelmiron.com/sites/default/files/assets/diet-guide.pdf#zoom=100
Mayo Clinic. (5-18-2013). (Website). Retrieved from:
http://www.mayoclinic.org/symptoms/pelvic-pain/basics/definition/sym-20050898
Staff of HysterSisters.com. (8-5-2015). Explore All of Your Options for Unexplained Pelvic Pain. Retrieved
from: http://www.hysterectomy.org/2015/08/explore-options-unexplained-pelvic-pain
Center for Endometriosis Care. (2016).Understanding Endometriosis. Retrieved from:
http://www.centerforendometriosiscare.com/understanding-endometriosis