Nursing Diagnosis and Nursing Interventions

Nursing Diagnosis and Nursing Intervention for BPH - Preoperative

Nursing Diagnosis and Nursing Intervention for BPH - Preoperative

  1. Acute or chronic obstruction related to mechanical obstruction, enlarged prostate, muscle destrusor decompensated bladder and an inability to contract adequately.

    Goal :
    Avoid obstruction

    Criteria for outcome :
    Micturition in sufficient quantity, not palpable bladder distension

    Plan of action and rational
    • Encourage the patient to urinate every 2-4 hours and when all of a sudden felt.
      R / Minimize excessive retention of urine in the bladder distension
    • Observation of the flow of urine, note the size and strength of urinary stream
      R / To evaluate the obstruction, and choice of intervention
    • Monitor and record the time and the amount each time urination
      R / Retention of urine increases the pressure in the urinary tract that can affect kidney function
    • Give up to 3000 ml of fluid a day in the heart of tolerance.
      R / Increasing the flow of fluid to increase renal perfusion and cleanses the kidneys, bladder from bacterial growth
    • Give the drug as indicated (antispsamodic)
      R / reduce spasms of the bladder and speed healing
  2. Pain (Acute) related to the irritation of bladder mucosa, bladder distension, renal colic, urinary infection.

    Goal :

    Pain is reduced / lost

    Criteria for outcome :

    Clients reported no pain, showed the skills of relaxation and therapeutic activity according to indications for individual situations. Seemed relaxed, sleep / rest appropriately.

    Plan of action and rational :
    • Review the pain, note the location, intensity (scale 0 - 10).
      R / Pain sharp, intermittent with the urge to urinate / massage urine around the catheter showed bladder spasm, which tends to be more heavily on the approach of TURP (usually decreased within 48 hours).
    • Keep the catheter and drainage system. Keep the hose free of grooves and clot.
      R / Maintaining the function of the catheter and drainage system, reducing distension risk.
    • Maintain bed rest if indicated
      R / required during the early phase during the acute phase.
    • Provide comfort measures (therapeutic touch, changing positions, massage your back) and therapeutic activity.
      R / Reduces muscle tension, back memfokusksn attention and can enhance coping ability.
    • Collaboration in the provision antispasmodik
      R / Eliminates spasm

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Nursing Diagnosis - Nursing Interventions

NANDA NURSING

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