BPH affects the quality of life of about 40% of men in their fifth decade and 90% of men in their ninth decade.
Nursing Diagnosis and Nursing Intervention for BPH - Preoperative
- 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
- Encourage the patient to urinate every 2-4 hours and when all of a sudden felt.
- 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
- Review the pain, note the location, intensity (scale 0 - 10).
