NURSING CARE PLAN FOR BPH

BENIGN PROSTATIC HYPERPLASIA (BPH)
Benign prostatic hyperplasia is characterized by progressive enlargement of the prostate gland (commonly seen in men older than age 50), causing varying degrees of urethral obstruction and restriction of urinary flow.

CARE SETTING
Community level, with more acute care provided during outpatient procedure.

RELATED CONCERNS
Psychosocial aspect of care
Renal failure:acute
Patient assesment database

CIRCULATION
May exhibit:elevated BP (renal effects of advanced enlargement)

ELIMINATION
Hesitancy in initiating voiding
inability to empty bladder completely; urgency and frequency of urination.
Nocturia,dysuria,hematuria.
Sitting to void.
Recurrent UTI,history of calculi (urinary statis).
Chronic constipation (protrusion of prostate into rectum)
May exhibit: Firm mass in lower abdomen (distended bladder), bladder tenderness.
Inguinal hernia,hemorrhoids (result of increased abdominal pressure required to empty bladder against resistance).

FOOD/FLUID
May report :anorexia,nausea,vomiting.
Recent weight loss.

PAIN/DISCOMFORT
May report:suprapubic,flank or back pain; sharp,intens (in acute prostatitis).
Low back pain
SAFETY
May reprot: fever
SEXUALITY
May report:concerns about effect of condition therapy on sexual abilities
Fear or incontinence/dribling during intimacy
Decrease in force of ejaculatory contractions
May exhibit :enlarged,tender of prostate
TEACHING/LEARNING
May report:Family history of cancer,hypertension,kidney disease.
NURSING PRIORITIES
1.Relieve acute urinary retention
2.Promote comfort.
3.Prevent complication.
4.Help patient deal with psychosocial concerns.
5.Provide information about disease process/prognosis and treatment needs.

DISCHARGE GOALS
1.Voiding pattern normalized.
2.Pain/discomfort relieved.
3.Complications prevented/minimized.
4.Dealing with situation realistically.
5.Disease process/prognosis and therapeutic regimen understood.
6.Plan in place to meet needs after discharge.



taken from nursingcareplan.blogspot.com