Persistent or unresolved problems may require professional intervention. Maternal and Child Health Nursing (NCLEX Exams), Medical and Surgical Nursing (NCLEX Exams), Pharmacology and Drug Calculation (NCLEX Exams), Valvular Disorder: Mitral Stenosis Nursing Management. Retention can occur because of edema of the surgical area. Note: Laser prostatectomy is being done in routine practice; however, published data relative to the efficacy of the procedure are currently insufficient for long-term outcomes. He has established the Queensland Prostate Clinic in Brisbane, which functions to provide comprehensive information on the detection and treatment of prostate cancer. Regularly check the dressing, incision and drainage for excessive. Maintain a sterile catheter system. Kegel exercises promote regaining muscular control of urinary continence and sexual function. Continued heavy bleeding or recurrence of active bleeding requires medical evaluation and prompt interventions. Surgical procedure may not provide a permanent cure, and hypertrophy may recur. Nursing care plan intervention and treatment plan Most physicians prescribe antibiotic therapy based on the results of the bacterial cultures; sometimes parenteral antibiotics are required if the infection is systemic. Oxybutynin (Ditropan), flavoxate (Urispas), B & O suppositories; Relaxes smooth muscle to provide relief of spasms and associated pain. However, surgical resection of the portion of the prostate gland encroaching on the urethra may be required to improve urinary flow and relieve acute urinary retention regardless of the patient’s age. Discuss initial activity restrictions: avoidance of heavy lifting, strenuous exercise, prolonged sitting or long automobile trips, climbing more than two flights of stairs at a time. Movement or pulling of catheter may cause bleeding or clot formation and plugging of the catheter, with bladder distension. Decreases the possibility of infection, introduction of bacteria. Nursing care plan primary nursing diagnosis: Pain (acute/chronic) related to prostate inflammation and infection. Nursing care plan for prostatectomy. May need additional fluids, if oral intake inadequate, or blood products, if losses are excessive. Prostate most cancers exercise necessities, heritage, anatomy. Discuss concerns about possible changes in body image, sexual functioning with partner/SO and caregiver. Here are six (6) nursing care plans (NCP) and nursing care plan for prostatectomy: Assess pain, noting location, characteristic, intensity (0–10 scale). Record time, amount of voiding, and size of stream after catheter is removed. Nursing Care Plan As soon as the history and head-to-toe assessment were completed nursing priorities focused on alleviating pain, preventing infection and urinary obstruction, and providing information about disease process and treatments. Instruct in urinary catheter care if present. Nursing Care Plan 1. Weigh dressings if indicated. Background. Presence of drains, suprapubic incision increases risk of infection, as indicated by erythema, purulent drainage. Provide regular catheter and meatal care with soap and water. Verbalize understanding of surgical procedure and potential complications. This nursing care plan is for a patient who had had a Mastectomy and it includes a diagnosis and care plan for nurses with nursing interventions and outcomes for the following conditions: Impaired Physical Mobility and Grieving related to loss of breast. Usually discontinued 24–48 hr before anticipated removal of catheter to promote normal bladder contraction. Advise patient that “dribbling” is to be expected after catheter is removed and should resolve as recuperation progresses. Measures to prevent introduction of bacteria that may cause infection or sepsis. Finding help online is nearly impossible. You may need to keep the area covered so it does not get wet. This post has 6 prostatectomy nursing care plans (NCP). Promotes healing and prevents constipation, reducing risk of postoperative bleeding. Dehydration or hypovolemia requires prompt intervention to prevent impending shock. Monitor vital signs, noting increased pulse and respiration, decreased BP, diaphoresis, pallor, delayed capillary refill, and dry mucous membranes. Appear relaxed, sleep/rest appropriately. Be open and honest in answers to patient’s questions. Nursing Care Plans. Avoid taking rectal temperatures and use of rectal tubes/enemas. Nursing goal for patients who are to undergo Hysterectomy or TAHBSO includes prevention or minimization of complications, supporting adaptation to change, preventing complications, and providing information on the prognosis and treatment regimen is … During the pre-operative visit, the client asks the nurse, “When do I get to eat again?” Which response from the nurse is accurate? Limit fluids in the evening, once catheter is removed. Nursing Care Plan. Encourage fluid intake to 3000 mL/day unless contraindicated. Sexual Dysfunction—leakage of urine; loss of erectile function following radical procedure. Sharp, intermittent pain with urge to void or passage of urine around catheter suggests bladder spasms, which tend to be more severe with suprapubic or TUR approaches (usually decrease by the end of 48 hr). Watch out for signs of bleeding and infection. Description . Another option that may restore the ability to have an erection is the use of sildenafil citrate (Viagra). Administer stool softeners, laxatives as indicated. Decreases irritation by maintaining a constant flow of fluid over the bladder mucosa. Invasive procedures: instrumentation during surgery, catheter, frequent bladder irrigation, Traumatized tissue, surgical incision (e.g., perineal), Irritation of the bladder mucosa; reflex muscle spasm associated with surgical procedure and/or pressure from bladder balloon (traction). Dark burgundy with dark clots, increased viscosity. Self-care at home after a prostatectomy. Encourage use of relaxation techniques, including deep-breathing exercises, visualization, guided imagery. Residuals more than 50 mL suggest need for continuation of catheter until bladder tone improves. Indicator of fluid balance and replacement needs. Examinations of performance-based evidence regarding prostatectomy have also sought to identify the most effective forms of guidance for patients and their families in self-care and the best forms of action toward UI and sexual dysfunction, as well as the most frequent nursing diagnoses focusing on these sequelae in discharge planning. Instruct in perineal and interruption and/or continuation of urinary stream exercises. Provide information about surgical procedure, prognosis, treatment, and rehabilitation needs. The S.O.C.K. Apply antibiotic ointment around the catheter site. Prev Article Next Article . Nursing Care Plan for Prostate Cancer - 3 Diagnosis and Interventions The word "prostate" comes from Medieval Latin prostate and Medieval French prostate. Encourage patient to void when urge is noted but not more than every 2–4 hr per protocol. Regularly check the dressing, incision and drainage for excessive bleeding. Procedure/prognosis, therapeutic regimen, and rehabilitation needs understood. Since we started in 2010, Nurseslabs has become one of the most trusted nursing sites helping thousands of aspiring nurses achieve their goals. As a nurse educator since 2010, his goal in Nurseslabs is to simplify the learning process, break down complicated topics, help motivate learners, and look for unique ways of assisting students in mastering core nursing concepts effectively. This post has 6 prostatectomy nursing care plans (NCP). Created Date: Maintain adequate hydration as evidenced by stable vital signs, palpable peripheral pulses, good capillary refill, moist mucous membranes, and appropriate urinary output. Give opportunities or openings for patient and SO to talk about concerns of incontinence and sexual functioning. Review signs and symptoms requiring medical evaluation, erythema, purulent drainage from wound sites, changes in character or amount of urine, presence of urgency and/or frequency, heavy bleeding, fever, or chills. Demonstrate behaviors to regain bladder/urinary control. Situational crisis (incontinence, leakage of urine after catheter removal, involvement of genital area), Threat to self-concept/change in health status. Investigate restlessness, confusion, changes in behavior. Report understanding of sexual function and alterations that may occur with surgery in individual situation. The ancient Greek word prostates means "one standing in front", from proistanai meaning "set before". Note: Following release of urinary tract obstruction, marked diuresis may occur during initial recovery period. Observe catheter drainage, noting excessive or continued bleeding. this information will usually be found immediately below the title of a nursing diagnosis. Post-operative Care [View a Printable version of these instructions] If you have had a robotic prostatectomy, it is essential for your own safety and for the success of your surgery that you carefully read and follow these instructions. Benign prostatic hyperplasia BPH nursing care plan and nursing intervention for patient with enlargement of the prostate gland that is brought by obstruction. Limit fluids in the evening, once catheter is removed. Promotes sense of normality and encourages passage of urine. Change dressings frequently (suprapubic or retropubic and perineal incisions), cleaning and drying skin thoroughly each time. Encourage fluid intake to 3000 mL as tolerated. Provide sitz baths or heat lamp if indicated. Surgery area care: Follow your surgeon's directions on how to care for the area. Instruct to stand, walk to the bathroom at frequent intervals after catheter is removed. Anchor catheter, avoid excessive manipulation. Effective surgical margins following radical prostatectomy. May indicate blood dyscrasias or systemic clotting problems. Administer IV therapy or blood products as indicated. Maintains adequate hydration and renal perfusion for urinary flow. 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