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Catheterize to check residual– Sterile – Irrigate– Monitor
• Position for urination: normal• Administer meds • Monitor effects
Prostatic neoplasms / cancer
Deficient knowledge related to the diagnosis of cancer, urinary difficulties and treatment modalities
• Enc. communication• Teach– Terminology (anatomy)– Catheter care
Prostatic neoplasms / cancerImbalanced nutrition: less than body requirements related to
decreased oral intake because of anorexia, nausea and vomiting caused by cancer or its treatment
• Assess % food • Weights• Food preferences• Recognize effect of medications and treatment on
appetite• N/V– Antiemetics & Oral care
• Frequent small meals
Prostatic neoplasms / cancer
Sexual dysfunction related to effects of therapy: chemotherapy, hormonal therapy, radiation therapy surgery– Assess sexual function– Inform of treatments effects on sexuality– Include the partner
Prostatic neoplasms / cancer
Pain related to progression of disease and treatment modalities
• Evaluate pain• Avoid activities that pain• Administer analgesics/Opiates
Prostatic neoplasms / cancerImpaired physical mobility and activity intolerance related to
tissue hypoxia, malnutrition and exhaustion and to spinal cord or nerve compression from metastases
• Assess factors causing limited mobility • Administer pain relief• Encourage use of assistive devices• ROM• Positioning• Walking• Assess nutritional status
Prostatectomy
Transurethral resection of the prostate: TURP• Most common • Endoscopy
• Relieving pain d/t bladder spasms – Day 1 dangle legs– Day 2 ambulate– Meds to relax bladders– Warm compresses to pubis– Sitz baths– Analgesics – Do not sit for a long time– Stool softeners
Nursing Interventions
• Monitoring and managing potential complication of hemorrhaging– Drainage red pink It pinks with in 24 hours– Monitor V/S– IV– Blood component treatment /transfusion – I&O
Nursing Interventions
• Monitoring and managing potential complication of infection– Monitor Temp & Vital signs – Heat lamp – Sitz bath– Antibiotics (Prophylactic)– Dysuria, urinary frequency, urgency– Aseptic technique with catheter– I&O
Nursing Interventions
• Monitoring and managing potential complication of Deep vein Thrombosis– Prophylactic low dose heparin – Elastic compression socks– Monitor for DVT• Homan Sign• Check pedal pulses
– Early ambulation
Nursing Interventions
• Monitoring and managing potential complication of Obstructed Catheter– Lasix (Furosemide) – Increase fluids– Assess pain –– Check catheter for kinks, loops, placement– Decreased BP / increased pulse
Nursing Interventions
• Monitoring and managing potential complication of sexual dysfunction– Meds– Privacy– Sex therapy– Determine history of level of functioning– Include partner