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Genitourinary
The wholistic care plan to utilize for this patient is based on the possibility of several diagnoses. The patient may have kidney stones, an infection, or prostate cancer. Each of these possibilities should be checked and ruled off the list, but prior to doing so, some steps must be taken to educate the patient about the causes of his terminal dysuria. The fact that he is being treated for hypertension and hypercholesterolemia suggests that this terminal dysuria may be the result of kidney stones, which have been linked to both hypertension and hypercholesterolemia (Hamano, Nakatsu, Suzuki, Tomioka, Tanaka, Murakami, 2005). However the absence of hematuria would suggest that kidney stones are not the primary cause. Thus the diagnostic workup should consider the hypertension and high cholesterol as well as the swollen boggy prostate plus the terminal dysuria and the lack of blood in the urine. Medications and treatments will be discussed as part of the nursing intervention at the management stage.
The care plan should include the following nursing interventions. Lower urinary tract symptoms (LUTS) such as terminal dysuria raise a number of questions. The swollen boggy prostate could and the PSA of 6.0 could indicate the onset of prostate cancer. Therefore, education is important for the patient at this point. First of all, the patient...
Inflammation of the prostate, however, could indicate that a problem exists in this nexus. The ICD-10-CM code is R30.0, but there could be a differential diagnosis of BPH with obstruction, chronic prostatis, or prostate cancer. Also there is the possibility of a neurological disease, which may or may not be related to the high strung nature of the patient.
The care plan should also include the patient in the process of recognition by going through the possible causes and scenarios with the patient and explaining how ruling out causes is helpful in determining the nature of the problem, whether it is possibly life endangering or a symptom of aging. Consideration should be given to putting the patient's fears to rest, especially since he suffers from hypertension already. It should explained that with aging this process can occur and even if it were cancer in the prostate, this is not something that requires immediate action and can actually be lived with in many cases.
Management at this point would be to assess fluid intake or possible medication as well as a distraction technique. However there is also the possibility of…
References
Chou, R. (2011). Treatments for localized prostate cancer. U.S. Preventive Services
Task Force Recommendation Evidence Syntheses, 91.
Hamano, S., Nakatsu, H., Suzuki, N., Tomioka, S., Tanaka, M., Murakami, S. (2005).
Kidney stone disease and risk factors for coronary heart disease. Int J Urology, 12(10): 859-863.
Prostate cancer is regarded as the most common cancer among men and contributes to annual deaths of approximately 29,000 people in the United States. Actually, it is estimated that close to 60% of elderly men in the United States are suffering from prostate cancer though most of them do not know it. However, many older men are learning about their conditions through new screening tests that have become prevalent in
Prostate Cancer in America Prostrate Cancer Prostate cancer is the cancer of the prostate glands. Prostate gland is a small walnut sized organ and an important part of a man's reproductive system. It is one of the most common forms of cancer in men aged above 75 years. The incidence of prostate cancer in men younger than the age of 40 is very rare. High risk population for the prostate cancer include
There are three main treatment options. For tumors that are still inside the prostate, a surgery called radical prostatectomy and radiation therapy are common treatment options (Prostate cancer treatment options). This source describes these two options. Radical prostatectomy removes the whole prostate gland and the nearby lymph nodes. There are 2 types of radiation therapy, external beam radiation therapy and seed therapy also called brachytherapy. In external beam radiation therapy,
All patients who suffered from inhalation injuries must be given a compulsory bronchoscopic examination so as to reveal the extent of respiratory injury and also to help in planning of the most suitable treatment. References McCance, K.A. & Huether, S.E. (2010). Pathophysiology: The biologic basis for disease in adults and children (6th ed). St. Louis: Mosby. Module 8 (B) Hypovolemic shock Hypovolemic shock is noted by McCance and Huether (2010) to be an emergency condition
The husband's physical recovery did not indicate the life changes they must contend with. These changes included grief over the loss of intimacy between them, the changes in the nature of their relationship, misguided individual expectations, a lack of interpersonal communication and the lack of professional information to help and enlighten them. The process of trying to recover sexual function led them to seek out many treatment modes. Most
Cancer Drug Development Economic issues Special health needs Process (decision, steps) involved in program Benefits of program Cancer is amongst fatal diseases that involve abnormal growth of body cells resulting is unusual growth and division of cells. The result is tumor formation effecting one particular or many parts of the body. Since there is high probability of cancer cells invading the neighboring tissues of body parts, early detection and careful treatment of cancer is deemed