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…
