NURSING DIAGNOSIS FOR BENIGN PROSTATIC HYPERPLASIA- BPH
Benign prostatic hyperplasia (BPH)
The prostate gland is surrounded by the urethra, the tube that carries urine from the bladder out of the body.
- Acute pain related to bladder distention secondary to enlarged prostate as manifested by complaints of discomfort caused by inability to void, palpable bladder, no urine out put, restlessness.
- Urge urinary incontinence related to poor sphincter control as manifested by inappropriate leakage of urine.
- Impaired urinary elimination related to blockage in urinary tract as manifested by dysuria and decreased urinary out put
- Impaired sleeping pattern due to pricking lower abdominal pain and anxiety related to disease condition.
- Risk for infection related to indwelling catheter, environmental pathogens and urinary stasis
- Ineffective individual coping related to the diagnosis of BPH
- Fear related to actual or potential sexual dysfunction and lack of knowledge regarding surgical procedure and postoperative care as manifested by verbalization of fear.
- Ineffective therapeutic regimen management related to lack of knowledge about prevention of recurrence, diet, fluid requirement, and symptoms of recurrence as manifested by questions that indicate inadequate knowledge
- Acute
pain related to bladder distention secondary to enlarged prostate as manifested
by complaints of discomfort caused by inability to void, palpable bladder, no
urine out put, restlessness
OUTCOME/ GOAL:
Client
will experience relief from pain as evidenced by verbalization of comfort,
adequate sleep in the night, vitals within normal limits
INTERVENTIONS
- Assess the intensity and site of pain
- Provide comfortable position and adequate comfort devices
- Teach the client various divertional activities and ask the client to adapt some of those for diverting the thought
- Administer analgesics as per doctors advice
- Provide calm and pleasant environment to aid rest and sleep
- Teach the patient about the relaxation techniques and make him to do it
- encourage the patient to divert his mind from pain and to engage in pleasurable activities like taking with others
- Do not allow the patient to do strenuous activities. And explain to the patient why those activities are contraindicated.
2. Impaired urinary elimination related to blockage in urinary tract as manifested by dysuria and decreased urinary out put
OUTCOME/ GOAL
Patient will achieve and maintain normal urinary elimination
pattern
INTERVENTIONS
- Assess the frequency and character of micturition
- Provide more oral fluids
- Administer medication as prescribed by doctor
- Catheterize the client if possible and take not to force and cause injury to the urethra
- Monitor intake and output chart
- Teach client the importance of hydration
- Educate the client regarding the condition and its management
- Teach various measures that aid voiding and use it effectively
- Encourage the client to mobilise himself actively which aid easy elimination
- Provide primary prevention when necessary
3. Anxiety related to actual or
potential sexual dysfunction, and lack of knowledge regarding surgical
procedure and postoperative care
Outcome/ goal:
Client will demonstrate reduced anxiety level
INTERVENTIONS
- Assess the level of anxiety
- Develop a pleasant interpersonal relationship which aids ventilation of patients feelings
- Encourage client in expressing her doubts and clarify the doubts
- Instruct the client in adopting divertional activities which relieves the clients thought of uncertain outcomes
- Schedule rest periods, as it will encourage sleep
- Advice the client to involve in pleasurable activities like talking to others or listening to music
- Provide psychological support
- Encourage client in utilizing the rest periods effectively
- Educate the client regarding the disease process and its management
- Teach the client various techniques in relieving themselves from anxiety such as counting the numbers in a descending order or deep breathing exercises
4 . Impaired sleeping
pattern due to pricking lower abdominal pain and anxiety related to disease
condition.
Outcome/ goal:
Client will achieve a normal sleeping pattern as evidenced
by verbalisation of adequacy of sleep in the night
INTERVENTIONS
- Assess the cause for the lack of sleep
- Provide calm and quiet environment that aids sleep
- Administer analgesics to alleviate pain
- Encourage client to perform the activities
- Schedule the activities
- Advice the client to avoid the avoid day time sleeping
- Encourage the client to take a cup of milk which enhances sleep
- Provide psychological support to alleviate the fear of uncertain outcomes
- Use the primary prevention when necessary.
5. Risk for infection related to indwelling catheter,
environmental pathogens and urinary stasis
Outcome/ goal:
Client will be free from infection
INTERVENTIONS
- Assess for elevation of temperature, cloudy foul smelling urine
- Monitor vital signs and observe for fever.
- Advice client to Maintain proper personal hygiene
- Encourage high fluid intake
- Maintain intake output chart
- Administer antibiotics and antipyretics as per doctors advice
- Teach client regarding the self-care of catheter
- Encourage the client to have nutritious diet and diet rich protein
- Provide clean and safe environment
- Provide catheter care in a clean/ aseptic method
- Provide primary prevention when necessary
