BPH - Nursing Diagnosis and Interventions

Nursing Care Plan BPH with Diagnosis and Interventions

Benign prostatic hyperplasia (BPH) is a histologic diagnosis characterized by proliferation of the cellular elements of the prostate. Cellular accumulation and gland enlargement may result from epithelial and stromal proliferation, impaired preprogrammed cell death (apoptosis), or both.
BPH is considered a normal part of the aging process in men and is hormonally dependent on testosterone and dihydrotestosterone (DHT) production. An estimated 50% of men demonstrate histopathologic BPH by age 60 years. This number increases to 90% by age 85 years.
Assessment
1. Circulation:

increased blood pressure (the effect of kidney enlargement)

2. Elimination:

decrease the power / boost the flow of urine.
urinary hesitancy early.
inability to empty the bladder
nocturia, dysuria and hematuria.
recurrent UTI, (stetis urine)
constipation
mass in the abdomen below.
tenderness of the bladder
hernia ingiunalis

3. Food and fluid :

anorexia
nausea
vomiting
weight loss.

4. Pain :

supra pubic pain
pelvic pain
lower back.

5. Anxiety :

Fever

6. Sexuality :

fear incontunesia or drip during intercourse
decline in construction ejaculation.
enlargement, tenderness in the prostate.

Nursing Diagnosis for Benign Prostatic Hyperplasia (BPH)

1. Impaired Urinary Elimination: Urinary Retention related to mechanical obstruction of prostate enlargement, muscle decompensation destrusor, inability to empty the bladder, bladder distension.
2. Acute Pain related to mucosal irritation, distention of the bladder, renal colic, urinary infection.
3. Risk for Fluid Volume Deficit related to loss of body fluids is not normal, such as bleeding through the catheter, vomiting.
4. Anxiety related to change in health status, the possibility of surgical procedures.
5. Knowledge Deficit related to lack of information about the disease process.

Read More : http://nandanursing.com/nursing-care-plan-bph-with-diagnosis-and-interventions.html

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