BENIGN PROSTATIC

HYPERPLASIA
THE PROSTATE
ENLARGED PROSTATE
 PATHOPHYSIOLOGY
-Exact cause is Idiopathic Predisposing/Risk Factors:
-OGK >AGE: 50y/o and above
>FAMILY HISTORY
>HORMONAL FACTORS: TESTOSTERONE &
ESTROGEN; LATE ACTIVATION OF CELL
GROWTH
>DIABETES MELLITUS
>DIET-OBESITY
>SMOKING & ALCOHOL USE

Hyperplasia

Increased size of the prostate

Decline in the force

of the urinary stream
Narrowing of the lumen on the
segment of prostate Feeling of incomplete
bladder emptying when
voiding
Detrusor muscle is overwhelmed
Increased frequency
of daytime voiding
Urethral resistance
Urinary Urgency

Nocturia
Lower Urinary Tract
Symptoms
 Risk Factors: Vital Signs: Lab Results: Signs and Symptoms:
-62 years old -Temperature: 37.6C -WBC- 24.4 g/L: elevated (CBC) -Urinary frequency for 2 weeks
Mr. BPH, -No history of BPH in the family -Respirations: 22cpm -Urinalysis: Pus cells- 1-3 hpf -Difficulty starting urinary stream
ASSESS -Loves salty & fatty foods -Pulse: 88 Red cells- 15-25 hpf -Nocturia 3-4x a night
Male - Alcohol user -BP: 130/90 -Catheterization: 300ml Residual Vo -Dribbling when voiding
-Smoker -Digital Rectal Exam: enlarged prostate -Not feeling like bladder is emptied
-Hormonal Factors -Height: 5' 8" -Utz: enlarged prostate
-DM -Weight: 82 kg

Generate Nursing Diagnosis

Partially met: Met:
-Following removal of the Foley -Able to understand the correlation of
catheter, reported continued difficulty enlarged prostate and urinary
Impaired Urinary Elimination (Incontinence and Retention) r/t bladder neck
initiating a urinary stream but less difficulties
obstruction by enlarged prostate gland (dysuria, frequency, nocturia, dribbling,
dribbling and nocturia. -Demonstrated self-care
hesitancy, and bladder distention); Knowledge Deficit r/t to minimal understanding
-Intermittent catheterization not responsibilities.
about the disease process and treatment regimen.
indicated -Demonstrated self monitoring
-Intake is about 200 mL > output techniques-recording of I&O
-Selected an acceptable -Reported occurrence of symptoms &
undergarment and he reports more EXPECTED OUTCOME EXPECTED OUTCOME cooperates with the treatment
confidence regimen.

-Improve Urinary Flow -Knowledge on Treatment

EVALUATION -Urinary Continence Regimen as Substantial EVALUATION
-Able to start and -Demonstrate self-care
stop stream. Responsibilities for
NURSING INTERVENTION -Empties bladder ongoing care. NURSING INTERVENTION
completely. -Demonstrates self-
-Decreased pain when monitoring techniques.
voiding -Reports occurrence of
-Decreased dribbling and symptoms.
URINARY INCONTINENCE CARE urinary frequency00 TEACHING: DISEASE PROCESS

NURSING INTERVENTION

Monitor urinary Help client select appropriate

elimination, including incontinence garment or Asses degree of
odor, volume, color pad for short-term management understanding and
and frequency. while more definitive treatment is URINARY RETENTION CARE Implement Instruct
knowledge about
designed. intermittent t he disease.
on which
catheterization signs
Instruct to avoid as ordered.
Encourage to drink and Explain the Disease
Ingestion of
a minimum of symptom process and how it
bladder irritants
1,500 mL (six 8- Monitor I&O and ask Provide enough s to relates to urinary
(e.g., colas,
ounce glasses client regarding the flow of time for bladder report. problems in a simple
coffee, tea, and
fluids) per day. urination. Palpate bladder Emptying. manner.
chocolate).
and ask if dribbling
occurred when voiding. Catheterize Appraise current Describe the rationale
Instruct client to for residual level of knowledge behind management,
limit fluids for 2 to 3 Instruct to avoid foods
and beverages which urine, as About benign therapy, and treatment
hours before needed and prostate recommendations.
bedtime. causes urinary
retention. ordered. hyperplasia