Friday, May 1, 2015

Nursing Diagnoses: What to watch out for Future RNs

Nursing Care Plan:


Various nursing diagnoses for Prostate Cancer:


  • Knowledge deficit related to prostate cancer as evidenced by new diagnosis
  • Altered sexual patterns related to invasive treatment options as evidenced by enlarged prostate, stated decreased libido
  • Body Image Disturbance related to possible sexual dysfunction or surgical interventions as evidenced by changes in emotional patterns
  • Altered urinary elimination related to invasive treatment options as evidenced by irritative bladder symptoms, insertion of foley catheter, enlarged prostate or bladder distention.
  • Fatigue related to treatment of prostate cancer as evidenced by muscle weakness or somnolence.
  • Anxiety related to uncertain outcome of disease and lifestyle changes
  • Acute pain related to surgical interventions
  • Decisional Conflict related to numerous treatment options with no certain outcomes


ONE NURSING DIAGNOSIS in DETAIL:


1. Impaired Urinary Elimination related to an enlarged prostate, and bladder distension.

Interventions:

  •     Encourage the patient to urinate every 2-4 hours and when it suddenly felt.
  •     Observation of the flow of urine, note the size and strength.
  •     Encourage fluid intake to 10 ounces every 2 hours
  •     Monitor vital signs 
  •     Give prescribed medications as scheduled

Rationale:
  • frequent urination will promote emptying of bladder
  • monitoring for changes in urine flow or  pain may change treatment options
  • more fluid will dilute urine and make less irritative
  • medication to decrease urgency or control pain

Plan/Outcome:
  • patient will be pain free when urinating
  • patient will maintain urine output
  • patient will report less frequent urination
  • patient will not have distended bladder



From:  NANDA Nursing Diagnoses

http://nandabooks.blogspot.com/2012/10/nursing-care-plan-for-prostate-cancer-3.html

Lewis, S. (2011). Medical-Surgical Nursing: Assessment and management of clinical problems. (8th ed.). St. Louis, Mo: Elsevier/Mosby


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