Benign Prostatic Hyperplasia

Common nursing diagnosis found in patient with Benign Prostatic Hyperplasia (BPH);
Urinary
retention (acute or chronic), Acute pain, Fear, Anxiety, Impaired urinary elimination, deficient
Knowledge, Risk for infection, Risk for injury, Sexual dysfunction,
Nursing Priorities Nursing care plans for Benign Prostatic Hyperplasia (BPH)
 Relieve acute urinary retention.

 Promote comfort.
 Provide information about disease process, prognosis, and treatment needs.
 Prevent complications.
 Help client deal with psychosocial concerns.
Sample Nursing care plans for Benign Prostatic Hyperplasia (BPH) with nursing diagnosis
Urinary retention (acute or chronic)
Nursing diagnosis Nursing interventions Rationale Evaluations

Urinary retention  Review medical  suggest detrusor  Void in
(acute or chronic) history for muscle atrophy sufficient
related to bladder diagnoses such as and/or chronic amounts with no
obstruction, scarring, recurrent overdistention palpable bladder
Decompensation of stone formation because of outlet distention.
detrusor obstruction  Verbalize
musculature  Ask client about understanding of
stress incontinence  High urethral causative factors
when moving, pressure inhibits and appropriate
sneezing, bladder interventions ,
coughing, emptying or can Demonstrate
laughing, or lifting inhibit voiding techniques/beha
objects. until abdominal viors to
pressure alleviate/prevent
 Monitor vital signs increases enough retention.
for urine to be  Voiding pattern
 Observe urinary involuntarily
stream, size and lost.
force.
 Evaluating
 Prepare for and degree of
assist with urinary obstruction and
drainage, such as choice of
emergency intervention.
cystostomy.
 May be indicated
 Prepare for to drain bladder
procedures, such during acute
as the following:
laser, transurethral episode
microwave
thermotherapy  done to quickly
(TUMT), create a wide
Cortherm, open prostatic
Prostatron, and fossa, often
transurethral resulting in
needle ablation immediate
(TUNA), Urethral restoration of
stent, Open normal urine
prostate resection flow
procedures, such
as TURP
Benign Prostatic Hyperplasia (BPH), Patient Teaching

Discharge And Home Healthcare Guidelines
Patient teaching discharge and home healthcare guidelines for patient with Benign
Prostatic Hyperplasia (BPH). Patient usualy need assistance with management of therapy and
catheter. Provide instructions about all medications used. Provide instructions on the correct
dosage, route, action, side effects, and potential drug interactions and when to notify these to the
physician, Provide information about specific procedures and tests and what to expect afterward,
such as catheter, bloody urine, and bladder irritation
 Instruct patients about the need to maintain a high fluid intake, to ensure adequate urine
output.
 Teach the patient to monitor urinary output for 4 to 6 weeks after surgery to ensure
adequacy in volume of elimination combined with a decrease in volume of retention.
Teach the patient to recognize the signs of Urinary Tract Infection (UTIs). Urge him to
immediately report these signs to the physician because infection can worsen the
obstruction.
 After the catheter is removed, the patient may experience urinary frequency, dribbling
and, occasionally, hematuria. Reassure him and family members that he’ll gradually
regain urinary control
 Instruct the patient to follow the prescribed oral antibiotic regimen, and tell him the
indications for using gentle laxatives.
Postoperative Patient teaching

 Provide information about sexual anatomy and function as it relates to prostatic
enlargement helps client understand the implications of proposed treatments because they
might affect sexual performance.
 Encourage the patient to discuss any sexual concerns he or his partner may have after
surgery with the appropriate counselors.
 Reassure the patient that a session can be set up by the nurse or physician whenever one
is indicated. Usually, the physician recommends that the patient have no sexual
intercourse or masturbation for several weeks after invasive procedures.
 Reinforce prescribed limits on activity. Warn the patient against lifting, performing
strenuous exercises, and taking long automobile rides for at least 1 month after surgery
because these activities increase bleeding tendency. Also caution him not to have sexual
intercourse for at least several weeks after discharge
Prevention
Instruct the patient to report any difficulties with urination to the physician immediately. Explain
that BPH can recur and that he should notify the physician if symptoms of urgency, frequency,
difficulty initiating stream, retention, nocturia, or bladder distension.
 Urge the patient to seek medical care immediately if he can’t void at all, if he passes
bloody urine, or if develops a fever.
 Reinforce importance of medical follow-up for at least 6 months to 1 year, including
rectal examination and urinalysis.

Benign Prostatic Hyperplasia

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Common nursing diagnosis found in patient with Benign Prostatic Hyperplasia (BPH);

 Relieve acute urinary retention.

Nursing diagnosis Nursing interventions Rationale Evaluations

Benign Prostatic Hyperplasia (BPH), Patient Teaching

Postoperative Patient teaching

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