Benign prostatic hyperplasia (BPH), also known as benign prostatic hypertrophy, 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.
Nursing Diagnosis for Benign Prostatic Hypertrophy
Impaired Urinary Elimination related to mechanical obstruction: blood clots, edema, trauma, and surgical procedures, pressure and irritation of the catheter / balloon.
Goal:
- Being able to urinate a normal amount, with no retention.
- Demonstrate behaviors that improve bladder control.
Nursing Intervention and Rational :
1) Assess urine output and catheter systems / drainage
Rationale: Retention can occur because of pre surgical edema, blood clots and spasm of the bladder.
2) Note the time, the amount of urine, and the size of the flow after the catheter is removed. Notice the feeling of fullness of bladder complaints, inability to urinate urgency.
Rational: The catheter is usually removed 2-5 days after surgery, but voiding can be re-continues to be a problem for some time because of edema and loss of urethral tone.
3) Encourage the patient to urinate when the urge felt but can not be longer than 2-4 hours per protocol.
Rational: the urge to urinate, prevent urinary retention.
4) Measure the residual volume when there suprapubic catheter.
Rational: Monitors the effectiveness of emptying of the bladder.
5) Encourage fluid intake 3000 ml according to tolerance. Limit fluids at night after the catheter is removed.
Rationale: Maintaining adequate hydration and renal perfusion to the flow of urine.
6) Instruct the patient that the hatching is expected after the catheter is removed and must be resolved according to progress.
Rational: The information helps the patient to accept the problem.
6) Maintain continuous bladder irrigation as indicated in the early postoperative period.
Rational: Washing the bladder of blood clots and debris to maintain catheter patency / flow of urine.