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Benign Prostatic Hyperplasia (BPH) Interventions (Picmonic)
Benign Prostatic Hyperplasia (BPH) Assessment (Picmonic)
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In this care plan, we will explore benign prostatic hyperplasia or BPH.
So, in this BPH care plan, we will talk about the desired outcome, the subjective and objective data along with the nursing interventions and rationales.
So, BPH is a common condition in men. This is encountered in the aging cycle of men that causes the enlargement of the prostate gland that surrounds the urethra. This causes pressure on that urethra causing difficulty urinating, frequency and a weak urine stream. So, this can be caused by hormonal imbalances of androgen and estrogen. This is what's believed to be responsible for that growth of the prostate gland. Our desired outcome is that we want to alleviate the urinary symptoms. We want to restore normal urinary function and prevent complications.
So, let's take a look at our care plan for BPH. So, let's draw a prostate gland here, and this is our urethra, then up here, would be our bladder. So, remember this prostate is pushing against that urethra. So, that's narrowing that passageway, making it more difficult for urine to get through. So, we're going to have more urine sitting in the bladder. So, this patient might feel some frequency or urgency because the bladder has still got urine in it, right, but it's difficult to urinate because of that pressure pushing up against the urethra. They're going to notice a weak stream and probably some dribbling after they've void. This is the opening here. Um, they might even experience some incontinence. This can be really frustrating because they feel like they have to pee all the time and each time they pee, it's small small amounts.
Now let's take a look at the objective data. So, the patient will have elevated PSA levels. This stands for prostate specific antigen. So, PSA is actually normally produced by this prostate gland, but when levels are higher than normal, the patient may have BPH or even prostate cancer. An enlarged prostate will be felt by exam or seen in an ultrasound. Placing a catheter in a man that has BPH is super hard. As you can imagine, if we're trying to push this catheter through, it's very, very narrow here. It's going to be very difficult to get through.
Now, let's take a look at our nursing interventions for BPH. So, you're going to want to assess and palpate the area where their bladder would be and just feel if there's any bladder distension and if it does feel full, you might want to use a bladder scanner to see how much urine is still in the bladder. A catheter might be needed to drain the bladder as ordered by the doctor.
But as I said before, it could be difficult to put it in. So, you're going to want to monitor the patient's vital signs, observe for signs of hypertension and infection.
So, remember everything's connected. So we've got our kidneys, we've got our ureters, we've got our bladder, and then we've got our urethra. Here's the prostate gland in our man and it's putting pressure on that urethra. So, fluid is getting kind of backed up, right? It's having a really hard time getting through here. So, instead it's kind of getting backed up, which is going to affect our kidneys, which in turn will affect our heart and can increase our blood pressure and heart rate, putting a lot of stress on all those organs. So, you'll want to monitor the patient's intake and output amounts. Keep an eye on the frequency of urination and the amount of urine each time. Look at the characteristics of the urine, such as the color. So, you're going to want to encourage increased fluids if indicated, because this is going to help promote the flushing and circulation of fluid through those kidneys, the bladder and the ureters. So, we usually recommend about 3000 mls of fluid a day, but if fluid retention is an issue, you might have to limit fluids initially.
So, you will monitor the patient's labs and diagnostic test to determine if there is enlargement of the prostate gland. Remember, this will show as an elevated PSA level. The doctor might also want to perform a digital rectal exam and this is performed by putting a gloved finger into the rectum, to palpate the prostate and assess for abnormalities in the size and shape of the prostate gland. So, you will administer medications to the patient and educate the patient on the proper use. So, Alpha adrenergic antagonists, such as tamsulosin are used to help relax the smooth muscle of the prostate gland that will allow optimal urine flow. Antispasmodics, such as oxybutynin are also used to relieve muscle spasms that restrict that urethra, antibiotics or antibacterials may also be needed to treat any kind of infection that might have brewed because of that backflow of urine. So, you're going to want to provide nutrition and lifestyle education to this patient and all your patients, because excess weight can affect the hormone balance in the body and increase the risk of BPH.
We love you guys. Now, go out and be your best self today and as always, happy nursing!
So, in this BPH care plan, we will talk about the desired outcome, the subjective and objective data along with the nursing interventions and rationales.
So, BPH is a common condition in men. This is encountered in the aging cycle of men that causes the enlargement of the prostate gland that surrounds the urethra. This causes pressure on that urethra causing difficulty urinating, frequency and a weak urine stream. So, this can be caused by hormonal imbalances of androgen and estrogen. This is what's believed to be responsible for that growth of the prostate gland. Our desired outcome is that we want to alleviate the urinary symptoms. We want to restore normal urinary function and prevent complications.
So, let's take a look at our care plan for BPH. So, let's draw a prostate gland here, and this is our urethra, then up here, would be our bladder. So, remember this prostate is pushing against that urethra. So, that's narrowing that passageway, making it more difficult for urine to get through. So, we're going to have more urine sitting in the bladder. So, this patient might feel some frequency or urgency because the bladder has still got urine in it, right, but it's difficult to urinate because of that pressure pushing up against the urethra. They're going to notice a weak stream and probably some dribbling after they've void. This is the opening here. Um, they might even experience some incontinence. This can be really frustrating because they feel like they have to pee all the time and each time they pee, it's small small amounts.
Now let's take a look at the objective data. So, the patient will have elevated PSA levels. This stands for prostate specific antigen. So, PSA is actually normally produced by this prostate gland, but when levels are higher than normal, the patient may have BPH or even prostate cancer. An enlarged prostate will be felt by exam or seen in an ultrasound. Placing a catheter in a man that has BPH is super hard. As you can imagine, if we're trying to push this catheter through, it's very, very narrow here. It's going to be very difficult to get through.
Now, let's take a look at our nursing interventions for BPH. So, you're going to want to assess and palpate the area where their bladder would be and just feel if there's any bladder distension and if it does feel full, you might want to use a bladder scanner to see how much urine is still in the bladder. A catheter might be needed to drain the bladder as ordered by the doctor.
But as I said before, it could be difficult to put it in. So, you're going to want to monitor the patient's vital signs, observe for signs of hypertension and infection.
So, remember everything's connected. So we've got our kidneys, we've got our ureters, we've got our bladder, and then we've got our urethra. Here's the prostate gland in our man and it's putting pressure on that urethra. So, fluid is getting kind of backed up, right? It's having a really hard time getting through here. So, instead it's kind of getting backed up, which is going to affect our kidneys, which in turn will affect our heart and can increase our blood pressure and heart rate, putting a lot of stress on all those organs. So, you'll want to monitor the patient's intake and output amounts. Keep an eye on the frequency of urination and the amount of urine each time. Look at the characteristics of the urine, such as the color. So, you're going to want to encourage increased fluids if indicated, because this is going to help promote the flushing and circulation of fluid through those kidneys, the bladder and the ureters. So, we usually recommend about 3000 mls of fluid a day, but if fluid retention is an issue, you might have to limit fluids initially.
So, you will monitor the patient's labs and diagnostic test to determine if there is enlargement of the prostate gland. Remember, this will show as an elevated PSA level. The doctor might also want to perform a digital rectal exam and this is performed by putting a gloved finger into the rectum, to palpate the prostate and assess for abnormalities in the size and shape of the prostate gland. So, you will administer medications to the patient and educate the patient on the proper use. So, Alpha adrenergic antagonists, such as tamsulosin are used to help relax the smooth muscle of the prostate gland that will allow optimal urine flow. Antispasmodics, such as oxybutynin are also used to relieve muscle spasms that restrict that urethra, antibiotics or antibacterials may also be needed to treat any kind of infection that might have brewed because of that backflow of urine. So, you're going to want to provide nutrition and lifestyle education to this patient and all your patients, because excess weight can affect the hormone balance in the body and increase the risk of BPH.
We love you guys. Now, go out and be your best self today and as always, happy nursing!
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