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ASSESSMENT EXPLANATION OF THE PROBLEM OBJECTIVES NURSING INTERVENTION RATIONALE EVALUATION

S: >”narigat nak nga Almost men older than 50 have STO: >within 2 hours of DIAGNOSTIC: OBJECTIVE FULLY MET…
makaisbo nu kwa, nu some prostatic enlargement, nursing intervention, the >assess previous pattern >provides baseline data >client demonstrated the
imisbo nak ket mejo with benign prostatic hyperplasia patient express of elimination, noting for for comparison and following:
nasakit ngay ” as (BPH), the prostate gland willingness to enhance any reports of urgency, determination of -increased fluid intake of
verbalized by the patient enlarges sufficiently to compress urinary elimination by burning or incontinence treatment regimen. 300 cc per shift
the urethra and cause some demonstrating any two of -stated need of
O: > overt urinary obstruction. It is the following: >assess urine >changes in urinary avoidance of intake of
 Polyuria the most common cause of -increased fluid intake to characteristics, including elimination and the caffeinated beverages
 Hematuria obstruction of urine flow in men. at least 240 cc per shift color, odor, and clarity presence of an IFC -stated procedure on
 Dysuria The degree of enlargement -stating need of predispose the client to performing Kegel’s
 Constipation determines whether or not avoidance of caffeinated infection, thereby exercises
 Pain rated as 7/10 bladder outflow obstruction beverages aggravating the current -cooperated in bladder
 Blood in the stool occurs. As the urethra becomes -stating procedure on or condition training through accurate
 Frequent urination obstructed, the muscle inside the performing Kegel’s verbal reports of fullness,
 Nocturnal bladder hypertrophies in an exercises >assess patency and >any obstructions may urgency, etc
urination attempt to assist the bladder to -cooperating in bladder intactness of IFC delay urine flow and
 Not fund of force out the urine. BPH may also training through accurate cause bladder distention, OBJECTIVE PARTIALLY
drinking water cause the formation of a bladder verbal reports of fullness, dislodged IFC may cause MET…
diverticulum that remains full of urgency, etc. further discomfort and/or >client was able to
NURSING DIAGNOSIS: urine when the patient empties significant changes in increased fluid intake of
 Impaired urinary the bladder. Depending on the LTO:>within 8 hours of elimination 300 cc per shift but still
elimination related size of the enlarged prostate, the nursing intervention, the complaining of pain rated
to mechanical age and health of the patient, patient demonstrate >monitor intake and >a urinary output of less as 5/10
trauma secondary and the extent of obstruction, improved urinary output every hour than 30 cc per hour may
to cysto TURP BPH is treated symptomatically elimination state as indicate renal problems, OBJECTIVE NOT MET..
or surgically. Hence the individual manifested by two of the urinary retention and/or >if the patient did not
is identified with nursing following: ineffective interventions understand the health
diagnosis Impaired urinary -an hourly urine output of teachings, worsen the
elimination, defined as no less than 40 cc THERAPEUTIC: case of the patient, pain
dysfunction in urine elimination. -urine characteristics >maintain client on semi- >allows relaxation of rate increased, rated as
maintained at straw fowlers or position of abdominal and perineal 9/10
colored, clear and comfort muscles to promote
aromatic bladder emptying
REFERENCES: -no reports of urinary >maintain IV line patency >To promote fluid-
 Doenges, M., urgency, incontinence, and regulate IVF to electrolyte replacement
Moorhouse, M. et pain or burning prescribed rate and balance, and support
al(2008).Nurses Pocket -an I and O difference of circulating blood volume
Guide, 10th ed. Pp 721- no more than 250 cc (for healing). To promote
726, EA Davis Company, accurate measurement of
Philadelphia fluid input.
 Nursing Directoy’s(2011)
NCP nursing care plan for >Provide continuous >Allows the re-
benign prostatic bladder training. establishment of
hyperplasia. Retrieved satisfactory urinary
from: http:// elimination patterns.
www.nursing
directorys.com/2011/01/ >Provide regular catheter > To prevent ascending
ncp-nursing-care-plan- Care UTI which may aggravate
for-benign.html the condition.
> To promote comfort
and hygiene.

.> Drain urine bag > To prevent growth of


aseptically at intervals. MOs in urine bag.
> To promote continuous
urine drainage.

EDUCATIVE:
>Encourage Pt.to >to promote NPI
verbalize any untoward >to allow continuous
feelings, esp. discomfort monitoring and
or pain assessment of patient
condition

>Advised client to >To help maintain renal


increase fluid intake to 2- function, prevent
3 liters per day or as infection and formation
tolerated. Instruct to of urinary stones, avoid
avoid caffeinated and encrustation around
carbonated beverages. catheter.
>Caffeinated and
carbonated beverages
may cause bladder
irritation.

>Instructed on the >Kegels exercises helps


performance of pelvic restore bladder tone,
muscle strengthening minimize incontinence,
exercises and facilitates complete
bladder emptying.

.>Instructed SOs to >Promotes continuity of


promptly report any care.
untoward observations,
including full drainage
bag, dislodged IFC, etc.

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