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NRSG258 Acute Care Nursing || ACU

   

Added on  2020-03-02

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ACU_NRSG258_Sem2_2017UNIVERSITY:NAME :STUDENT ID:COURSE CODE COURSE NAMEASSIGNMENT Case Study Assessment

ACU_NRSG258_Sem2_2017P a g e | 2IntroductionThis is a case summary of patient Jones aged 60 years who has been admitted at thehealth care hospital with symptom of urinal effects, this led to diagnosis of prostatichyperplasia. It is also referred to as benign enlargement of the prostate. Medically it has beendescribed as non cancerous however it leads to increases in the size of the prostate. Theincrease of the size of the prostate is involved in the hyperplasia of the prostatic and epithelialcells. Medically it leads to increase in cells number rather than the individual size of the cells.When these cells are large, they push downwards and narrow itself into the urethra whichresults in the increase of the resistance received by the urine when being released.This condition commonly causes resistance to the flow of the urine in the body. Thiscauses the bladder to work extra function which leads to progressive increase in hypertrophyand weakness of the muscle mass. When this condition remains at the same state untreatedfor long time, it causes recurrent urinary tract infections and at times is a risks factor ofkidney stones.Presentation of Aetiology and Path physiology of the diseasesBPH involves the stoma and epithelial cells which often arises in the section of urethraland transition zones on the glands. The growth of hyperplasia causes the enlargement of thegrowth and this offers restrictions on the flow of urine.BHP has been presumed as part of the ageing process among men and is hormonallyreliant on testosterone hormone production in the body. Over 60 % of men havedemonstrated histopathology BHP as they reach the age of 60 years same as for the case ofMr Jones. The insuring dysfunction of the bladder results in obstruction of the urethraemptying; this causes lower urinary tract symptoms, (Moore & Gay,2004).Common observable symptoms as for this patient are the frequent urinary , urgency andnocturia experience which entails awakening at night, incomplete emptying and intermittent

ACU_NRSG258_Sem2_2017P a g e | 3stream force. Often complications have been observed however in fewer cases. thiscomplications include urinary retention , impaired bladder emptying , renal failure cases andrecurrent urinary tract infections and hematuria, (Rogers et al., 2008).Causes Studies have often linked hormones such as the androgens and testosterone which arerelated to hormones as part of the cause of this condition. This position has been supportedthrough experimental trials of castrated men not developing this disease when they continueageing. Other linked causes include dieting among men. Studies have shown that dietarypatterns affect the development of the diseases. Studies done in countries like China havesuggests that high protein intake may play crucial role in cancer development and further menin urban cities consuming animal protein were encountering high prevalence rate, (Lepor,2010).As people age benign prostatic hyperplasia tend to be more prevalence, theories such asdisrepair theory have suggests that growth of BPH results from decline of the functionality ofthe fibrosis and weakening of muscular tissues of the body, (Lepor, 2011). This essenceprovides the important aspect of the functionality of the prostate and excretion of fluid oftenproduces by the prostatic glands in men glands.As with patient John in the case study, it is relevant that his lifestyle just reflects thelevel of toxicity injected in the cells of the body promoting growth of benign cellshyperplasia. His lifestyle is that of heavy consumption of alcohol and presence of modifiablerisks factor which is obesity. Management of the Benign Prostatic HyperplasiaTreatment options have been offered to manage the condition. These treatment avenuesinvolve lifestyle management changes which are meant to ensure that medication, selfcatheterization and surgery are recommended treatment options available. Medication often

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