Enhancing Patient Outcomes: Counseling Patients Undergoing TURP
Added on 2019-11-19
8 Pages2495 Words244 ViewsType: 244
Disease and DisordersNutrition and WellnessHealthcare and Research
|
|
|
1Running head: NURSINGName of student:Name of university:Author note:
2NURSINGThe patient in the present case study analysis is Alan Jones, a 60-year-old man, whohas been admitted to the healthcare unit for urinary symptoms after being diagnosed withbeing prostatic hyperplasia (BPH). The patient has a history of type 2 diabetes and obesity.The patient is a regular drinker of alcohol and lives alone. He had been taken to the hospitalfor surgery and underwent a transurethral resection of the prostate (TURP) with spinalanaesthesia. After remaining in the post-anaesthetic recovery room (PARU) he had beentransferred to the ward where continuous bladder irrigation was done with the hep of thethree-lumen urethral catheter. Blood clots are present in his urine. The present essay isdivided into three main sections. First, the aetiology and pathophysiology of the patient’spresenting conditions have been described. The next section focuses on the underlyingpathophysiology of the post-operative deterioration. A nursing management plan isprioritised and outlined accordingly. Lastly, a discussion is done on the inclusion of threemembers of the interdisciplinary healthcare team who would be involved in the care plan forAlan. Benign prostatic hyperplasia (BPH) is the medical condition leading the patient tosuffer an increase in the prostate size. This increment is non-cancerous and involveshyperplasia of epithelial and stromal cells of the prostate. The result is that the transition zoneof the prostate suffers emergence of large and discreet nodules. The increase in the cellnumber is the distinct feature of this clinical condition (Chughtai et al., 2016). The aetiology of the clinical condition can be conferred to three main factors;hormones, diet and degeneration. Experts point out that androgens and testosterone play aprimitive role in the development of BPH. BPH is the result of a failure in the spermaticvenous drainage system, giving rise to the hydrostatic pressure increase. It is to be noted thatsuch failure occurs in men above the age of 50 years (Parnham & Haq, 2013). Studiesindicate that diet of an individual has a significant role in the progress of the clinical
3NURSINGcondition. A negative association with alcohol intake is prominent. Individuals who consumealcohol on a daily basis are at higher risk of developing the condition. Epidemiological dataalso indicate the relationship between diabetes and obesity, and BPH. BPH can be attributedto being an age-related disease (Parsons et al., 2013). When muscular tissues of the prostate are weak due to age and fibrosis occurs in thetissues, BPH is common. The reason is that muscle tissues play a significant role in carryingout thee main functions of the prostate as it is responsible for providing the force for fluidexcretion coming from the prostatic glands. With increasing age, myofibres suffer dilationsand as they are injured and broken. Regeneration of these myofibres are in a low rate, andthus collagen fibres are used up for the replacement of broken myofibres. Any misrepairmakes the tissues weaker, and the functioning is hampered, impairing fluid secretion(Scattoni & Maccagnano, 2017). Accumulation of the fluid is the cause of increasedresistance of muscular tissue at the time of dilations and contractions. Muscular tissue fibrosisand fluid accumulation become the primary cause of prostate expansion (Vahlensieck et al.,2015). In the present case, the age of the patient is 60 years, enhancing the chances ofelevated testosterone. Further, the patient is an alcohol consumer and suffers from diabetesand obesity. The patient in the present case has undergone a transurethral resection of the prostate(TURP) with spinal anaesthesia given to him. After undergoing recovery in the post-anaesthetic recovery room (PARU) for 2 hours, he has been shifted to his ward. His urinecontains large clots of blood, and a three-lumen urethral catheter is being used for continuousbladder irrigation. His observations include BP 160/90mmHg and Pulse 128bpm which areabnormal vital signs. While the normal reference range for BP is 120/80 mmHg, the normalreference range for pulse is 60-100 bpm (Butcher et al., 2013). According to Bachmann et al.,(2014) TURP might lead to blood clots in the urine of the patient due to the healing of the
End of preview
Want to access all the pages? Upload your documents or become a member.
Related Documents
Report on Case Study of BPHlg...
|9
|2501
|52
Case Study of Alan Jones-ACC20014lg...
|10
|2713
|15
A Case Study of Clinical Deterioration in a Patient with Benign Prostatic Hyperplasialg...
|9
|2739
|350
NRSG258 Acute care Nursing1; A Case Study on BPHlg...
|9
|2650
|339
Assignment on Aetiology PDFlg...
|8
|2221
|206
Benign Prostatic Hyperplasia - Pathophysiology and Pharmacologylg...
|7
|2034
|437