ISBAR plan of care for Tai Kam

This document discusses the ISBAR plan of care for Tai Kam, a patient diagnosed with prostate cancer. It covers identification, situation, background, assessment, problems, planning, and evaluation. The document provides insights into the patient's medical history, current progress, and nursing interventions. It also emphasizes the importance of preventing excessive bleeding and retrograde ejaculation during the transurethral resection of the prostate.

Tai cam
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Table of Contents
REFERENCES................................................................................................................................4
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ISBAR plan of care
Identification
Patient name
Tai kam
Age/ Date of birth
70 years 31/1/19xx
Gender
male
Situation
The current situation Tai is that he is been diagnosed earlier from bengin prostatic hypertrophy for
prostatic cancer. Also, he is having allergy of malarone (neutropenia). Also, immunisation is weak
due to influenza and pneumococcal vaccine. Now, to cure prostate cancer he has to undergo
transurehial resection of prostate.
Background
Tai was born in Lahn Cam in vang tau in Vietnam. He suffered from malaria at age of 6 years old
since school child. His recovery was impacted for a long time period due to an allergy of
antimalarial medication. This forced him to remain on bed. There is fracture in left ankle when he
met with an accident with motor cycle. Also, there is chronic rhinitis and type 2 diabetes. He is
suffering from hypertension and ischaemic heart disease.
Assessment
Objective data
Patient medical history
Current progress report
Medical plan
Subjective data
Patient background
Report from previous doctors and nurse
Patient relatives
Problems
It has ben identified that there are many problems been faced by tai. As he has gained weight and
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suffering from type 2 diabetes hypertension and heart disease, his lifestyle is sedentary. During
his visit to GP he said he is concerned about prostate cancer. He was diagnosed with bengin
prostatic hypertrophy. In current Tai body did not respond well to medication therapy and now he
is admitted to undergo a transurehial resection of prostate.
Priority of problems
The main problem is as patient is suffering from type 2 diabetes and hypertension thus the might
lead to high bleeding after it. Furthermore, it can lead to rise in retrograde ejaculation. This can
lead to swelling of that area and bruising.
Planning:
Expected outcome
Treating transurehial resection with some
other therapy
Removing growth of tissue with laser
Taking measure to prevent excessive
bleeding
Outcome criteria
Improve in condition
Successful operation
Not so much bleeding.
Nursing intervention
interventions
providing high quality care
Checking diabetes continuously
Reducing hypertension by communication
and interacting with Tai
Rationale
It is done to maintain body condition of Tai
The reason is to maintain level of diabetes
It purpose is to reduce hypertension in tai
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Evaluation
It can be analysed that Tai is suffering from various disease which has already worsen his mental
as well as physical health. Now in order to treat transurehial resection of prostate it required
experience surgeon and medical officer. This will help in analysing medical history of Tai and
suggesting care accordingly. Moreover, it requires a proper and effective care plan to be
developed. Besides, excessive bleeding is to be prevented along with retrograde ejaculation
otherwise it can lead to death of Mr. Tai.
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REFERENCES
Books and journals
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