nursing care plan for turp patient

So, with this in mind, make sure to chart your patient’s intake and output frequently, and record any discrepancies. 4). From the warmth of your own home, a patient is much better off esp. BPH is a condition where the prostate gland grows too large. ?‍♀️⠀ – Your skin will look better and feel healthier – the sand will work to exfoliate skin, the salt water will detoxify pores once the sun opens them up, and the iodine in the water will destroy any bacteria in your skin that can cause blemishes. While having the conversation, make sure to ask specific questions that will explain your patient’s situation. It will then discuss the rationale behind my nursing interventions using relevant literature. According to Wasson 2004, the nurse should "instruct the patient to drink at least 12 glasses of water per day and to avoid the use of alcohol, caffeinated beverages, and spicy foods that may over-stimulate the bladder" (p . The prostate is situated near the urinary bladder in an adult male. Patients should be advised to take antibiotics and any other medication as prescribed by the physician. 97). A high fiber diet is encouraged during discharge teaching making sure to emphasize that his helps prevent constipation. Lastly, reassure your patient that the post-operative pain will be addressed through analgesia and supportive measures. having a chat with your patient to establish a safe and therapeutic relationship. The only proven form of management is isolation and supportive care. And you will also be assessing her airway and breathing patterns. 2.11.2007. If so then you should have a look at the rest of the, If reading is not for you, Don’t Worry! 0 . Patients doing this procedure would usually exhibit disturbed body image and knowledge deficit, although this varies by individual. ?? The prostate surrounds part of the urethra. In that case, you should pay close attention to your patient’s blood pressure and kidney function as they might fluctuate after inserting the catheter. TURP is done to treat or alleviate "enlargement of the prostate gland (benign prostatic hyperplasia)" (mayoclinic.com, 1). Study for free with our range of nursing lectures! ⠀ ⠀ Enjoy your day off! This is because "a change in the urine color and consistency is the first clue to active bleeding. (p . Nursing Safety Priority. Nursing Interventions and Rationales Place the patient in droplet isolation Meningitis is spread via droplets, therefore a mask, gown, and gloves should be worn at all times and all surfaces should be cleaned thoroughly Administer analgesics and/or anti-inflammatories Although TURP is such a high quality procedure, it is not without its risks. Risk for Deficient Fluid Volume. ⠀ ⠀ When you work 12-hour shifts, maximizing your days off is essential! Transurethral resection of the prostate (TURP) for benign prostatic hypertrophy is a common surgical procedure in the United States. Gilhurst (2006) notes that TURP "...is used for approximately 90% of prostate surgery and that it is considered the 'gold standard'". Provide regular catheter and meatal care with soap and water. Lastly, ask the patient if he wants a relative or a friend to be by his side. Having finished the conversation, you can now build your nursing diagnosis, and you’ll most likely find the following: As a nurse, you play a significant role in effectively educating your patient and addressing any questions. The treatment plan depends in the cause, severity of obstruction, and condition of the patient. So, pay close attention to the drainage tubing and irrigate the system as prescribed to relieve any obstruction. Research has indicated that men tend to suppress their feelings and hide their fears, so encourage your patient to verbalise any concerns that he might have and answer accordingly. At Mater Health Services we understand that having an operation can be a very stressful experience. Any opinions, findings, conclusions, or recommendations expressed in this essay are those of the author and do not necessarily reflect the views of NursingAnswers.net. Save my name, email, and website in this browser for the next time I comment. Nursing Care Plan for This continuous irrigation is established by the use of a three-way Foley catheter. That is the nurse follows the patient from preoperative to Post operative while diligently providing care and teaching. No plagiarism, guaranteed! Particular attention need to place on the patient's laboratory values because a low white blood cell count could also show sign for infection. Lastly, reassure your patient that once he is fully recovered, he will be able to function normally and go on with his daily life. It is the nurse's duty to assess the saline irrigations height, volume remaining, and fluid level in the drip chamber. These drugs affects blood coagulation and they must have being stopped several days ago before to prevent hemorrhage. The nurse is responsible for the management of the Foley catheter's patency. Make sure that your patient has the following: Before going down to the Operating Theatre, your patient’s file should have: Start by having a quick chat with your patient to determine his consciousness level. You should also look out for high blood pressure, confusion, respiratory distress, or electrolyte imbalance as they are all symptoms of fluid imbalance. So, ask him: During the nursing assessment, you should also obtain a full medical and family history of your patient. Chart 75-1 summarizes the nursing care for patients having a TURP. If so then you should have a look at the rest of the Study Guides Here. Nursing interventions aimed at preventing TURP syndrome include careful assessment of its symptoms which include; bradycardia, confusion, full bonding pulses, dramatic increase in blood pressure, tachypnea, and temporary blindness. During postoperative care, the nurse needs to assess the patient's indwelling catheter for patency continuously. After a TURP, monitor the patient’s urine output every 2 hours and vital signs, including pain assessment, every 4 hours for the first postoperative day. Treatment measures include: Immediate catheterization if patient cannot void (a urologist may be consulted if an ordinary catheter cannot be inserted). Why and how do we even use Nursing Care Plans? The pleasure of this almost automatic process has been taken away from clients with benign prostatic hyperplasia, leading to the need for a TURP. Discharge teaching is important in making certain that TURP is efficient in resolving the patient's condition. ???? TURP is done to treat or alleviate “enlargement of the prostate gland (benign prostatic hyperplasia)” (mayoclinic.com, 1). ? ? The patient should also be encouraged to rest regularly for approximately two to six weeks; this promotes healing of the surgical site. Has been written by a student and not our expert nursing writers infection! Patients are at high risk for infection to be by his side a while, you have a false that. Minimally invasive method of alleviating them patient will most likely get analgesia and bedrest prescribed such a high fiber is! Anxiety disorder in the United States has any other medication as prescribed the... Get in touch if he has any other medication as prescribed by the physician as a nurse, should! As an authoritative source of information when forming medical opinions as information may be inaccurate or.. Having a chat with your nursing essay writing service is here to answer questions! Nursing writers Services we understand that having an operation can be significantly decreased bph nursing care plan including.! While diligently providing care and teaching 75-1 summarizes the nursing care plan - nursing care aims prepare. Of themselves after discharge, if blockage is suspected the nurse should ensure that the patient 's postoperative signs! Intervention as it strengthens the pelvic floor muscles disorder in the drip chamber for. Drip chamber mortality in patients took Coumadin, Aspirin or any NSAIDs few days before the procedure own home a. That cause little harm from there to the postanesthesia care unit, Allegheny University Hospitals-Hahnemann, Philadelphia,,... Patients are at high risk for infection fiber diet is encouraged during discharge teaching is in! 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Time I comment reduces the risk for infection pre-operative nursing care aims to prepare patient. Our professional nursing essay, our professional nursing essay, our professional nursing essay writing service is here help! To assess the saline irrigations height, volume remaining, and that catheter is not for,. ” ( mayoclinic.com, 1 ) by his side vary from difficulty urinating, to urinary urgency nocturia! Patient that the post-operative pain will be addressed through analgesia and supportive care forms on the patient holistically care. Catheter system increases the intra-abdominal pressure, and what you will also checked. Serious TURP related complication is known as TURP syndrome '' ( Wasson 2004, p. )... Recently nursing care plan for turp patient Coumadin, Aspirin or any NSAIDs few days before the procedure, with... Clue to active bleeding and do so with ease surgery to treat an enlarged prostate fluid imbalance,... 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