Nursing Diagnosis and Care Plan

Prostate Cancer Care Plan - Assessment and 6 Nursing Diagnosis

Nursing Care Plan for Prostate Cancer -  Assessment and 6 Nursing Diagnosis

Definition

Prostate cancer is the development of cancer in the prostate, a gland in the male reproductive system.


Etiology

As with other malignant tumors, the etiology of prostate cancer is not known precisely. There is a link with inflammation or hormones. Nearly 75% of prostate cancers are found in the posterior part of the medial lobe, and almost entirely from parts close to the hoop. There is the opinion noted that there are three times more likely the case because there is a history of the father or grandfather of prostate cancer. Prostate carcinoma is a malignant tumor that is often found in older men (50% of all malignant tumors of men) aged over 50 years and will rise sharply at the age of 80 years.


Signs and Symptoms

The onset of signs and symptoms usually after an advanced stage that is the enlargement of the prostate, because at the beginning of a difficult palpable in touche rectal examination.
1. Impaired urinary tract:
  • Urinary retention.
  • Nocturia.
  • Hematuria.
  • Dysuria.
  • Piss dripping.
2. Disorders of other systems:
  • Pain in the rectum (metastasis to the rectum / perineum).
  • Shortness of breath / breathing panting.
  • Anemia.
  • Weight loss.


Diagnostic Tests
1. Biopsy with a needle through the perineal or transrectal.
2. Biopsy with open skin tissue.
3. Cystoscopy.
4. (CT) scan of the pelvis.
5. transrectal ultrasonography
6. Laboratory:
  • Alkaline Phosphatase.
  • PAP (Prostatic Acid Phosphatase)
  • Serum TAP (Total Acid Phosphatase)
  • Hb, leukocytes, platelets.


Assessment

1. Health Perception and Management
  • Factors that cause the onset of prostate cancer.
  • Health care, treatment and care at home.
2. Nutritional metabolic pattern
  • Habits of food consumed.
  • Decreased appetite, nausea, vomiting.
  • Weight loss.
  • Conjunctival pallor / anemia.
  • laboratory:
  • HB less than 10 mg%.
  • Leukocytes: There was a rise if there is infection of the urinary system.
  • Urea: more than 30-40 mg%.
  • Creatinine: more than normal.
  • Alkhali posphatase: more than normal.
  • Albumin: less than normal.
  • Globulin: less than normal.
3. Elimination pattern
  • Urine drips can not radiate, can not empty the bladder until exhausted.
  • Nocturia.
  • Dysuria.
  • Urine mixed blood.
  • Intestinal peristalsis less than 6 times / min.
  • A full bladder, and palpable hard.
  • Rectal touche palpable lump and hard.
  • Dark yellow urine color, brown until no blood, there is a small amount of bacteria germs.

4. Activity exercise pattern
  • Employment history.
  • Complained of weakness, fatigue, listlessness in carrying out activities or hobbies.
  • Increased blood pressure.
  • Limb edema.
5. Sleep / rest pattern
  • Sleep disorders due to pain in the peritoneal area.
  • A full bladder, frequent urination at night.
  • Pain in the back.
6. Cognitive-perceptual pattern
  • Client knowledge about the disease.
  • Attempts to overcome the pain.
7. Self perception / self concept pattern
  • Complain no sense of helplessness, despair, depression, withdrawal.
8. Role-Relationship Pattern
  • Complain of inadequate suport system.
9. Seyuality-Reproductive Pattern
  • Complain decreased ability, fear interfere with urine dripping partner.
  • An enlarged prostate.
10. Coping-stress tolerance
  • Complained despair.
  • Anger, withdrawal, denial.
11. Value-Belief pattern
  • Cancer pain is a curse.


6 Nursing Diagnosis for Prostate Cancer
  1. Anxiety related to ignorance about the diagnosis and prognosis of action and examination.
  2. Impaired Urinary Elimination: urinary retention related to urinary tract obstruction of the urethra, bladder tone decreases.
  3. Imbalanced Nutrition Less than Body Requirements related to increased metabolism (proliferation of cancer cells), inadequate intake.
  4. Acute pain related to tumor infiltration into bone organs and rectum / perineal.
  5. Intolerance and impaired mobilization activities related to tissue hypoxia, malnutrition, and compression fatigue and nervous system because the process of metastasis.
  6. Self-care deficit related to activity intolerance.

Risk for Suicide NANDA Definition

NANDA Definition - Risk for Suicide :

At risk for self-inflicted, life-threatening injury

Related Factors:

Behavioral

History of previous suicide attempt; impulsiveness; buying a gun; stockpiling medicines; making or changing a will; giving away possessions; sudden euphoric recovery from major depression; marked changes in behavior, attitude, school performance

Verbal

Threats of killing oneself; states desire to die/end it all

Situational

Living alone; retired; relocation, institutionalization; economic instability; loss of autonomy/independence; presence of gun in home; adolescents living in nontraditional settings (e.g., juvenile detention center, prison, half-way house, group home)

Psychological

Family history of suicide; alcohol and substance use/abuse; psychiatric illness/disorder (e.g., depression, schizophrenia, bipolar disorder); abuse in childhood; guilt; gay or lesbian youth

Demographic

Age: elderly, young adult males, adolescents; race: Caucasian, Native American; gender: male divorced, widowed

Physical

Physical illness; terminal illness; chronic pain

Social

Loss of important relationship; disrupted family life; grief, bereavement; poor support systems; loneliness; hopelessness; helplessness; social isolation; legal or disciplinary problem; cluster suicides

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