Example of Nursing Diagnosis - Benign Prostatic Hyperplasia (BPH)

Nursing Care Plan for Benign Prostatic Hyperplasia

BPH - Example of Nursing Diagnosis


Nursing Assessment of benign prostatic hyperplasia (BPH)

1. Before Operation

a. Subjective Data :

• The client told pain while urinating.
• Difficult urination.
• Increased frequency of urination.
• Frequent waking at night for micturition.
• The desire to urinate can not be postponed.
• Pain or feel hot at the time of micturition.
• Jets of urine fell.
• Not satisfied after micturition, the bladder does not empty properly.
• If you want to have to wait long micturition.
• The amount of urine decreased and should straining during urination.
• The flow of urine is not smooth / disjointed.
• Urine continue dripping after urination.
• Feeling tired, no appetite, nausea and vomiting.
• The client was concerned with the treatment to be performed.

b. Objective Data

• Facial expressions seem to hold the pain.
• Posted catheter.

2. After Surgery

a. Subjective Data

• The client told pain in postoperative wound
• The client says do not know about diet and medication after operation

b. Objective Data

• Expression of pain appears to hold
• There is a closed postoperative wound dressing
• Looks Weak
• Installed irrigation hoses, catheters, infusion

Medical History

Past medical history, history of present illness, family history of disease, BPH impact on patient's lifestyle, whether the patient experienced urinary problems.


Physical Assessment

1) Disturbances in urination, such as:

• Frequent urination
• Waking at night to urinate
• Feeling like a very urgent micturition
• Pain during micturition, weak urinary jet
• Not satisfied after micturition
• The amount of urine decreased and should straining during urination
• The flow of urine is not smooth / broken, urine continues to drip after urination.
• Pain when urinating
• There was blood in the urine
• The bladder feels full
• Pain in the waist, back, stomach discomfort.
• Urine is retained in the bladder, bladder distention occurs

2) Common symptoms such as fatigue, no appetite, nausea, vomiting, and epigastric discomfort
3) Assess the status of emotions: anxiety, fear
4) Examine the urine: the number, color, clarity, odor
5) Assess vital signs

Diagnostic examination

• Radiographic Examination
• Urinalysis
• Lab such as blood chemistry, complete blood, urine

Assess the level of understanding and knowledge of the client and family about the situation and the disease process, treatment and care on the way home.

Nursing Diagnosis for Benign Prostatic Hyperplasia

a. BPH - Pre Surgery :

1. Acute Pain
2. Anxiety
3. Imbalanced Nutrition Less Than Body Requirements
4. Impaired Urinary Elimination

b. BPH - Post Surgery :

1. Acute pain
2. Risk for Infection
3. Knowledge Deficit: about the disease, diit, and treatment
4. Self care deficit

Source : http://nursesnanda.blogspot.com/2012/07/example-of-nursing-diagnosis-benign.html