Benign prostatic hyperplasia or benign prostatic hypertrophy is characterized by progressive enlargement of the prostate gland (commonly seen in men older than age 50), causing varying degrees of urethral obstruction and restriction of urinary flow. Depending on the size of the enlarged prostate, age and health of the patient, and the extent of obstruction, BPH is treated symptomatically or surgically.
Nursing Care Plans
- Urinary Retention
- Acute Pain
- Risk for Deficient Fluid Volume
- Deficient Knowledge
- See Also and Further Reading
May be related to
- Mucosal irritation: bladder distension, renal colic; urinary infection; radiation therapy
- Possibly evidenced by
- Reports of pain (bladder/rectal spasm)
- Narrowed focus; altered muscle tone, grimacing; distraction behaviors, restlessness
- Autonomic responses
- Report pain relieved/controlled.
- Appear relaxed.
- Be able to sleep/rest appropriately.
|Maintain patient comfort.||To prevent postoperative complications.|
|Assess pain, noting location, intensity (scale of 0–10), duration.||Provides information to aid in determining choice or effectiveness of interventions.|
|Tape drainage tube to thigh and catheter to the abdomen (if traction not required).||Prevents pull on the bladder and erosion of the penile-scrotal junction.|
|Recommend bedrest as indicated.||Bedrest may be needed initially during acute retention phase; however, early ambulation can help restore normal voiding patterns and relieve colicky pain.|
|Provide comfort measures such as back rub, helping patient assume position of comfort. Suggest use of relaxation and deep-breathing exercises, diversional activities.||Promotes relaxation, refocuses attention, and may enhance coping abilities.|
|Encourage use of sitz baths, warm soaks to perineum.||Promotes muscle relaxation.|
|Insert catheter and attach to straight drainage as indicated.||Draining bladder reduces bladder tension and irritability.|
|Instruct in prostatic massage.||Aids in evacuation of ducts of gland to relieve congestion and inflammation. Contraindicated if infection is present.|
|Administer medications as indicated:|
|Narcotics: meperidine (Demerol);||Given to relieve severe pain, provide physical and mental relaxation.|
|Antibacterials: methenamine hippurate (Hiprex);||Reduces bacteria present in urinary tract and those introduced by drainage system.|
|Antispasmodics and bladder sedatives: flavoxate (Urispas), oxybutynin (Ditropan).||Relieves bladder irritability.|
Recommended nursing diagnosis and nursing care plan books and resources.
- Nursing Care Plans: Nursing Diagnosis and Intervention (10th Edition)
An awesome book to help you create and customize effective nursing care plans. We highly recommend this book for its completeness and ease of use.
- Nurse’s Pocket Guide: Diagnoses, Prioritized Interventions and Rationales
A quick-reference tool to easily select the appropriate nursing diagnosis to plan your patient’s care effectively.
- NANDA International Nursing Diagnoses: Definitions & Classification, 2021-2023 (12th Edition)
The official and definitive guide to nursing diagnoses as reviewed and approved by the NANDA-I. This book focuses on the nursing diagnostic labels, their defining characteristics, and risk factors – this does not include nursing interventions and rationales.
- Nursing Diagnosis Handbook, 12th Edition Revised Reprint with 2021-2023 NANDA-I® Updates
Another great nursing care plan resource that is updated to include the recent NANDA-I updates.
- Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5(TM))
Useful for creating nursing care plans related to mental health and psychiatric nursing.
- Ulrich & Canale’s Nursing Care Planning Guides, 8th Edition
Claims to have the most in-depth care plans of any nursing care planning book. Includes 31 detailed nursing diagnosis care plans and 63 disease/disorder care plans.
- Maternal Newborn Nursing Care Plans (3rd Edition)
If you’re looking for specific care plans related to maternal and newborn nursing care, this book is for you.
- Nursing Diagnosis Manual: Planning, Individualizing, and Documenting Client Care (7th Edition)
An easy-to-use nursing care plan book that is updated with the latest diagnosis from NANDA-I 2021-2023.
- All-in-One Nursing Care Planning Resource: Medical-Surgical, Pediatric, Maternity, and Psychiatric-Mental Health (5th Edition)
Definitely an all-in-one resources for nursing care planning. It has over 100 care plans for different nursing topics.
Other recommended site resources for this nursing care plan:
- Nursing Care Plans (NCP): Ultimate Guide and Database
Over 150+ nursing care plans for different diseases and conditions. Includes our easy-to-follow guide on how to create nursing care plans from scratch.
- Nursing Diagnosis Guide and List: All You Need to Know to Master Diagnosing
Our comprehensive guide on how to create and write diagnostic labels. Includes detailed nursing care plan guides for common nursing diagnostic labels.
Other care plans and nursing diagnoses related to reproductive and urinary system disorders:
- Acute Glomerulonephritis | 4 Care Plans
- Acute Renal Failure | 6 Care Plans
- Benign Prostatic Hyperplasia (BPH) | 5 Care Plans
- Chronic Renal Failure | 11 Care Plans
- Hemodialysis | 3 Care Plans
- Hysterectomy (TAHBSO) | 6 Care Plans
- Mastectomy | 14+ Care Plans
- Menopause | 6 Care Plans
- Nephrotic Syndrome | 5 Care Plans
- Peritoneal Dialysis | 6 Care Plans
- Prostatectomy | 6 Care Plans
- Urolithiasis (Renal Calculi) | 4 Care Plans
- Urinary Tract Infection | 4 Care Plans
- Vesicoureteral Reflux (VUR) | 5 Care Plans