5 Benign Prostatic Hyperplasia (BPH) Nursing Care Plans

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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

Nursing care for patients with benign prostatic hyperplasia includes preparation for surgery (if possible) administration of medications for pain, and relieving urinary retention.

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Below are five (5) nursing care plans (NCP) and nursing diagnosis for benign prostatic hyperplasia:

  1. Urinary Retention
  2. Acute Pain
  3. Risk for Deficient Fluid Volume
  4. Fear/Anxiety
  5. Deficient Knowledge
  6. See Also and Further Reading
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Fear/Anxiety

Nursing Diagnosis

May be related to

  • Change in health status: possibility of surgical procedure/malignancy
  • Embarrassment/loss of dignity associated with genital exposure before, during, and after treatment; concern about sexual ability

Possibly evidenced by

  • Increased tension, apprehension, worry
  • Expressed concerns regarding perceived changes
  • Fear of unspecific consequences

Desired Outcomes

  • Appear relaxed.
  • Verbalize accurate knowledge of the situation.
  • Demonstrate appropriate range of feelings and lessened fear.
  • Report anxiety is reduced to a manageable level.
Nursing InterventionsRationale
Always remain with the patient. Establish trusting relationship with patient and SO.Demonstrates concern and willingness to help. Encourages discussion of sensitive subjects.
Provide information about specific procedures and tests and what to expect afterward (catheter, bloody urine, bladder irritation). Be aware of how much information patient wants.Helps patient understand purpose of what is being done, and reduces concerns associated with the unknown, including fear of cancer. However, overload of information is not helpful and may increase anxiety.
Maintain matter-of-fact attitude in doing procedures and
dealing with patient. Protect patient’s privacy.
Communicates acceptance and eases patient’s embarrassment.
Encourage patient and SO to verbalize concerns and feelings.Defines the problem, providing opportunity to answer questions, clarify misconceptions, and problem-solve solutions.
Reinforce previous information patient has been given.Allows patient to deal with reality and strengthens trust in caregivers and information presented.
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Recommended Resources

Recommended nursing diagnosis and nursing care plan books and resources.

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See also

Other recommended site resources for this nursing care plan:

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Other care plans and nursing diagnoses related to reproductive and urinary system disorders:

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Matt Vera is a registered nurse with a bachelor of science in nursing since 2009 and is currently working as a full-time writer and editor for Nurseslabs. During his time as a student, he knows how frustrating it is to cram on difficult nursing topics. Finding help online is nearly impossible. His situation drove his passion for helping student nurses by creating content and lectures that are easy to digest. Knowing how valuable nurses are in delivering quality healthcare but limited in number, he wants to educate and inspire nursing students. As a nurse educator since 2010, his goal in Nurseslabs is to simplify the learning process, break down complicated topics, help motivate learners, and look for unique ways of assisting students in mastering core nursing concepts effectively.
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