5 Benign Prostatic Hyperplasia (BPH) Nursing Care Plans


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.

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

Deficient Knowledge

Nursing Diagnosis

May be related to

  • Lack of exposure/recall, information misinterpretation
  • Unfamiliarity with information resources
  • Concern about sensitive area

Possibly evidenced by

  • Questions, request for information; verbalization of the problem
  • Inappropriate behaviors, e.g., apathetic, withdrawn
  • Inaccurate follow-through of instructions, development of preventable complications

Desired Outcomes

  • Verbalize understanding of disease process/prognosis and potential complications.
  • Identify relationship of signs/symptoms to the disease process.
  • Verbalize understanding of therapeutic needs.
  • Initiate necessary lifestyle/behavior changes.
  • Participate in treatment regimen.
Nursing InterventionsRationale
Review disease process, patient expectations.Provides knowledge base from which patient can make informed therapy choices.
Encourage verbalization of fears and feelings and concerns.Helping patient work through feelings can be vital to rehabilitation.
Give information that the condition is not sexually transmitted.May be an unspoken fear.
Review drug therapy and use of herbal products and diet, (increased fruits, soy beans).Some patients may prefer to treat with complementary therapy because of decreased occurrence and lessened severity of side effects such as impotence.
Recommend avoiding spicy foods, coffee, alcohol, long automobile rides, rapid intake of fluids (particularly alcohol).May cause prostatic irritation with resulting congestion. Sudden increase in urinary flow can cause bladder distension and loss of bladder tone, resulting in episodes of acute urinary retention.
Address sexual concerns (during acute episodes of prostatitis, intercourse is avoided, but may be helpful in treatment of chronic condition).Sexual activity can increase pain during acute episodes but may serve as massaging agent in presence of chronic disease. Note: Medications such as finasteride (Proscar) are known to interfere with libido and erections. Alternatives include terazosin (Hytrin), doxazosin mesylate (Cardura), and tamsulosin (Flomax), which do not affect testosterone levels.
Provide information about basic sexual anatomy. Encourage questions and promote a dialogue about concerns.Having information about anatomy involved helps patient understand the implications of proposed treatments because they might affect sexual performance.
Review signs and symptoms requiring medical evaluation, (cloudy, odorous urine; diminished urinary output, inability to void; presence of fever and chills).Prompt interventions may prevent more serious complications.
Discuss necessity of notifying other healthcare providers of diagnosis.Reduces risk of inappropriate therapy such as the use of decongestants, anticholinergics, and antidepressants, which can increase urinary retention and may precipitate an acute episode.
Reinforce importance of medical follow-up for at least 6 mo to 1 yr, including rectal examination, urinalysis.Recurrence of hypertrophy and infection (caused by same or different organisms) is not uncommon and requires changes in therapeutic regimen to prevent serious complications.


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:

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

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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