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
- 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- Inappropriate behaviors, e.g., apathetic, withdrawn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
- 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.
|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 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