13. Due to cause
Mutation and abnormal cell devision
Enlargement of prostate
Obstruction of urethra
Proliferation to surrounding tissue
Metastasis and spread to lymph nodes
Prostate cancer
20. Radical retropubic prostatectomy
For this operation,
the surgeon makes an incision (cut) in lower abdomen
pubic bone.
general anesthesia given spinal or epidural anesthesia during the
surgery.
23. Nausea or vomiting. Watch for and treat early
signs of dehydration, such as having a dry
mouth , Eating smaller meals may help. So can
a little bit of ginger tea.
Pain. Not all forms of cancer or treatment cause
pain. But if you do have pain, there are many
home treatments that can help.
24. Sleep problems. Often, simple measures such
as having a regular bedtime, getting
some exercise during the day
25. The patient can be in a lithotomy position
Digital rectal examination (DRE)
The finger into the anal canal, facing forward.
The posterior surface of the prostate can be felt
past the anal canal. It is firm and rounded.
Usually, there is a lateral bulge on either side of a
midline, top-to-bottom furrow.
During the exam,
the patient will feel a pressure from the finger
against the gland
sensation of needing to urinate.
The exam may be painful if the gland is irritated.
26.
27. 1. Impaired Urinary Elimination related to an
enlarged prostate, and bladder distension.
Intervention:
Encourage the patient to urinate every 2-4
hours
Encourage fluid intake to 3000 ml per day.
Observation of the flow of urine
palpation of the suprapubic area.
Monitor vital signs closely
28. 2. Risk for Infection related to invasive
procedures (tools during surgery)
Intervention:
Maintain a catheter system,
provide catheter care
regular antibiotic ointment around the
catheter.
Replace dressings with frequent , cleaning
and drying of the skin over time.
Collaboration in the provision of antibiotics
29. 3. Imbalanced Nutrition, Less Than Body
Requirements related to the nausea and
weight loss
Intervention:
Assess the patient's nutritional status.
Encourage the patient to eat small amounts
frequently.
Collaborate with the physician in the delivery
of antiemetic drugs
30. 1.Eat fewer milk product,less meat
2.Increases exercise more
3.Avoid smoking alcohol
4.Taking more than 1,500 mg of calcium a
day
3.Eat more fish,olive oil cooked tomatoe
31. Regarding disease condition
Discuss the epidemiology of prostate cancer.
Identify the anatomy and physiology of the
normal, healthy prostate gland
Describe the surgical and nonsurgical
treatment options, along with their side
effects, for prostate cancer.
Discuss nursing care both for patients
undergoing prostate cancer treatment
32. Brenda M, Nevidjon’s Text book on
Cancercare 10th edition published by Kevin W
sower pg no 122-125
Paul D.Hopper’s Text book of Medical
surgical nursing 2 edition published by
Lindes Williams pg no.34-37
Muaskowsks’s Textbook of Oncology nursing
1 edition published by Pop.Saunder pg no
44-45