Benign prostrate hyperplasia is an enlargement of the prostate gland caused by an increase in epithelial cells and prostate tissue. It is commonly caused by age-related endocrine changes and risk factors like family history and obesity. Symptoms include difficulties urinating such as a weak stream and frequent urination. Diagnosis involves tests like a digital rectal exam, PSA test, and ultrasound. Treatment options include medications to reduce symptoms, minimally invasive surgeries to remove prostate tissue, and lifestyle modifications. Nursing care focuses on preventing infections after surgery by using aseptic technique during bladder irrigation and limiting straining activities.
Benign prostatic hyperplasia is an enlargement of the prostate gland resulting from an increase in the number of epithelial cells and stromal tissue and developing upward into the bladder and obstructing the outflow of urine.
A benign (not cancer) condition in which an overgrowth of prostate tissue pushes against the urethra and the bladder, blocking the flow of urine. Also called benign prostatic hyperplasia and BPH.
Benign prostatic hyperplasia (BPH), also called prostate enlargement, is a noncancerous increase in size of the prostate gland. Symptoms may include frequent urination, trouble starting to urinate, weak stream, inability to urinate, or loss of bladder control.
Benign prostatic hyperplasia is an enlargement of the prostate gland resulting from an increase in the number of epithelial cells and stromal tissue and developing upward into the bladder and obstructing the outflow of urine.
A benign (not cancer) condition in which an overgrowth of prostate tissue pushes against the urethra and the bladder, blocking the flow of urine. Also called benign prostatic hyperplasia and BPH.
Benign prostatic hyperplasia (BPH), also called prostate enlargement, is a noncancerous increase in size of the prostate gland. Symptoms may include frequent urination, trouble starting to urinate, weak stream, inability to urinate, or loss of bladder control.
Decreased caliber and force of the stream
Problems starting(hesitancy) and stopping urine stream; post-void dribbling
Impaired bladder emptying
- high risk of infection and hydronephrosis
Urinary retention
Incontinence
Nocturia; polyuria / Dysuria
Hypertrophy of bladder wall muscle
- increased risk for bladder diverticula
Microscopic hematuria maybe present
As a part of my M.Sc. Nursing course, I have prepared PPT on Bengin Prostate Hyperplasia, which is an important topic from clinical as well as exam point of view. I hope this material will be helpful to the prospect nursing student. However, refer books for the better understanding of the topic.
Decreased caliber and force of the stream
Problems starting(hesitancy) and stopping urine stream; post-void dribbling
Impaired bladder emptying
- high risk of infection and hydronephrosis
Urinary retention
Incontinence
Nocturia; polyuria / Dysuria
Hypertrophy of bladder wall muscle
- increased risk for bladder diverticula
Microscopic hematuria maybe present
As a part of my M.Sc. Nursing course, I have prepared PPT on Bengin Prostate Hyperplasia, which is an important topic from clinical as well as exam point of view. I hope this material will be helpful to the prospect nursing student. However, refer books for the better understanding of the topic.
Transcultural nursing topic is very important for nursing students. Transcultural nursing is a comparative study of cultures to understand similarities (culture universal) and difference (culture-specific) across human groups.
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
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Model Attribute Check Company Auto PropertyCeline George
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Normal Labour/ Stages of Labour/ Mechanism of LabourWasim Ak
Normal labor is also termed spontaneous labor, defined as the natural physiological process through which the fetus, placenta, and membranes are expelled from the uterus through the birth canal at term (37 to 42 weeks
Acetabularia Information For Class 9 .docxvaibhavrinwa19
Acetabularia acetabulum is a single-celled green alga that in its vegetative state is morphologically differentiated into a basal rhizoid and an axially elongated stalk, which bears whorls of branching hairs. The single diploid nucleus resides in the rhizoid.
2. DEFINITION
It is the enlargement of the prostate gland
resulting from an increase in the number of
epithelial cells and prostate tissue
3. CAUSES
Family history particularly involving first degree
relatives, environment history like exposure to
environmental allergens and diet history like
consumption of increased saturated fatty acids
like butter, beef.
Age over 80 years associated with endocrine
changes.
Increased alcohol intake
Obesity
Excessive accumulation of
dihydroxytestosterone hormone
4. PATHOPHYSIOLOGY
Due to endocrine changes in ageing
Stimulation of estrogen and local growth hormone
Increased production of 5-α reductase
Conversion of testosterone to dihydroxytestosterone
Excessive accumulation of dihydroxytestosterone
Enlargement of prostate tissue
Compression of the urethra
Obstruction of urinary outflow
Hydroureter & hydronephrosis
5. CLINICAL MANIFESTATIONS
Obstructive symptoms:
decrease in the force of urinary stream
difficulty in initiating voiding
intermittency (stopping and starting stream
many times while voiding)
dribbling at the end of urination
Irritative symptoms:
urinary frequency, urgency, dysuria
bladder pain, nocturia & incontinence.
6. DIAGNOSTIC FINDINGS
Digital rectal examination to evaluate the size, symmetry
and consistency of prostate gland.
Urine analysis to determine the presence of infection.
Prostate specific antigen test to rule out prostate cancer
Trans rectal ultrasound to detect the prostate size
Uroflowmetry to study the volume of urine expelled from
the bladder per second help in determining the extent of
uretheral blockage.
Post voidal residual urine volume to determine the degree
of urine outflow obstruction
Cystourethroscopy to allow visualisation of the urethra
and bladder.
7. MANAGEMENT
Dietary modifications like decrease caeffine, artificial sweeteners,
spicy and alcoholic foods.
Avoid medications like decongesants and anticholinergics and
restrict evening fluid intake to reduce irritative symptoms.
Drug therapy :
5 α reductase inhibitors like finasteride & dutasteride to block the
conversion of testosterone to di-hydroxy testosterone.
α- adrenergic receptor blockers like alfuzosin, doxazosin,
terazosin to promote the smooth muscle relaxation in the prostate
and facilitate urinary outflow through the urethra.
herbal therapy like saw palmetto for management of urinary
symptoms.
8. SURGICAL MANAGEMENT
Trans urethral resection of prostate(TURP):
This involves removal of prostate tissue using
resectoscope inserted through the urethra.
Trans urethral incision of prostate (TUIP): this
involves making transurethral slits or incisions in to
the prostate tissue to relieve obstruction.
Trans urethral microwave thermotherapy:
this involves a use of microwave radiating heat to
produce coagulative necrosis to the prostate.
Trans urethral needle ablation (TUNA): this uses a
low wave radiofrequency to heat the prostate causing
necrosis.
9. CONTD…..
Open Prostatectomy: this is the surgery of
choice for men with large prostates which
involves the surgical excision of the prostate
tissue.
Laser Prostatectomy: this procedure uses a
laser beam to cut or destroy the part of the
prostate. The destroyed prostate tissue
gradually sloughs in the urinary stream.
10. NURSING MANAGEMENT
Urinary drainage must be established with the
catheter before surgery
Bladder irrigation is done either intermittently or
continuously to remove clotted blood from the
bladder.
Careful aseptic technique should be used when
irrigating the bladder to prevent possible
infections
Activities that increase abdominal pressure like
sitting or standing for long periods and straining
during defecation should be avoided.