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Discussion

please help me with my probelem

Gudmorning to all the members in allnurses.com. i am here to ask for ur help. We will be having a case presentation on Prostate Cancer. i was assigned to make an NCP to our patient having a prostate cancer and was scheduled for TURP last jan.6, 2010. i need your help in formulating nursing diagnosis pertaining to our problem. pls do include the nsg interventions as well.. pls pls pls.. :crying2::crying2::crying2::crying2:

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    • Featured Replies

    gudmorning to all the members in allnurses.com. i am here to ask for ur help. we will be having a case presentation on prostate cancer. i was assigned to make an ncp to our patient having a prostate cancer and was scheduled for turp last jan.6, 2010. i need your help in formulating nursing diagnosis pertaining to our problem. pls do include the nsg interventions as well.. pls pls pls.. :crying2::crying2::crying2::crying2:

    really need more information. however, you need to consider what is the situation of the patient postop. things that come to mind are: acute pain r/t surgical incision, risk for infection r/t invasive procedure/surgical incision, risk for urinary retention r/t catheter, postop edema.....ect. nsg dx is based on the most serious and impending problems facing the patient in the current situation. you need to look the problems up in a nsg dx handbook and then look up each potential nsg dx as it will list defining characteristics.

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    well first off...what have you come up with so far?

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    It's so annoying when people come here asking for others to do their homework for them. List what you have so far & we'll help you. We're not here to do everything for you. I have my own work to do!!

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    • Experts

    follow the steps of the nursing process to organize this presentation. look up everything you can find about prostate cancer: how it is diagnosed, pathophysiology, signs and symptoms, and how it is treated. see http://www.cancer.gov/ - national cancer institute. pay particular attention to the signs and symptoms because they are what become the basis for the nursing problems that the patient will have. those nursing problems are then given names we call nursing diagnoses. the nursing interventions are step #3 of the nursing process and are aimed at treating the signs and symptoms that the patient has in relation to the prostate cancer. for information about turps, see http://www.surgeryencyclopedia.com/st-wr/transurethral-resection-of-the-prostate.html

    for more information on how to construct a care plan, see this thread: https://allnurses.com/general-nursing-student/help-care-plans-286986.html - help with care plans

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    • Author

    thanks for all the infor. it really help me alot. anyway, ive come up with these diagnosis: Anxiety rt concern and lack of knowledge about the dx, treatment plan and prognosis. Alteration in Fluid and electrolyte balance rt urinary dysfuction because of prostate tumor. Alteration in comfort: pain rt treatment and prognosis of disease. Now i wud like to ask for ur opinion about the Nsg. diagnosis that i had formulated.

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    • Author

    the patient's chief complaint i for cystoscopy and TURP. admitting diagnosis is Prostate Cancer..

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    • Experts

    1) these are not official nanda diagnoses. they are all old and were changed and updated years ago.

    2) the related factor, or etiology, must be the underlying cause of the nursing problem. in all your diagnoses, it needs to be the pathophysiology causing the problem and cannot be stated as a medical diagnosis.

    - - - - - - - - - - - - - - -

    anxiety rt concern and lack of knowledge about the dx, treatment plan and prognosis.

    the cause of anxiety is usually an anticipation of danger or a threat. if there is a lack of knowledge about the diagnosis, treatment plan and prognosis then you have diagnosed incorrectly. that is
    deficient knowledge, diagnosis, treatment plan and prognosis
    .

    alteration in fluid and electrolyte balance rt urinary dysfuction because of prostate tumor.

    the correct nanda diagnosis is either
    deficient fluid volume
    or
    excess fluid volume
    . which is it?

    alteration in comfort: pain rt treatment and prognosis of disease.

    this diagnosis was removed years ago. it is now either
    acute
    or
    chronic pain
    . the related factor must be because of actual or potential tissue damage, so your related factors are not specific enough in describing what is going on.

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