TURP HELP!!! Traction post surgery!

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My first post here!!:)

I am just wondering if someone could explain to me about traction of the urinary catheter after a patient has a TURP, is it for controlling bleeding? In my final year training and Im doing a care plan for post op TURP under the ADL of elimination, If someone would give me general idea of what not to leave out of this care plan i'd greatly appreciate it! I have assess for signs of dehydration/ over load, signs of haemorrage, infection, bowl care, parylitic ileus, stress incontinece, bladder spasm, catheter care, CBI irrigation, water toxification/TUR syndrome, and put interventions is place in realtion to all of those!

Thanks guys !! :lol2:

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Specializes in Cardiac, Thoracic, Vsg, ENT, GU.
My first post here!!:)

I am just wondering if someone could explain to me about traction of the urinary catheter after a patient has a TURP, is it for controlling bleeding? In my final year training and Im doing a care plan for post op TURP under the ADL of elimination, If someone would give me general idea of what not to leave out of this care plan i'd greatly appreciate it! I have assess for signs of dehydration/ over load, signs of haemorrage, infection, bowl care, parylitic ileus, stress incontinece, bladder spasm, catheter care, CBI irrigation, water toxification/TUR syndrome, and put interventions is place in realtion to all of those!

Thanks guys !! :lol2:

"You forgot something."
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Specializes in Cardiac, Thoracic, Vsg, ENT, GU.

You forgot something for your care plan re TURPs. The patient's SELF IMAGE is

a biggy. More likely than not, he will go home with a urinary leg bag and his

need is to feel in control of his situation. And yes, traction is used to avoid

excessive and further bleeding. Not getting too nitty gritty, but PAIN needs to be addressed.

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Specializes in Cardiac, Thoracic, Vsg, ENT, GU.

You might want to consider the patient's SELF IMAGE in your final care plan. Most patients, if not all, go home with a urinary leg bag for a week or so. It's VERY important to teach and reassure in order for the patient to

feel in control of his situation. Also, not to be too nitty gritty, but pain is another consideration. :coollook:

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