Medical Surgical Nursing

Reduced stress and improved ability to cope

Urinary retention related to urethral obstruction secondary to prostatic enlargement

or tumor and loss of bladder tone due to prolonged distention/retention

Improved pattern of urinary elimination

Deficient knowledge related to the diagnosis of: cancer, urinary difficulties, and

treatment modalities

Understanding of the diagnosis and ability to care for self

Imbalanced nutrition: less than body requirements related to decreased oral intake

because of anorexia, nausea, and vomiting caused by cancer or its treatment

Maintain optimal nutritional status

Sexual dysfunction related to effects of therapy: chemotherapy, hormonal therapy,

radiation therapy, surgery

Ability to resume/enjoy modified sexual functioning

Pain related to progression of disease and treatment modalities

Relief of pain

Impaired physical mobility and activity intolerance related to tissue hypoxia,

malnutrition, and exhaustion and to spinal cord or nerve compression from

metastases

Improved physical mobility

Collaborative Problems: Hemorrhage, infection, bladder neck obstruction

Goal: Absence of complications

Nursing interventions – Prostate CA

BPH interventions

Be supportive – expect feminization, more emotional, educate

Gynecomastia – enlargement of the breast

Control pain – terminally ill = hospice, palliative care

Malignant Neoplasms: Testicular Cancer

Although it accounts for only 1% of all cancer in men, it is the most common

cancer in young men between the ages of 15 and 40.

Essential for clients to learn TSE (testicular self-examination). – monthly

During shower