Plan of Nursing Care: The Patient with Prostate Cancer
Nursing Diagnosis: Anxiety related to concern and lack of knowledge about the diagnosis, treatment
plan, and prognosis
Goal: Reduced stress and improved ability to cope
Nursing Interventions Rationale Expected Outcomes
Appears relaxed
States that anxiety
has been reduced or
relieved
Demonstrates
understanding of
illness, diagnostic
tests, and treatment
when questioned
Engages in open
communication
with others
1. Nurse clarifies information
and facilitates patient's
understanding and coping.
2. Helping the patient to
understand the diagnostic
tests and treatment plan will
help decrease his anxiety and
promote cooperation.
3. This information provides
clues in determining
appropriate measures to
facilitate coping.
4. Institutional and community
resources can help the patient
and family cope with the
illness and treatment on an
ongoing basis.
1. Obtain health history to
determine the following:
a. Patient's concerns
b. His level of
understanding of his
health problem
c. His past experience
with cancer
d. Whether he knows
his diagnosis of
malignancy and its
prognosis
e. His support systems
and coping methods
2. Provide education about
diagnosis and treatment
plan:
a. Explain in simple
terms what
diagnostic tests to
expect, how long
they will take, and
what will be
experienced during
each test.
b. Review treatment
plan and allow
patient to ask
questions.
3. Assess his psychological
reaction to his
diagnosis/prognosis and
how he has coped with past
stresses.
4. Provide information about
institutional and community
resources for coping with
prostate cancer: social
services, support groups,
community agencies
Nursing Diagnosis: Urinary retention related to urethral obstruction secondary to prostatic enlargement
or tumor and loss of bladder tone due to prolonged distention/retention
Goal: Improved pattern of urinary elimination