Welcome To The Case Study Presentation:-: Prostate Cancer

Welcome to the case study presentation :-
Prostate cancer
Abdullah Al-Amri 285
Definition:Prostate gland :-
Gland that lies just below the neck of the bladder and surrounds the urethra.
Prostate cancer :Is malignant tumor (growth) that consists cell from prostate gland.
Pathophysilogy :The Pathophysilogy of prostate cancer is poorly understood. Over the past decade there has been a significant increase in focus on the neoplasm with a concomitant increase in funding for basic investigation.
Con. Pathophysilogy :Recognition of hereditary form of prostate cancer has prompted a vigorous research effort into molecular genetics of prostate cancer, with research teams performing linkage studies leading to identification of several chromosomal loci that may be the source of prostate cancer susceptibility genes.
Etiology of the disease:According to books Environmental factor ( toxins chemical and industrial product ). Hormonal factor ( Decrease in level of testosterone ). Genetic (heredity). High-fat diet. In the patient Decrease level of testerone. High- fat diet.
Con.Etiology of the disease:According to books In the patient

Virus and bacteria. Family factors. Physical factors. Smoking.
Smoking
Clinical manifestation :According to books

Difficulty and frequency of urination. Urinary retention. Decrease size and force of urinary stream. Backache. Hip pain. Oliguria.
In the patient
Urinary retention.
Clinical manifestation :According to books In the patient

Pain lower abdomen. Weakness Nausea
Difficulty starting urinating or holding back the urine. Perineal and rectal discomfort. Anemia. Weakness. Nausea.
Treatment :Name of drug Classification Dose Route Frequency
Lactulose -Laxative -ammonia (duphalac) reduction agent
15 ml
Syrup (oral)
TID
Treatment :Name of Classification drug Panadol -Antipyretic -Analgesic Dose Route Frequency
500mg Tablet Stat Oral
Treatment :Name of Classification Dose Route drug Human Antidiabetic actrapid Hormone (regular soluble) 5 IU Injection (subcutan eous) Frequency
OD
N o 1
Name of Inv..
CBC: - HGB - WBC
Result
Normal Range
Significance of Results
Anemia Diarrhea Acute poisoning Dehydration Chronic renal disease. Chronic renal failure. Hemolysis. Acidosis
9.36 G/DL 13-17 16.9 K/ul 4.0- 6.0
RFT: - Creatinine
368.3 umol/L
62-115
RFT: - Potassium 5.6 mmol/L
3.5-5.1
Care plan 1:N.D :- Pain related to biologic injury agents of trauma of surgery.
Goal :Relief the pain.
Nursing intervention Rational

Assess for pain and characteristics at incision site . Indicates pain caused by surgical trauma to tissue can increased by movement or pressure from sitting on Perineal incision. Indicates possible obstruction on catheter.
Assess for catheter potency, tension on catheter.

Avoid twisting, tension or pulling catheter tape to abdomen. Administer analgesic as prescribe (panadol). Put patient in semifowlers position. Prevent irritation to bladder mucosa and tension or pull catheter causing pain. To reduce or control pain. To promote comfort to patient and reduce pressure at incision site.
Outcome criteria : Pain reduced by decrease in request for analgesic. Patient is comfortable position. Absence of restlessness and catheter obstruction.
Nursing care 2:N.D :- High risk for fluid volume deficit related to decrease fluid intake.
Goal :- The patient will keep the fluid

volume in his body within normal ring.

Take accurate intake and output. Assess serum and urinary values of sodium and potassium. Observe and record skin tumor and the appearance of tongue. Provide indications of fluid balance. K and K are the major electrolyte regulating water balance. Adequate hydration is detected by the skin's ability to return it to its normal shape.
Nursing Interventions Rational

Encourage the patient to drink more fluids. Monitor amount and characteristics of urine.
Check weight daily. Monitor vital signs: TPR
To return the fluids inside the body. Assist in early detection of possible complications of surgery. To maintain balanced body weight. When fluid volume or cardiac output is altered vital signs will be affected.
Outcome criteria : Maintains fluid balance. Maintain normal serum and urinary values for sodium and potassium. Normal skin turgor. TPR are normal. Urine is clear and absent of blood, pus, or foreign substances.
Discharge plan : Teach appropriate measures to control pain discomfort. Teach appropriate care for urinary catheter. Teach appropriate wound care. Teach performance of perineal muscle exercise to facilitate bladder control. Teach increase activity and ambulation.
Discharge plan : Teach increase activity and ambulation. Identify signs and symptoms of complication that should be reported to surgeon. Identify activities to avoid such as lifting heavy object. Take medication exactly as prescribe.

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Welcome To The Case Study Presentation:-: Prostate Cancer

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Welcome to the case study presentation :-

Con.Etiology of the disease:According to books In the patient

Clinical manifestation :According to books

Clinical manifestation :According to books In the patient

Treatment :Name of drug Classification Dose Route Frequency

Lactulose -Laxative -ammonia (duphalac) reduction agent

500mg Tablet Stat Oral

9.36 G/DL 13-17 16.9 K/ul 4.0- 6.0

RFT: - Potassium 5.6 mmol/L

Goal :Relief the pain.

Nursing intervention Rational

Assess for catheter potency, tension on catheter.

Nursing intervention Rational

Goal :- The patient will keep the fluid

Nursing intervention Rational

Nursing Interventions Rational

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