Care Plan for Benign Prostatic Hyperplasia (BPH)

Category / Primary Body System

• Genitourinary System

Problem

• Diagnosis of Benign Prostatic Hyperplasia (BPH).

Goal

• Patient will empty bladder without difficulty each day for the next 90 days.

Plan/Approach

1. Monitoring and Assessment

   • Monitor daily for signs of BPH, including frequent urination, reduction in size and force of urinary stream, hematuria, feeling of incomplete bladder emptying, and urinary retention with discomfort.
   • Notify the MD of any increase in symptoms or new symptoms.

2. Medication Management

   • Administer medications as ordered, monitoring for side effects such as drowsiness, dizziness, lethargy, confusion, euphoria, weakness, ataxia, hallucinations, anorexia, and diarrhea.
   • Notify the MD of any limiting side effects.

3. Infection Prevention

   • Monitor closely for signs of urinary tract infection (UTI), including elevated WBC, urinary urgency, incontinence, burning with urination, confusion, voiding small amounts, low back or abdominal pain, fever, chills, nausea, and malaise.
   • Notify the MD of any noted signs of UTI.

4. Assistance with Toileting

   • Assist the patient to the toilet as needed and encourage complete bladder emptying.

5. Hydration Management

   • Encourage fluid intake unless otherwise contraindicated to help maintain urinary flow and prevent urinary stasis.

6. Lab Monitoring

   • Check labs as ordered, monitoring results and reporting to the attending physician.

Rationale

1. Monitoring and Assessment

   • Regular monitoring for symptoms of BPH and UTI allows for early detection and prompt intervention, reducing the risk of complications.

2. Medication Management

   • Administering medications as prescribed and monitoring for side effects ensures effective management of BPH while minimizing adverse effects.

3. Infection Prevention

   • Early detection of UTI symptoms and prompt treatment prevent complications and improve patient comfort.

4. Assistance with Toileting

   • Assisting with toileting and encouraging complete emptying helps reduce urinary retention and associated discomfort.

5. Hydration Management

   • Adequate hydration helps maintain urinary flow and prevent complications such as UTIs and urinary stasis.

6. Lab Monitoring

   • Regular lab monitoring helps assess the patient’s response to treatment and overall health status, guiding necessary adjustments to the care plan.

Actions

1. Monitoring and Assessment

   • Record daily observations of urinary symptoms, documenting any changes or new symptoms.
   • Report any significant changes to the MD immediately.

2. Medication Management

   • Administer medications on schedule, observing for effectiveness and any side effects.
   • Document any side effects and notify the MD of any that are limiting or concerning.

3. Infection Prevention

   • Perform regular assessments for UTI symptoms, documenting findings and reporting any signs to the MD promptly.
   • Encourage good hygiene practices to prevent infections.

4. Assistance with Toileting

   • Assist the patient to the toilet and provide privacy and support as needed.
   • Encourage the patient to take their time to ensure complete bladder emptying.

5. Hydration Management

   • Encourage the patient to drink fluids regularly, unless contraindicated, and monitor intake to ensure adequate hydration.

6. Lab Monitoring

   • Collect and review lab results as ordered, documenting findings and reporting any abnormalities to the attending physician.