Impaired Urinary Elimination related to Prostate Cancer

Nursing Diagnosis: Impaired Urinary Elimination related to mechanical obstruction: enlargement of the prostate, decompensated detrusor muscle, bladder's inability to contract

characterized by:

• inability to empty the bladder,
• incontinence,
• bladder distention,
• presence of residual urine.

Goals:

• Urinate smoothly, without any bladder distention.
• Residues less than 50 ml of urine without any overflow.

Nursing Interventions for Prostate Cancer - Impaired Urinary Elimination:

• Instruct the patient to urinate every 2-4 hours and when it is full
• Inform patients about stress incontinence
• Observation of the emission of urine, observe the size and strength
• Monitor and record the time and amount of urination.
• Observe the decrease in urine output and changes in emission
• Percussion / palpation of the suprapubic area
• Encourage take up to 3000 ml per day when there is no heart intolenransi
• Monitor vital signs. Observation of hypertension, peripheral / dependent edema. Body weight was measured every day and keep intake and output accurately
• Give cateter and perineal care
• Give the bath seat as indicated

Collaborative

• Give the medication as indicated
• Antispasmodics such as oxybutynin chloride, rectal suppositories, antibiotics and antimicrobials, phenoxybenzamine.
• Urinary catheterization or Foley catheter pairs as indicated
• Monitor lab results just as BUN, creatinine, Elektrolite, urinalysis and culture.