Prostate cancer is the most common
type of cancer in men. It is a slowly progressing disease affecting
the prostate gland.
Active learning templated sytem are
used to guide the students in learning and review the nursing
knowledge.
Ati Active
leraning template system of prostate cancer:
Disorder/ Disease process: Prostate cancer
Alterations in Health: Prostate cancer |
Pathophysiology related to client problem:
- It is an adenocarcinoma.
- Develops from the glandular part of the organ.
- The cancer cells grow and begin to multiply, initially
spraeding to the immediately surrounding prostate tissue.
- Finally forms a tumor nodule.
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Health promotion and disease prevention:
- Choose a healthy diet full of
fruits and vegetables
- Excercise most days of the
week
- Maintain a healthy weight.
- If one is in high risk category,
periodic check up is necessary.
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ASSESSMENT
Risk factors:
- Age: advanced age
- Race: black men carry graeter risk
- Family history:family history of genes increases the risk for
prostate cancer.
- Obesity: Obese men are also in higher risk.
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Expected findings (symptoms):
- Trouble urinating
- Blood in semen
- Discomfort in the pelvic area
- Bone pain
- Erectile dysfunction
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Laboratory tests:
- Blood investigation: Prostate specific antigen
- Prostate biopsy
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Diagnostic procedures:
- Tranrectal ultrasound
- MRI
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Patient centered care
Nursing care
- Help the patient and families work through the emotional
stress.
- Helps to cope with the disease process
- Reduce the anxiety level of the patient by explaining all the
treatment procedures
- Act as the patient's advocate
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Medications
- Abiraterone Acetate
- Apalutamide
- Casodex
- Cabazitaxel
- Degarelix
- Docetaxel
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Client education
- Diet:Educate regarding diet low in fat, high in vegetables,
fruits and legumes.
- Advice to avoid environmental exposure to household and
personal care products.
- Educate that being overweight is factor for disease development
and its process. So regular excercise is needed to maintain overall
health
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Complications
- Metastasize to near by organ such as bladder
- Incontinence of urine
- Erectile dysfunction
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Therapeutic procedures:
- Prostatectomy
- Radiation therapy
- Crotherapy
- Hormone therapy
- Chemotherapy
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Interprofessional care:
A coordinated care approach is
needed. The interprofessional care team for the patient are
- Care of a oncologist
- Radiologist
- Nurses
- chemotherapy unit
- laboratory workers
- pharmacists
- families
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