Benign Prostatic Hyperplasia (BPH) Essay.

Posted: December 12th, 2022

Benign Prostatic Hyperplasia (BPH) Essay.

 

Area of Specialty: Nurse Practitioner
Topic: BPH

Week 10’s Discussion assignment is a little different. The first part of the assignment will be in a word document–kinda of like a small paper (cpl pages) and the second part is in SOAP note format.
Basically you are presenting a clinical intervention that you instituted in clinic in one of your patients this session. As you can see below, you need to give some background information regarding your intervention.Benign Prostatic Hyperplasia (BPH) Essay.

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For example, instituting Cardiac Rehab in a CHF patient–give information regarding CHF (right and left sided HF), how this is a medical problem and how it is diagnosed. Give detailed history information (HPI). Discuss the pathophysiology of the problem. Discuss how you expect the patient to respond to the intervention (or how they did respond if you have this info) and why. Give three differentials with rationale. Post any applicable algorhythms/guidelines/etc. Then for the last part of the assignment post a SOAP note on the patient. Some of this may seem repetitive, but the main focus of the paper part of the assignment should be on the evidence based clinical intervention. I hope this clears things up a bit. The Brightspace instructions are below. Let me know if you have any questions. Make sure you back up your interventions/patho/differenials/etc. from the literature.
Evidence-Based Clinical Intervention
For this assignment, post an initial response to all of the questions in the Discussion Area by Saturday 2300 Mountain Time. You must respond to two of your classmates’ postings for this discussion.
Your Evidence-Based Clinical Intervention should be submitted in a Microsoft Word document following APA style and should include the following:Benign Prostatic Hyperplasia (BPH) Essay.
• The medical problem/diagnosis/disease.
• Typical presenting signs and symptoms including:
o Onset, Characteristics, Location, Radiation, Timing, Setting, Aggravating factors, Alleviating factors, Associated symptoms, Course since onset, Usual age group affected
o Concomitant disease states associated with the diagnosis
• The pathophysiology of the problem.
• Three differential diagnoses and the usual presenting signs and symptoms in priority sequence with rationales.
• Reference to at least two current journal articles that show evidence-based practice as how to best treat this disorder related to the primary differential.
• The expected outcomes of the intervention.
• Algorithms if available.
• A typical clinical note in SOAP format.
Respond to at least two of your classmates’ Evidence-Based Clinical Interventions using the lessons and vocabulary found in the reading. Support your answers with examples and research. Your responses should clarify your understanding of the topic. They should be your own, original, and free from plagiarism. Follow the APA format for writing style, spelling and grammar, and citation of sources.Benign Prostatic Hyperplasia (BPH) Essay.

Evidence-Based Clinical Intervention
Benign Prostatic Hyperplasia (BPH) is a disorder in men characterized by the enlargement of the prostate gland. The onset of BPH presents no relevant bothersome symptoms and obstruction. In stage II, there are bothersome symptoms but no significant obstruction while stage III has significant obstruction and symptoms which severe in stage IV with recurrent bleeding, bladder stones and urine retention complications.
Mr. James, a 63 year oldAfrican American male, presents in the clinic carrying a plastic urinal and in a limping walking style. He says that for the past three months he had been extremely bothered. He felt the urge to urinate after every 30 minutes and hence depends on the plastic urinal when travelling. His symptoms included frequency, urgency, nocturia as well as incomplete emptying, strained urination, intermittent flow and weak stream.He rates the associated burning pain during urination as 7out of 10 located with generalized pain in the groin rated as 5. Associated symptoms such as diarrhea, vomiting, fever, nausea and decreased appetite were not reported. The Concomitant disease states of the patient include controlled hypertension and erectile dysfunction. The patient falls under the BPH vulnerable age group of between 50 and over 80 years. The aggravating factors for the disease in the patient are age, obesity and lack of physical activity. The disease can be alleviated using radiotherapy, pharmacotherapy and psychotherapy approaches.Benign Prostatic Hyperplasia (BPH) Essay.
The pharmacology of BPH involves the enlargement of prostate glands from the process of epithelial and stromal cells proliferation. The lower urinary tract symptoms occur from the voiding dysfunction of the enlarged bladder and prostate glands. Three differential diagnoses for the patient are BPH, Overactive bladder and Prostatitis. HBP is associated with frequent and urgent urination needs, weak urine stream, inability to completely empty the bladder, enlarged prostate gland and nocturi (Charrie ET AL., 2001). Overactive bladder presents with incontinence, frequent urination urge, nocturia and incontinence while prostatitis involves enlarged prostate gland. The best treatment for BPH entails the use of Alpha blockers such as alfuzosinwhich relax the prostate muscle fibers and bladder neck muscles and 5-alpha reductase inhibitors which prevent hormonal changes (Foo, 2017). They make urination easier and also shrink the prostate.Benign Prostatic Hyperplasia (BPH) Essay.

SOAP NOTE
Patient Information:
J.M., 63 YO, Male, AA
S
CC: Ihave an increased urination frequency during the day and night. The urge comes after half an hour and I depend on this plastic urinal to prevent leakage since I can’t reach the bathroom on time. I also experience a generalized 6 out of 10 pain around the groin and abdomen and during urination sometimes the burning pain is as much as 8 out of 10. The symptoms began three months ago.
HPI
• Referral to urology services 6 months ago
• Controlled hypertension
• Compliance with current medication
• Current complain, nocturia 2-3 times a night, incontinence, urination urgency, small volume voids and weak urinary system
FH:
Father died of pneumonia, had prostate cancer. Mother has breast cancer. Sister has cervical cancer.
SH:
Does not abuse drugs. Does not engage in physical exercise
Allergies:
Sulfonamide: shortness of breath and hives
ROS
Urinary system: Urinary incontinence bothering, urgency, incomplete bladder emptying, nocturia
O
Vital Signs: HR: 100/60mmHg
Diagnostic results: Elevated levels of Prostate-specific antigen (PSA) in the blood: Ultrasound- Incomplete emptying of bladder
Differential Diagnoses
Benign prostatic hyperplasia
Overactive bladder
Prostatitis
Primary Diagnosis: HBP

Benign Prostatic Hyperplasia (BPH) Essay.

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