Fourth, the clinician develops an intervention plan that aims at treating and alleviating the symptoms, as well as prevention and management of the disease process to avoid future complications. An interdisciplinary collaboration is crucial in addressing the patient needs. Mr. A requires an APN in collaboration with the urologist to better diagnose and treat his condition. Lastly, the clinician set up follow-up visits to evaluate patient progress.
The patient social-cultural background such as education, income, occupation, ethnicity and cultural beliefs may impact how they perceive and respond to their health conditions. The socio-cultural background therefore determines patient’s experience, and definition of health and illness, access …show more content…
To better diagnose and manage symptoms of the BPH, the authors recommended that, clinicians should obtain a thorough history and perform a physical examination which includes DRE and assessment for bladder distention and neurological impairment to rule out causes of LUTS independent of BPH. In addition, clinicians should perform test for men with symptoms of BPH, which include serum PSA and urinalysis. Further, clinician should prescribe alpha blockers as first-line of treatments for patient with bothersome, moderate to severe symptoms of BPH. If alpha-blocker monotherapy is ineffective, clinician should add a 5-alpha reductase inhibitor in the treatment therapy. However, the authors disapproved the use of complementary and alternative treatments such as saw palmetto in management of BPH, as well as checking for serum creatinine measurement was not indicated since the incidence of baseline renal inadequacy in men with BPH is comparable to that in the general population (Pearson, & Williams, …show more content…
The care plan enables appropriate and timely interventions, improves communication between the clinician and the patient, supports self-management, helps with evaluation of the success or downfall of the treatment offered, and enables referral to other services if indicated. Several factors should be addresses when completing a comprehensive assessment of the patient with BPH. The factors include the patient physical concerns such as pain, and sexuality; the practical concerns such as work, responsibilities, and money; the family and relationship concerns with spouse, children, friends, and others; the emotional concerns if there is loneliness, isolation, sadness or depression, and the lifestyle concerns such as exercise and activity, and support groups (Young, Smith, & Wilkinson,
The patient social-cultural background such as education, income, occupation, ethnicity and cultural beliefs may impact how they perceive and respond to their health conditions. The socio-cultural background therefore determines patient’s experience, and definition of health and illness, access …show more content…
To better diagnose and manage symptoms of the BPH, the authors recommended that, clinicians should obtain a thorough history and perform a physical examination which includes DRE and assessment for bladder distention and neurological impairment to rule out causes of LUTS independent of BPH. In addition, clinicians should perform test for men with symptoms of BPH, which include serum PSA and urinalysis. Further, clinician should prescribe alpha blockers as first-line of treatments for patient with bothersome, moderate to severe symptoms of BPH. If alpha-blocker monotherapy is ineffective, clinician should add a 5-alpha reductase inhibitor in the treatment therapy. However, the authors disapproved the use of complementary and alternative treatments such as saw palmetto in management of BPH, as well as checking for serum creatinine measurement was not indicated since the incidence of baseline renal inadequacy in men with BPH is comparable to that in the general population (Pearson, & Williams, …show more content…
The care plan enables appropriate and timely interventions, improves communication between the clinician and the patient, supports self-management, helps with evaluation of the success or downfall of the treatment offered, and enables referral to other services if indicated. Several factors should be addresses when completing a comprehensive assessment of the patient with BPH. The factors include the patient physical concerns such as pain, and sexuality; the practical concerns such as work, responsibilities, and money; the family and relationship concerns with spouse, children, friends, and others; the emotional concerns if there is loneliness, isolation, sadness or depression, and the lifestyle concerns such as exercise and activity, and support groups (Young, Smith, & Wilkinson,