Patient Education Plan Essay example

1207 Words Mar 15th, 2012 5 Pages
Patient Educational Plan
Tom Gremling
NUR/427 HEALTH AND CHRONIC DISEASE MANAGEMENT
April 17, 2011
Sharnee Moore-Jervis

Patient Educational Plan
Patient Description: Jorge Sanchez
Jorge Sanchez is a 53 year old Hispanic male, naturalized citizen from Mexico. He completed high school here in the United States, but struggled as English is his second language. He lives in Mesa, Arizona with his wife, mother, and three children. His wife was born here in the United States and works as a Realtor, she handles much of the family’s finances, health information and scheduling. He works as a concrete finisher and has been for 25 years. His family history includes coronary artery disease and renal problems. His father died at age 79 of an
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BPH occurs primarily in older men, affecting 50% of men over the age of 60 and 80% of men over the age of 70. BPH is rare in men under the age of 40. Complications of BPH include bladder stones, prostatitis, hematuria, urinary retention, and renal failure. BPH is diagnosed based on patient history and a variety of tests, including digital rectal examination (DRE), prostate-specific antigen (PSA) blood test, ultrasound, and prostate biopsy. BPH must be differentiated from prostate cancer (CaP), urinary tract infection (UTI), prostatitis, urethral stricture, overactive bladder, neurogenic bladder, bladder cancer, poorly controlled diabetes, and neurologic conditions that produce neurogenic bladder and bladder symptoms (e.g., Parkinson’s disease, diabetic autonomic neuropathy, multiple sclerosis, spinal cord injury)( Auffenberg et al 2009).
Due to extensive work done recently in understanding the natural history of BPH and the knowledge of physiological effects of various medical interventions has greatly helped us in choosing therapeutic options for individualized treatment. This has resulted inconsiderable reduction in the rate of transurethral prostatectomy seen during the last couple of decades. Development of adrenoceptor blockade and hormonal manipulation has moved increasing number of men away from surgery towards

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