Urinary Control After Surgery - Essay Example

"Urinary Control After Surgery" is an outstanding example of a paper on surgery and rehabilitation.
Mr Q has a lot of strength in his level of education, experience in terms of his age, support systems, and no other medical issue other than the type of surgery that he is going through. His cancer was also detected at an early stage. He does a lot of exercise in addition to feeding healthily. Mr Q does not smoke but takes some little alcohol, but most importantly, he has a life insurance policy cover. However he has a lot of weaknesses on his race, glaucoma, his family has a lot of diabetes and hypertension history. He does not have children and does not even show signs of having children in the future.

Client Strength

Mr Q has no other complication in health issues other than the problem of prostate cancer that increases as his age goes up. Because he is diagnosed, his relatively younger age might work in his favour through being able to withstand the stress that is associated with the surgery. He has the ability to understand the risk behaviours that may make his condition worsen and hence, it is most likely that his session with the doctor will be fruitful.

Areas of Concern

Research indicates that most men have the highest risk of developing prostate cancer. There is very much concern that the race of Mr Q could have played a role in predisposing him to the problem of prostate cancer. The first time of the prostate cancer, men tend to indicate some signs of the deterioration in sexual and family relationship domain. Over the time, Mr has had a good history of sex life with his wife and has to withdraw his support now as the symptoms of the prostate cancer like problems in passing urine and a lot of pain in starting or stopping the stream have started. In addition the pain with ejaculation, back pain may also be a problem.

Health Teaching Topics

The patients must be prepared for what they expect before, during and even after the surgery. They may be finishing a course that is related to antibiotics at their places of stay so that the importance of taking them as instructed by the doctors are stressed (Diers, Hendrickson, & Rimar, 2013). There could be possibilities of complications and therefore this could provide an opportunity to be taught how to report the fever, chills or even bloody urine after the first day of the post-procedure. They will be taught how to avoid strenuous physical activities for the first one day after the procedure and the importance of drinking a lot of fluids unless contraindicated.

Nursing Care Plan
Diagnosis

Some few diagnoses from the nurse may include risk for stress urinary inconsistency that is related to the surgical procedures

Plan

One of the objectives will be to make the patients avoid at least 500mL of urine in every one hour without any retention. This will assist in demonstrating the behaviours to regain bladder or urinary control.

Intervention

Actions/ interventions

Rationale

The urine output and the catheter or the system of drainage can be assessed.

Retention con is seen mainly because of the oedema of the area of the surgery and the bladder spasms.

The patients can be assisted to assume their normal positions so as to avoid issues like standing and even walking to the bathroom frequently after the removal of the catheter.

To encourage and promote the sense of normality and urine passage

The patients to take a minimum of  1500mL of the fluids every day

It will encourage urinary output and discourage the growth of the bacteria

Evaluation

Some good friend can assist the patients with some care of the drainage bags and remind them to carry out their Kegel exercises many times in a day while the catheter is still in place. The problem of leaking urine may take several weeks to resolve. They may also seek for maintenance of balanced intake and output as the doctor monitors the urinary elimination like the volume, smell and even the colour of the urine