Care of a patient undergoing TURP.
Mr. Paul Fenech a 65 year old pensioner has been diagnosed with Prostatic Hypertrophy that requires surgery.
a. Describe the Anatomy and Physiology of the prostate gland including its functions.
b. Mention the disorders that could affect the prostate gland.
c. Describe the clinical manifestations of prostate hypertrophy.
d. Mention the investigations that are done to diagnose this condition.
e. Describe the possible surgical approaches for removal of the prostate gland.
f. Discuss the preoperative care required from admission until handover including the pre op assessment and physical and psychological care. (Holistic care).
g. Discuss the postoperative care required from handover in theatre until discharge.
h. What possible complications could occur post TURP and how are these prevented or dealt with?
i. Describe what advice should be given prior to discharge.
a. The prostate gland is a lobulated structure which lies in the pelvic cavity in …show more content…
The checklist is designed to ensure that the patient is physiologically prepared for the surgery. Patients are often fearful or anxious about having surgery. It is often helpful for them to express their concerns to the nurses. This can be especially beneficial for patients who are critically ill or who are having a high risk procedure. The family needs to be included in psychological preoperative care. Pastoral care is usually offered in the hospital. If the patient has a fear of dying during surgery, this concern should be expressed, and the surgeon notified. In some cases, the procedure may be postponed until the patient feels more secure. Patients and family who are prepared psychological tend to cope better with the patient’s post operative course. Preparation leads to superior outcomes since the goals of recovery are known ahead of time, and the patient is able to manage postoperative pain more