Patient Education Plan for Benign Prostatic Hyperplasia

Patient Education Plan for Benign Prostatic Hyperplasia

Lorena Lee, R. N.

NUR/427 Health and Chronic Disease Management

July 25, 2011

Dr. Shannon Smith

Case History:
John Smith is a 67year old White male in general good health.   John came to see his doctor because of urination problems.   His complaint is an urgency and the inability to urinate, at times he dribbles and when he does urinate it takes an effort and at times painful.   It has begun to interrupt his life because of the feeling of a need to go to the bathroom all the time.   He believes that he was having difficulty sexually.
After the doctor asked John about his symptoms and did a rectal examination, the doctor ran a urine test to rule out urinary tract infection he diagnosed John with Benign Prostatic Hyperplasia (BPH).   John has no history of drugs and alcohol abuse; he did smoke cigarettes, but quit 15 years ago.   No reported heart or lung problems. John has not had any surgeries in his life-time, and is up-to-date with all of his immunizations. John walks one to two miles three times a week and stays active at a local senior center and church when he is not traveling with his wife.  
John is married, has two adult children, and four grandchildren.   His family is very supportive.   He has an Associate’s degree in business.   He worked in a bank for 40 years, retiring six years ago.   Since retirement, John and his wife traveled.  
His family history indicates that his father (deceased), and his only brother (living) had or has BPH.   John states that he knows his brother has problems urinating, but does not know much about BPH.   The doctor has decided to try oral medication at this time because the rectal examination revealed only slight enlargement of the prostate.  
According to Erik Erikson’s developmental stages; John is in “Late Adulthood: 55 or 65 to Death; Ego Development Outcome: Integrity vs. Despair:   Basic Strengths: Wisdom” (The development Stages of Erik Erikson, para....