Nursing process for a patient post-operative transvesical prostate adenomectomy for benign prostatic hyperplasia. Lima -2020

Abstract

Introduction: transvesical prostate adenomectomy is the surgical procedure in patients with a very large prostate and with decreased lumen of the bladder neck. It is an open surgery with a suprapubic abdominal incision to remove the prostatic adenoma.Objective: to describe the nursing process to respond to the real and potential needs of a patient post-transvesical prostate adenomectomy with a diagnosis of benign prostatic hyperplasia. Methods: qualitative study, single case, carried out on an 81-year-old male patient, developing the five stages of the nursing process. The assessment was carried out through Marjory Gordon's functional health patterns. To prepare the diagnoses, plan and care interventions, the NANDA, NOC and NIC taxonomy was considered respectively, the evaluation was obtained by applying the difference between the baseline and the final Diana scores. Results: it was proven that postoperative pain is an ailment that requires nursing interventions with updated scientific knowledge to guarantee specialized and quality care. Nursing interventions against the deterioration of gas exchange were aimed at optimizing oxygenation and ventilation. Interventions to reduce infection were aimed at identifying risks and taking actions to reduce exposure to pathogens; like hand washing. Within the five nursing diagnoses found, three were prioritized: impairment of gas exchange, acute pain and risk of infection, based on the SSPFR format (signs and symptoms, problem and related factor, problem at risk and associated condition); The administration of the care plan was applied, achieving the improvement and change score of +1, +1 and +1 successively in each diagnosis. Conclusions: the nursing care process showed results in favor of the patient's evolution, it also shows this process as the scientific and practical tool that allows the nurse to plan and execute individualized and systematic care plans in the face of a specific situation, in order to resolve or prevent the patient's needs