Scenario : S.M. is a 68-year-old man

Scenario : S.M. is a 68-year-old man who is being seen at your clinic for routine health maintenance and health promotion. He reports that he has been feeling well and has no specific complaints, except for some trouble “emptying my bladder.” Vital signs (VS) at this visit are 148/88, 82, 16, 96.9° F (36.1° C). He had a CBC and complete metabolic panel (CMP) completed 1 week before his visit, and the results are listed below. â– Chart View Laboratory Test Results : Sodium —————————————————— 140 mEq/L Potassium ————————————————– 4.2 mEq/L Chloride —————————————————– 100 mEq/L Bicarbonate ———————————————— 26 mEq/L BUN ———————————————————- 19 mg/dL Creatinine ————————————————— 0.8 mg/dL Glucose —————————————————— 94 mg/dL RBC ———————————————————– 5.2 million/mm3 WBC ———————————————————– 7400/mm3 Hgb ————————————————————- 15.2 g/dL Hct ————————————————————– 46% Platelets ——————————————————- 348,000/mm3 Prostate-specific antigen (PSA) ————————- 0.23 ng While obtaining your nursing history, you record no family history of cancer or other genitourinary (GU) problems. S.M. reports frequency, urgency, and nocturia × 4; he has a weak stream and has to sit to void. These symptoms have been progressive over the past 6 months. He reports he was diagnosed with a large prostate a number of years ago. Last month, he began taking saw palmetto capsules but had to stop taking them because they “made me sick.” S.M. returns in 8 months to report that his symptoms are worse than ever. He has tried several different medications, but medication management failed, and he is told that surgical intervention is necessary. S.M. elected to undergo a Gyrus transurethral resection of the prostate (TURP). He did well postoperatively and was discharged to home. 1. Make the concept map -Based on the clinical data you have collected, begin a concept map care plan by developing a basic skeleton diagram of the reasons your patient needs health care. -Write the patient’s reason for seeking health care or hospitalization (usually a medical diagnosis). -Around this central diagnosis, arrange general problems (nursing diagnoses) that represent your patient’s responses to this reason for seeking health care (usually the medical diagnosis). -Draw lines between nursing diagnoses to indicate relationships. Image transcription text PAIN : FLUID & ELECTROLYTE IMBALANCE ; ANXIETY INFECTION : Reason For Seeking Health Care : CARDIAC : ELIMINATI… Show more PAIN : FLUID & ELECTROLYTE IMBALANCE : ANXIETY INFECTION : Reason For Seeking Health Care : CARDIAC : ELIMINATION : OXYGENATION : IMMOBILITY : 2. Formulate two nursing diagnosis with its complete components -Assessment- subjective and objective -Nursing Diagnosis- what related to what as evidenced by -Goal of care- use SMART FORMAT -Nursing interventions- independent, dependent, interdependent, -Patient response -Nursing evalution- goal met/ goal partial met/ goal unmet 3. Do the medication list. ( Trade / Generic Name & Dose, Classification, Indication / Action, Side Effects, Special Considerations) 1. finasteride 2. tamsulosin

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