Question

write a nursing care olan on the following case study following the rubric

Assessment and Management of Problems Related to Male Reproductive Processes

Joe Smith, a 67-year-old man, is admitted with the diagnosis of adenocarcinoma of the penis. He presents with painless wartlike growth on the skin of the glans of the penis. (Learning Objective #7)

NURSING CARE PLAN RUBRIC

Do not write the NCP using a grid format… use an essay format/ bullet point using the numbers of this rubric.

All NCP will be graded according to the following rubric.

1) Definition of the medical diagnosis __________10

etiology/pathophysiology

2) Common signs and symptoms ___________5

3) Potential complications ___________5

4) Head to toe physical assessment you are to write one….use the data in the case if there is none you create it as if this was your patient. NOT a to do list!

__________10

5) Diagnostic and lab studies ___________5

normal values

expected abnormalities

6) ALL NANADA Nursing diagnoses __________10

7) Develop 3 NANDA priority nursing diagnoses __________10

8) State a patient plan AND goal for each of the __________10

priority nursing diagnosis

9) Write interventions for each of __________10

priority nursing diagnosis

10) Write scientific rationales for you you ___________5

interventions

11) Write evaluation of your interventions __________10

your plan or make changes

12) List of typical medications __________10

category

usual dosage

side effects

patient teaching

Answer 1

Nursing care plan:
Adenocarcinoma is cancer that cancer cells form tissues in the male productive organ. It usually found on the foreskin of the male reproductive organ. It has 4 stages. pathophysiology of this cancer includes HPV infection, being aged above 60 years, poor hygiene, AIDS, tobacco use, not being circumcised. signs and symptoms of this cancer include redness, sores, irritation, pain, bleeding, discharge and lump on the male reproductive organ. complications include necrosis, edema, urethral fistula, and urethral strictures. diagnosis and lab tests include biopsy of the tissue, fine needle aspiration biopsy, X-ray, CT scan, PET scan, ultrasound, MRI to find the tumor the size and location of the tumor. blood test and urine test for culture and sensitivity and to check abnormal level of5-HIAA, chromogranin A test and molecular testing of the tumor.
NANDA nursing diagnosis includes risk of infection, sexual dysfunction, impaired physical mobility, Acute pain, altered urinary elimination, anxiety. Three NANDA priority nursing diagnosis include Acute pain: Reduce the pain and make the patient comfortable with excision of the tissue and by continuous chemotherapy and radiation therapy treatment and administer analgesics for pain and use relaxation therapy to eliminate pain, Risk for infection: strict aseptic technique and keeping the incision area clean and using PPEs to avoid entry of pathogenic organism into the area and check urine culture for infection. altered urinary elimination needs continuous monitoring of urine output, monitor the patient urine frequency, urgency and provide voiding pattern and maintain hydration status. Evaluate the ongoing treatment, any complication, and followup.
chemotherapy and radiation therapy in disease management improve protection intervention from complications and provides long term outcomes. Medications for penile cancer include 5-FU, efudex, and imiquimod. it treats the specific area and the use of chemotherapy anti-cancer drugs to destroy the cancer cells in the body. it causes side effects like fatigue, nausea, vomiting, alopecia, diarrhea, skin rashes, etc. It should be taken in 3 to 4 weeks interval through IV or by oral form. educate the patient to protect the drug in an enclosed system, ensure safe handling, avoid contamination and hygiene precautions and avoid alcohol and smoking. monitor the side effects and inform the doctor if anything abnormal.