Nursing is one of the most challenging professions that requires utmost dedication to navigate through.
Nursing is one of the most challenging professions that requires utmost dedication to navigate through. This is mainly due to the overwhelming workload associated with the profession and the psychological impact that the profession has on professionals. The challenges are even heightened when it comes to NP students due to their lack of experience of practice. I would describe my experience during my routine clinical this week as thrilling yet challenging. Whereas I had a great learning opportunity interacting with different patients and other professionals and did not encounter any significant challenge.
70-year-old male presented to the clinic with symptoms of burning sensation during urination, frequency, urgency, and sometimes difficulty starting stream and dribbling. The patient provided relevant information about his current health condition including the signs and symptoms that he is currently experiencing. The patient’s vital signs were within normal limits. A careful review of the medical history of the patient was also reviewed to uncover any underlying health conditions that could have led to the current problem. A DRE was done which showed slight enlargement of the prostate gland. A CMP, PSA were collected, and a urinalysis with C&S to examine the respective components of the urine since his symptoms were directly linked to the urinary tract.
After careful analysis of the patient’s symptoms, I suggested these three possible diagnoses: Urinary tract infection, prostatitis, and benign prostatic hyperplasia (BPH). UTI is presented as differential diagnosis in this case because of the multiple symptoms such as pain in the urethra while urinating, and increased urge to urinate (Lala & Minter, 2019). For prostatitis, symptoms may resemble those of UTI, such as pain and burning during urination. The rationale for incorporating BPH in the diagnosis of this patient’s condition is the presence of pain in the urethra, the increased urge to urinate more frequently, dribbling, as well as the slight prostate enlargement.
The care plan for the patient will involve using over-the-counter analgesics such as acetaminophen to manage the patient’s pain and alpha-blockers such as tamsulosin to relax the smooth muscles of the prostate and the bladder and neck to enhance urine flow (Caruso, 2021). The use of antibiotic therapy using trimethoprim-sulfamethoxazole while waiting for the urine culture results. Consequently, the plan will include recommendations for lifestyle adjustment, prohibiting caffeine, alcohol, spicy food, and encouraging increased fluid intake during the day. The patient was also encouraged to exercise regularly to help improve urinary symptoms associated with BPH. A follow up appointment is also made to review labs, monitor symptoms and adjustment of treatment as needed. Regular prostate exams and PSA is recommended to screen for prostate cancer. Possible referral to urologist could be made during the next visit.
For health promotion intervention, educating the patient to adhere to the medication, increase their fluid intake, and modify their diet (Caruso, 2021). The patient will also be supplemented with emotional support through follow-up care to prevent the recurrence of the infection.
From this week’s clinical experience, I learned that working closely with colleagues, especially in areas that you are not good at, is imperative to ensure that the patient’s health is not compromised.
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