Benign Prostatic Hyperplasia (BPH) and Parkinson’s Disease (PD) - Nursing Assignment Help

Assignment Task:

Task:

Presenting complaint

Peter Stacy aged 76 yrs, is admitted to your emergency department complaining of lower abdominal pain and a persistent urge to void. A provisional diagnosis of urinary retention and possible urinary tract infection (UTI) secondary to Benign Prostatic Hyperplasia (BPH) is made by the admitting doctor. You are asked to prepare the equipment for insertion of an indwelling catheter (IDC).
 

Past medical history and subjective data.

Peter’s wife tells you that his condition is deteriorating, and he is finding it increasingly difficult to meet his ADL’s. You notice that when he walked into
the ward his gait was shuffling with marked bradykinesia and he had a stooped posture. On examination he has a blank inexpressive face, speaking in a monotone voice.

Pathophysiology

Discuss the pathophysiology and diagnosis of BPH. Include in your answer the pathophysiological changes that have contributed to Peter’s urinary retention and risk of UTI. Discuss what other probable causes of urinary retention are specific to Peter? Support with rationale and evidence-based research.
 

Pharmacology

Discuss how the medications Peter is currently prescribed help manage both his BPH and PD. Include in your answer mechanisms of action, normal dosage, ADR’s and any specific nursing and poly pharmacy considerations. (DO NOT USE TABLES)

Specific Assignment instructions

The aim of this case study presentation is to provide an opportunity for you to apply your new knowledge of specific disease pathophysiology, diagnosis and treatment (pharmacological, non-pharmacological, nursing and allied health professional interventions ) to a “real life” clinical scenario.

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