NUR 2502 Multidimensional Care III MDC III Exam 1 Module 1-3 1. Prostate Cancer lab tests •PSA •Urinalysis •Serum Alkaline Phosphatase (indicator of bone mets) 2. Prostate Cancer screening •HIGH risk (1st degree relative) possibly starting at 40 •Moderate risk consider starting at age 45 •All men at 50 3. Prostate Cancer signs and symptoms None in early stages Symptoms initially reported are similar to BPH LATE symptom - gross hematuria Metastatic disease may cause lumbosacral symptoms 4. Prostate Cancer risk factors Age African-American Diet & obesity (possible) Family history 5. Prostate Cancer post op care Monitor: for hemorrhage, infection, drain output, site, Urine output Control pain Prevent constipation Prevent DVT Mobilize Address psychological / sexual concerns 6. Testicular cancer Nursing care and education High risk for infertility Discuss sensitively Discuss early Consider cryopreservation of sperm 7. Sexually transmitted infections nursing care and education •Education •Prevention •Completing treatment plan - complete meds and follow up •Testing •Don't spread - no sex until infection clear / antibiotics done - usually at least 7 days •Let partners know •Hygiene practices •Inform patient of reporting requirements 8. Sexually transmitted infections risk factors High risk populations Women Sexually active gay men Less than 25 years old Prisoners Victims of sexual assault High risk behaviors New or multiple sex partners More than 1 sex partner & partners sex history Sharing needles (blood borne illnesses) Alcohol / drug abuse Inconsistent / incorrect condom use High risk medical history Not receiving available vaccines Previous STIs STI are sexually transmitted - so vaginal, anal, or oral sex must occur for almost all (or have non-penetrating sexual activity) 9. Syphilis signs and symptoms •Primary syphilis - sore(s) at the original site of the infection. Sores are usually firm, round, and painless. 10-90 days after inoculation •Secondary syphilis - systemic infection. •Skin rash, swollen lymph nodes, fever, headache, body aches - general flu-like symptoms. Can have cutaneous lesion or moist weeping papules. Can have mucous patches. Can be mild and unnoticed. •Latent syphilis (part of secondary syphilis) - the immune system is able to suppress the infection - asymptomatic again •Tertiary syphilis - •SEVERE medical problems that can affect the heart, brain, or other organs •1-20 years after initial infection •Less common due to antibiotics 10. Syphilis Care treatment Antibiotics - Benzathine penicillin G (doxycycline or tetracycline in penicillin allergy)