Aubrey Rose A. Vidon BSN 3Y1 - 2
Aubrey Rose A. Vidon BSN 3Y1 - 2
Aubrey Rose A. Vidon BSN 3Y1 - 2
VIDON
BSN 3Y1 – 2
Case Analysis
Dr. Santos is a 62 year old dentist who runs a busy practice in the City of Baguio. He had been a
smoker for 30 years but recently quitted. For some time he had noted little blood spots of blood in his
urine, but did not have pain, so he attributed it to some prostate problem he had in the past. Dr.
Santos hears a couple of his patient discussing a mutual friend with bladder cancer who has similar
symptoms, and this prompts him to visit his family physician for checkup. After several test and
cystoscopy, Dr. Santos was diagnosed with early stage of bladder cancer.
1. What do you think is the risk factor did Dr. Santos have for bladder cancer?
He had been smoker for 30 years and his age is one of the risk factor.
3. Since his cancer was directed early, what may be the treatment option for his case?
The beginning phase of bladder cancer growth is frequently treated with transurethral
resection (TURBT) with fulguration followed by intravesical treatment inside 24 hours.
4. If it happens that Dr. Santos cancer become invasive, what other option will be available for
treatment?
At the point when bladder cancer has become invasive, the most well-known treatment is
medical procedure to eliminate the whole bladder. Different medicines, for example,
chemotherapy, might be given previously or after medical procedure. Some bladder
diseases might be treated with a mix of chemotherapy and radiation treatment as it were.
5. Describe the nursing implications and care required if Dr. Santos will need to have
cystectomy?
The nursing implications for Dr. Santos are assisting him defining the vulnerabilities or risk
factors for poor surgical outcomes. If Dr. Santos vulnerabilities cannot be lessened, they
need to at least be identified so they can be managed in the complexity of the perioperative
environment. Also if he require radical cystectomy with urinary diversion, offer support and
reinforcement of the information.
6. How will you explain this procedure to the family?
I will explain to his family that cystectomy is a surgery to remove the urinary bladder. In Dr.
Santos case, removing the entire bladder typically includes removal of the prostate and
seminal vesicles and I will mention that it usually takes 4 to 8 hours to complete this
operation. I will also explain if his bladder was removed because of cancer, usually the
prostate and the tubes that carry semen are taken out as well. He can still have an orgasm,
but he won't ejaculate.