Nursing 213

N213: Health Differences Across the Lifespan 3 Study Guide Nursing diagnosis for epididymitis: • Altered body temperature related to fever, secondary to infection • Pain related to inflammation and swelling • Risk for ineffective management related to knowledge deficit of the disease and treatment Nursing interventions for epididymitis: • Frequently assess pain levels and provide analgesics per MDorder • Give antibiotics per MD order; if the infection is STD related all sexual partners need to be treated with antibiotics • Apply ice packs to the scrotum area • Elevate scrotum and encourage complete bed rest • Offer sitz baths after acute phase has ended • Encourage patient to avoid sexual activity or strenuous activity • Prepare patient for possible surgical intervention: o Epidiymectomy/epididymis excision Expected outcomes for epididymitis: • Patient demonstrates stable vital signs and normal body temperature • Verbalizes increased comfort and decreased pain • Patient demonstrates compliance with antibiotics • Verbalizes an understanding of the disease process, treatment plan, and pain relief measures Prostatitis This is an inflammation and infection of the prostate gland. It can also happen with prostatic hyperplasia or urethral stricture. Bacteria, mycoplasma, or fungal infections are the main causative factors and it is most common in men under the age of 50. There are three types of Prostatitis: • Acute bacterial prostatitis: Prostatitis caused by bacteria. Usually staphylococci, enterococci, or Escherichia coli. • Chronic bacterial prostatitis: Usually gram-negative bacteria, which cause urinary tract infections. • Chronic abacterial prostatitis: The cause cannot be found. In cases of bacterial prostatitis, sexual partners may be the cause. Bacteria can travel up the urethra causing urinary tract and prostate infections. Sexual partners that have chronic urinary tract infections can also be the cause of chronic prostatitis in men.

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