Time Specific Content Teacher Students A.V.

Evaluation
Objective Activities Activities Aids
1 min Self Introduction
Myself Shilpa puri ,Second year MSc nursing student as a part of our nursing
curriculum today I will deal with one topic.
1 min Introduction
Introduce Introduced Listen Black
topic  The prostate gland is part of men’s reproductive system or accessory sex the topic by board
gland and it makes fluids during that mixes with sperm and make sperm’s asking
color white and improve sperm quality. questions

2 min Announcement of the topic

 Any change in cell structure or alteration in DNA of cells of prostate gland
cause prostate cancer.

5min
Define Explain Taking B What is prostate
prostate DEFINITION OF PROSTATE GLAND: definition. notes cancer?
gland L

 Prostate cancer is abnormal cell growth of prostate gland. A

Asking Answers the
 Prostate cancer cause by changes in the DNA of a normal prostate cell & question. questions C
most of prostate cancer are adenocarcinomas (95%).
K
 Prostate cancer is second most common cancer in men after lungs cancer.
B
 It seen in 60-80 years of age.
O

A
 Explain the R List out
etiology of Etiological of
5min prostate D prostate cancer?
ETIOLOGY OF PROSTATE GLAND:
gland

 Advance age specially more than 60 year of age

 Family History of Prostate cancer
 Genetical Factor: PCAP & HPC1
 Hormonal Factors: like increase level of Androgen.

Explain
patho
5min physiology of PATHOPHYSIOLOGY:
prostate
cancer
Due to Etiological factor (Advance age, increase level of androgen)

Abnormal growth of prostate gland cell due to DNA mutation

Enlargement of prostate gland cause compression & narrow the

bladder neck

Partial or complete Obstruction of urinary bladder neck

 List out CLINICAL MANIFESTATION:
5mim common sign Enlisted clinical
and “Hi Dr FUN” features of Pca?
symptoms of
H- Hesitancy
prostate
cancer. I- Incomplete emptying bladder

D- Decrease force of steam

D- Dribbling

F- Frequency (>8 times in 24 hours)

U- Urgency (strong need to urinate immediately)

N- Nocturia (frequency of urination at night)

LATE SIGN & SYMPTOMS:

 Hematuria or Pusuria

 Severe bony pain.

 List out
diagnosis Diagnosis prostate cancer:
procedure for
prostate
 History & Physical examination
cancer
4min.  Prostate specific Antigen (PSA) What is common
diagnostics
 Prostate Acid Phosphatase(PAP) procedure for
Pca?
 Digital Rectal Examination (DRE): Smooth vs Harder

 Transrectal Ultrasound (TRUS) : To reveals size & mass

 Biopsy (12 Quadrant biopsy)

 Dexa scan (Dual Energy X-ray Absorptiometry)

List out TNM TNM STAGING FOR PROSTATE CANCER:

& Gleason
score for
prostate TUMOR SIZE (T)
cancer
 T1: it indicates that cancer is too small in size.
5min.
 T2: It indicates that prostate cancer is completely inside the prostate gland.

 T3: it indicates that cancer has broken through capsule of prostate gland.

 T4: It means cancer has been spread into other body parts such as bladder,
pelvic wall.
  NODE (N):

 N1: It mean cancer cell in Lymph nodes near the prostate.

 METASTASIS (M)

 M0: it means the cancer has not spread to other parts of body.

 M1: it means the cancer has been spread to other organ of body.

 STAGE 1: T1, N0, M0

 STAGE 2: T2, N0, M0

 STAGE 3: T3, N0, M0

 STAGE 4: T4, N1,M1

MANAGEMENT OF PROSTATE CANCER:

Explain
Medical &
Nsg Surgical management:
management
for prostate  Radical Prostatectomy: it is remove whole prostate gland.
cancer
 Transurethral resection of prostate (TURP) it is remove parts of prostate Explain the
gland. Surgical,Medical
& Nsg
5min.  Orchiectomy: it is done to limit production of testosterone management for
Pca?
 PHARMACOLOGICAL INTERVENTION FOR pCA:

 Alpha blocker: Terazosin, Prazosin, Tamsulosin, Doxazosin

 5 Alpha Reductase inhibitors drugs: Finasteride, Dutasterine

 Radiotherapy: it is use along with prostatectomy & these are two type

5min.
 External beam radiotherapy: this is uses high energy X-ray from outside the
body

 Brachytherapy: In this Radioactive seeds are planted inside the prostate

gland

 Androgen deprivation therapy: prostate cancer cell usually require androgen

hormone for growth. (Cyproterone, Flutamide.Nilutamide

Nursing management:

 Monitor the patient for urinary frequency, urgency, Nocturia & Force of
stream.

 Monitor Abdomen for bladder distention.

 Instruct the patient to avoid anticholinergic drugs because they cause urinary
retention.

 Monitor for pain.

3min.
  Observe for hemorrhage, change in vital sign after surgery.

 Maintain patency of the catheter

 Monitor output and administer stool softener to prevent pressure on the

.
operative site.

 Maintain the suprapubic and cystotomy catheter after suprapubic

prostatectomy.

 Explain that development of secondary female characteristic will occur as a

result of Estrogen therapy.

 Monitor for Evidence of Metastasis.