Discharge And Home Healthcare Guidelines

PREVENTION. Explain the need to drink fluids to facilitate kidney function and to avoid food and drinks that have diuretic action or are prostatitic. If the physician has prescribed sitz baths, the patient or family needs to know that sitz baths should be taken for 10 to 20 minutes several times daily.

MEDICATIONS. Be sure the patient understands the need to take all prescribed antibiotics. The patient should understand all medications, including the dosage, route, action, and any adverse effects. Remind the patient that the entire course of antibiotics should be completed before stopping the drug.

COMPLICATIONS. Instruct the patient to report fever, hematuria, urinary retention, or difficulty voiding. The patient needs to understand the need for prolonged follow-up to avoid recurrence.

POSTPROCEDURE. If the patient has had surgery or a TURP, teach that urinary dribbling, frequency, and occasional hematuria are not unusual. Explain that the patient will gradually regain urinary control. Remind the patient to avoid heavy lifting, strenuous exercise, or long automobile or plane trips. These situations may place the urinary system under high pressures from bladder distension or abdominal pressure that may lead to bleeding. Usually, the physician requests that the patient abstain from sexual activity for several weeks after the procedures.

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