Special nursing care of patients with orthotopic bladder in the postoperative period

Abstract

Bladder cancer is one of the main problems in urology in terms of diagnosis and treatment, due to its high in­cidence and its course of development. Bladder cancer ranks fifth as the cause of death from malignant cancer (1.2% for women and 4.0% for men). Radical cystectomy has become the primary method for the treatment of invasive bladder cancer.

AIM: The aim of this paper is using the general experience, to make tabular algorithm of early and late postop­erative urological nursing care of patients with radical cystectomy and orthotopic substitution

MATERIALS AND METHODS: Our research is based on: Olivia Herdiman et al. and the Clinic of Urology at the St. Anna University Hospital, Varna for the period 2012-2016. Our methods include: a documentary meth­od, observation, and analysis conclusions.

Referring to the presented special urological nursing care of the postoperative period of orthopic bladder in the report we can arrive at the conclusion that:

1. Special urological care is intensive and patients need overall treatment.
2. An educated and observant urologic nurse can avoid much of the postoperative complications with timely and quality health care.
3. After cystectomy and orthotopic replacement patients need psychological, family and social support. 
4. After cystectomy, patients need to be trained by a urologic nurse to monitor urination, fluid intake and ad­here to a proper diet. The instructions include involving a relative to have as a support outside the hospital. 
5. Advantages of the algorithm for early and late postoperative complications: 

• contributes to the analytical and clinical way of thinking of urologic nurses; 
• reduces the period of hospitalization of the patient; 
• reduces the cost of postoperative recovery; 
• provides quality health care; 
• increases confidence in the team;
•  increases the trust of the patient.