By Meredith Kazer PhD APRN A/GNP-BC, Lorrie Powel PhD RN

Prostate melanoma is the commonest type of melanoma in American men. The content material of this booklet, built by way of scientific nurse specialists, offers info at the cutting-edge care of fellows with prostate melanoma. Readers will achieve an intensive figuring out of signs, diagnostic tools, cures, and psychosocial results of this disorder. a big concentration of the booklet is on caliber of existence and the nurses' position in bettering this via instructing sufferers and their households tips to deal with universal signs and unwanted effects similar to urinary and sexual difficulties.

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Extra info for Prostate Cancer: Nursing Assessment, Management, and Care

Sample text

DRE and PSA are performed annually; if DRE is found to be abnormal, prostate biopsy is performed. For subjects in the placebo arm, a PSA > 4 ng/ml warrants biopsy. Following completion of treatment, all subjects undergo prostate biopsy. Quality of life, dietary and life style questionnaires are also being collected. A secondary hypothesis of the study is that treatment with finasteride will prevent development of BPH. Finasteride, an inhibitor of the enzyme 5-alpha reductase, may prevent prostate cancer by decreasing androgen stimulation of the prostate gland.

Vitamin E functions as the major lipid soluble antioxidant that protects cell membranes from free radical damage and DNA instability. The most active form of Vitamin E is alpha-tocopherocol, which is also the most abundant and widely distributed vitamin in nature, as well as the most predominant form in human tissue. Vitamin E is present in a wide range of foods, including vegetable oils, margarine and shortening, egg yolks, milk fat, vegetables, nuts, and whole wheat products. Studies are inconsistent with regard to a decrease in association between prostate cancer and Vitamin E, but more consistent information exists regarding the association between Vitamin E with lung and colorectal cancer, where Vitamin E intake is inversely related to risk.

Nurses educate patients about why and how the diagnostic tests are performed and help patients and their families understand the meaning of prostate cancer staging. Such nursing interventions may reduce patients' diagnosis-related stress by helping them to become knowledgeable about diagnostic tests and staging of prostate cancer. 4 Treatment Choices and the Decision-Making Process Maureen E. O 'Rourke First a man must decide what he will not do, only then can he decide what he ought to do. —Meniscus Each year more than 100,000 men in the United States will be diagnosed with prostate cancer and faced with a significant life-changing decision: how to treat their disease.

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