Prostate Self-Exam
Description:
It's easy for a man to feel his own prostate gland. It's a walnut-sized organ at the base of the bladder. It can be felt with the tip of a finger inserted into the rectum. Its texture and firmness should be similar to that of the flesh between your thumb and the rest of the hand when you make a tight fist. If you feel anything that is as firm as the knuckle, then that needs to be brought to a physician's attention.
Material/Equipments needed:
· Anal lubricant
· Disposable rubber glove
· Soap
· Wash cloth
· Water
Procedure:
Step 1
Relax before initiating the self exam. In order to reach the prostate, it will be necessary to move past the sphincter muscles in the anus. Being in a relaxed state will make it easier for those muscles to relax and allow your finger to reach the area of the prostate.
Step 2
Lubricate the anus. This involves applying a small amount of lubricant to the anal opening and just inside. Lubricating the opening will aid in sliding the finger into the area and help to ease the discomfort that can occur when the opening is stretched slightly. Do not use baby oil or similar products as lubricant. Instead, use an over-the-counter personal lubricant.
Step 3
Put on the disposable rubber glove. hile this is a self examination, it is important to remember that even if you just washed your hands, there may be some residue of bacteria remaining. The sterile rubber glove helps to minimize the chance of introducing foreign bacteria into the anus.
Step 4
Lubricate the finger you will use for the exam. Typically, the index finger is the best choice, as this finger is in a good position on the hand to control easy movement across the surface of the prostate. Use as much lubrication as you like.
Step 5
Insert the lubricated finger into the anus. Move slowly, allowing the sphincter muscles a chance to relax. Choosing to move slowly will significantly cut down on the discomfort.
Step 6
Trace along the surface of the prostate with the tip of the finger. Keep in mind that you are feeling along the surface through the membrane of the anal wall, not touching the prostate directly. Notice any spots where there is a change in texture, or if the prostate seems to be growing. Make note of any irregularities in the size or feel of the prostate that may be present.
Step 7
Withdraw the lubricated finger from the anus. Dispose of the glove and use soap and water to clean the anal opening.
Diagram/ Illustration:
Nursing Responsibilities:
Before procedure
· Wash your hands before doing the procedure to avoid any infection
· Use water not soap for cleaning the breast to avoid irritability
During the procedure
· Avoid on using on putting more pressure on the examination site
· Avoid on scratching
· Use the right pressure on the site
After procedure
· Clean the examination site
· Relax the breast
· Rest after doing the procedure
Reference:
Categories:
Procedures