HCS.214___Week_5___Urinary_System.docx Week 5 Assignment Urinary System University of

HCS.214___Week_5___Urinary_System.docx    Week 5 Assignment “Urinary System  University of Phoenix  HCS/214    Urinary System “ Analyzing a Progress Note  Part 1  Using the following progress note, define the highlighted terms within the chart provided.    This patient is a resident in a nursing home and is being assessed by a local doctor.  Progress Note:  Patient is a 68 y.o. male who is status post laparoscopic radical prostatectomy for prostate cancer. He has a history of incontinence and kidney stones. He returns today for a follow-up and PSA check. PSA from two days ago was less than 0.1. Nursing staff reports in terms of continence, he is doing well. He utilizes one partial pad per day. He has done his Kegel exercise regularly and we have encouraged him to continue with Kegels and do expect a full recovery.   On examination the patient is alert. In terms of potency, he did have a bilateral nerve-sparing procedure and is eligible for recovery of erections. He is interested in this, and we have therefore outlined the therapeutic benefits of medications as well as vacuum pump therapy.   Plan to start Cialis 20 mg every three days and will use the vacuum pump multiple times a week. He does not have contraindications to do these therapeutic treatments. Schedule a follow-up ultrasound and nephrology referral.   Impression: Status post laparoscopic radical prostatectomy with undetectable PSA. Stress incontinence. Erectile dysfunction.   D. George, M.D.  *Do not forget to include the sources for your definitions.