This thesis will explore what knowledge a nurse must have for the management and the education of a patient who underwent radical cystectomy with creation of urinary diversion. The aim of this paper is to define bladder cancer, radical cystectomy, as treatment modalities for patients with high-grade urothelial tumor, the differ types of urinary diversion cited in literature with the physical and functional consequences.
It proposes to subdivide the nursing care at different stages pre and post surgery, with the intent to identify interventions that promote the welfare, the education and prevent complications, wich it will continoue throughout the follow-up. The method used is the systematic literature review, such as The Cocrhane, articles from Pub Med, CINAHL, Elsevier, RNAO guidelines and textbooks. The keywords used are: bladder cancer, radical cystectomy, incontinent urinary diversion, continent urinary diversion and orthotopic neobladder.
The objective that the nurse must achieve is: the patient’s ability to accept the pathology, addressing the operation and manage urinary diversion. It is important that the patient is informed with the clinical course, therapeutic choose and advantages and disvantage that come with it. He has to play an active role to the protection and prevention of his health. The nurse must put the patient in a condition to manage autonomy its own physical decline, through an effective, educational, technical and relational therapeutic relationship. The relevance of the educational action in the nursing care is expressed in the opportunity it offers to the sick person does not simply receive information, but to acquire full consciousness of their condition, to be able to adapt to it and to recovery autonomy.
