Posted: September 17th, 2023

Discussion – Male Reproductive Disorders

MD3 Module 02 Discussion – Male Reproductive Disorders
Jose is a 55-year-old Hispanic, male, migrant worker who speaks limited English. He presented to the emergency room with complaints of edema of the scrotum, urinary retention, and hematuria. He does not have any pertinent past medical history. He is married and has five young children. He states he has been having problems for a while but delayed seeing the doctor because of his work schedule and limited money. The doctor performs a digital rectal examination in the office and finds that Jose’s prostate is enlarged. Discuss three potential barriers that you would anticipate when providing care to Jose based on his age and culture. Provide an example of how you would overcome each of the three barriers through the implementation of multidimensional care strategies. Directions:
Jose is a 55-year-old Hispanic, male, migrant worker who speaks limited English. He presented to the emergency room with complaints of edema of the scrotum, urinary retention, and hematuria. He does not have any pertinent past medical history. He is married and has five young children. He states he has been having problems for a while but delayed seeing the doctor because of his work schedule and limited money. The doctor performs a digital rectal examination in the office and finds that Jose’s prostate is enlarged.

Initial Post
Male reproductive disorders can make a great impact on the patient’s life. Based on the case study, answer the following questions in your discussion post.

Discuss the potential disease processes and signs and symptoms related to the disease process that Jose may be exhibiting?
How would you provide multidimensional care to include cultural, psychosocial, spiritual, physical, and emotional needs for Jose?
Reply Post
Discuss three potential barriers that you would anticipate when providing care to Jose based on his age and culture.
Provide an example of how you would overcome each of the three barriers through the implementation of multidimensional care strategies

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Male Reproductive Disorders
Male reproductive disorders encompass a wide range of conditions that can impact a man’s health and quality of life. This paper will examine benign prostatic hyperplasia (BPH) as a common disorder among aging men. BPH causes urinary symptoms due to an enlarged prostate gland. Cultural considerations in diagnosis and treatment of Hispanic patients will also be discussed.
Case Study
A 68-year-old Hispanic male presented to the emergency department with complaints of difficulty urinating and blood in his urine over the past month. On examination, his prostate was noted to be enlarged. His symptoms align with BPH. Left untreated, BPH can lead to urinary tract infections, kidney damage, and other complications.
Providing Culturally Competent Care

Several factors are important to consider when treating Hispanic patients. Language barriers may exist, necessitating a translator for accurate communication (Schouten et al., 2020). Cultural beliefs also influence care; asking about gender preferences for examinations shows respect. Hispanic norms like addressing patients by last name promote understanding.
Potential Barriers and Mitigation Strategies
Language differences, cultural beliefs, and patient factors could pose barriers. A translator addresses language issues. Finding a provider familiar with Hispanic culture helps navigate cultural norms. Allowing choice of practitioner gender mitigates potential embarrassment.
Discussion
BPH is a common cause of urinary symptoms in aging men. Holistic, patient-centered care is needed to effectively diagnose and manage the condition in diverse populations. Mitigating barriers like language and cultural differences through multidimensional approaches leads to better health outcomes.
Conclusion
In summary, BPH should be considered for the patient’s urinary symptoms. Providing culturally competent care through strategies like translation and respecting cultural beliefs optimizes care for Hispanic patients.
References
Schouten, B. C., Cox, A., Duran, G., Kerremans, K., Banning, L. K., Lahdidioui, A., … & Krystallidou, D. (2020). Mitigating language and cultural barriers in healthcare communication: Toward a holistic approach. Patient Education and Counseling, 103(12), 2604-2608. https://doi.org/10.1016/j.pec.2020.05.001
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Lokeshwar, S. D., Harper, B. T., Webb, E., Jordan, A., Dykes, T. A., Neal Jr, D. E., … & Klaassen, Z. (2019). Epidemiology and treatment modalities for the management of benign prostatic hyperplasia. Translational Andrology and Urology, 8(5), 529. doi: 10.21037/tau.2019.10.01 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6842780/#!po=46.5517

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