TEACH FOR NURSES LESSON PLAN
Chapter 26: Anus, Rectum, and Prostate
CHAPTER OBJECTIVES
1. Summarize the anatomy of the anus and rectum.
2. Describe the prostate gland.
STUDENT RESOURCES
understand
• Textbook Chapter 26
• Sherpath for Medical-Surgical Nursing*
• Animations (Evolve website)
• Answer Keys: Study Guide & Lab Manual
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apply
• Case Studies (Evolve)
• Elsevier Adaptive Quizzing*
INSTRUCTOR RESOURCES
before class
• Nursing Curriculum Standards (below)
in class
• PowerPoint Presentations (Evolve)
• Image Collection (Evolve)
• Learning Activities (below)
* Sold separately from textbook.
TEACHING STRATEGIES
Content Focus
Content Highlights
Learning Activities
ANUS AND RECTUM
PROSTATE
Discuss the anal canal,
explaining the presence of
somatic sensory nerves
prostate during sexual
• Activity: Have students conduct classes on colorectal and prostate cancer screening.
• Online Activity: Have students find a video of a colonoscopy online. (Try the Mayo Clinic website.)
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TEACHING STRATEGIES
Content Focus
Content Highlights
Learning Activities
prostate cancer.
intercourse. Discuss
prostate problems that
arise as men age.
Explain the gastrocolic
reflex. Discuss what makes
the prostate gland double
in size at puberty.
Review additional
questions necessary for
the evaluation of children,
explaining that sometimes
changes in bowel habits
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TEACHING STRATEGIES
Content Focus
Content Highlights
Learning Activities
(e.g., sudden encopresis)
can be a sign of sexual
trauma.
are ways to prevent it.
Palpate the Anus and
Rectum
DEVELOPMENTAL
should feel and what types
of laboratory tests are
necessary.
IN-CLASS/ONLINE CASE STUDY
M.L. is a 50-year-old man who presents to the family practice for a yearly physical examination. The patient has noticed a change in bowel
movements. He states that his stools are dark colored and that he has been passing gas more frequently. His last bowel movement was this
morning before the office visit. He has no other complaints at this time. The patient has a past medical history of depression and hemorrhoids.
Vital signs are T 97.5, P 85, R 16, and BP 110/55.
1. What subjective information should the nurse obtain?
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Answer: Further information is needed regarding the bowel movements. Ask the patient whether he has any trouble straining at stool,
2. The nurse is preparing to perform the physical examination. What are the major structures of the anus and rectum?
Answer: The anal canal is a 3.8 cm outlet of the GI tract. It is lined with modified skin that merges with the rectal mucosa. In addition to
3. The nurse needs to assess the patient’s anal area. What is the proper procedure for this assessment?
4. What health promotion concepts should the nurse teach this patient regarding the anus, rectum, and prostate?
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NURSING CURRICULUM STANDARDS
QSEN/NLN COMPETENCIES
• Patient-Centered Care/Human Flourishing
o Palpate the Anus and Rectum
NURSING CONCEPTS
The following conceptual themes and specific concepts match those presented in Giddens, J. F. (2017). Concepts for nursing practice (2nd ed.).
St. Louis: Elsevier. The specific exemplars chosen and listed below for each concept have been tailored specifically to correspond to the Jarvis
textbook.
BSN ESSENTIALS
• Essential VII: Clinical Prevention and Population Health
o Culture and Genetics
ANSWERS TO QUESTIONS IN THE STUDY GUIDE
Note: Answers to these questions can be found on Evolve site. Click here.