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Original Question

Case Study: Mr. Carson Patient: Mr. Devin Carson, 56-year-old male Chief Complaint: Frequent urination, especially at night; difficulty initiating stream; and recent onset of lower back pain Medical History: Hypertension, mild depression Family History: Father had prostate cancer at age 62 Lifestyle Notes: Smokes 1 pack/day, monogamous with a male partner, reports inconsistent condom use Current Symptoms: Nocturia x3-4 nightly Sensation of incomplete bladder emptying Low-grade fever (99.8°F), fatigue Lower back ache for the past month Physical & Lab Findings: DRE: Enlarged, firm prostate with no nodules PSA: 5.8 ng/mL UA: Hematuria and slight pyuria STIs Panel: Positive for Chlamydia TRUS (pending) Patient appears anxious and asks, “Could this be cancer?” What interprofessional team members (e.g., urologist, counselor, infectious disease specialist) should be involved in Mr. Carson’s care? Describe nursing care strategies that address not only his physical symptoms but also his mental health, STI, and concerns about cancer.

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