A 69-year-old man diagnosed with:
- chronic atrial fibrillation
- implanted pacemaker
- left ventricle hypertrophy
- prior aortic aneurysm resection and aortic prosthesis implantation
- history of prostatic hypertrophy
- benign bladder tumor pTa LG(G1) after transurethral resection of bladder tumour (TURBT)
is under care of his general practitioner. He has had a recurrence of his bladder tumor and has been re-scheduled for a repeat TURBT.
The patient is overweight (BMI 28.70), leads a sedentary lifestyle and smokes one pack of cigarettes a day. His blood pressure control at home is fair, with values around 120/70 mmHg, and occasional drops in blood pressure, without fainting. The patient takes a vitamin K antagonist for chronic anticoagulation treatment.
- lifestyle modification
- smoking cessation
- weight reduction
- regular use of medications
- taking warfarin under INR control
- control of blood pressure and recording results (morning, afternoon, and evening measurements)
- a diet limiting animal fats and salt
- regular urine culture monitoring
- remaining under constant care of a cardiologist and a urologist
- Psycho-education of the patient on symptom monitoring and self-management 
- Patient education on thromboembolic risk, use of anticoagulants (warfarin) and the importance of regular monitoring of INR level
- Psycho-education and support in the process of lifestyle modification, i.e. weight reduction, encouraging and motivating the patient to engage in regular physical activity, changing nutritional habits (eating a diet rich in vegetables which contain minerals such as potassium), stopping smoking cigarettes[1,2],
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