NURSING CARE PLANS
Risk for Ineffective Coping secondary to MastectomyCUESNURSINGDIAGNOSISRATIONALEOBJECTIVESNURSINGINTERVENTIONSRATIONALEEVALUATION
As verbalizedby thepatient’sdaughter .
“Ayawmunanamingmalaman nimama sakana langsiguro kapagmedyomalakas nasya.”
Patientdoesn’tknow yetabout her presentcondition of losing her right breast.P: risk for ineffective copingE: Mastectomy
S: asmanifested by
The patientdoesn’t knowyet her presentcondition.Mastectomyis a surgicaloperationdone to avoidprogressiveproliferationof cancer cells in thebreast. Thepatient has agreat risk incoping upwith her situationbecause of absence of knowledge of her truecondition.
After 15-20mins identifyeffective andineffectivecopingpatterns.
After an hour patient willverbalize self control.1.Provide atmosphereof acceptance.
Arrange situationsthat encourage her autonomy. Give her as manyopportunities aspossible to make her decisions/choices for herself.1.Establishingrapport isessential to atherapeuticrelationship andsupports theclient in self reflection.Recognizingproblems andsharing feelingsis best broughtabout in anatmosphere of warmth andtrust.2.Enhances asense of control,personalachievement,and self esteem.
After 15 – 20mins I was ableto identify thatthe patientmight cope upto her situationalthough she just want to beassisted by her daughter andnot by us.Goals partiallymet.
After an hour,the patientallows us toinsert asuppositories inher rectal areaenable her tobowel andshows noshyness whileone of us doingthe interventionfor her.Goal partiallymet.