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NURSING CARE PLAN

Assessment
SUBJECTIVE:
“May
nakakapa
akong bukol sa
dibdib ko,
anong dapat
kong gawin?”
(I have a lump
in my breast
what should I
do?) as
verbalized by
the patient

OBJECTIVE:

Verbalizatio
n of the
problem
Statement
of
misconcept
ion
V/S taken
as follows

Background
Knowledge
Breast
Cancer Is the
leading type
of cancer in
women. Most
breast cancer
begins in the
lining of the
milk
ducts,
sometimes
the
lobule.
The
cancer
grows
through the
wall of the
duct and into
the
fatty
tissue. Breast
cancer
metastasizes
most
commonly to
auxiliary
nodes, lung,
bone,
liver,
and
the
brain.

Nursing
Diagnosis
Deficient
knowledge
regarding
illness,
prognosis,
treatment,
self-care, and
discharge
needs.

Planning

Intervention

After 8 hours
of nursing
intervention
the patient
will
verbalize
accurate
information
about
diagnosis,
prognosis,
and potential
complications
at own level
of readiness.

INDEPENDENT
 Review with
patient
understandin
g of specific
diagnosis,
treatment
alternatives,
and future
expectations.

Provide
clear,
accurate
information
in a factual
but sensitive
manner.
Answer
specifically,
but do not
provide
unessential
details.

Rationale

Validates
current
level of
understandi
ng,
identifies
learning
needs, and
provides
knowledge
base from
which
patient can
make
informed
decisions.
Helps with
adjustment
to the
diagnosis of
cancer by
providing
needed
information
along with
time to
absorb it.

Evaluation
After 8 hours
of nursing
intervention
the patient
was able to
verbalize
accurate
information
about
diagnosis,
prognosis,
and potential
complications
at own level
of readiness.

length of therapy. facilitates recovery. Be honest with the patient. helps clarify expected routine. and enables patient to maintain some degree of control. T: 37.  Patient has the right to know (be informed) and participate in decision making. Accurate and concise information helps dispel fears and anxiety.1 ˚C P: 92 R: 19 BP: 120/ 80  Provide anticipatory guidance with patient regarding treatment protocol. expected results. and it’s critical in enabling .  Promotes well being. possible side effects.  Review with patient the importance of maintaining optimal nutritional status.

Recommend increased fluid intake and fiber in diet.  Creativity may enhance flavor and intake.  Improves consistency of stool and stimulates peristalsis. especially when protein foods taste bitter.    Encourage diet variations and experimentat ion in meal planning and food preparation. noting erythema. minimizing complicatio ns that may impair oral intake and provide .patient to tolerate treatments.  Early recognition of problems early intervention . as well as routine exercise. Instruct patient to assess oral mucous membranes routinely. ulceration.

routine avenue for systemic infection. .