CALUZA, ZHYRAINE IRAJ D.

BSN-IV
NURSING CARE PLAN FOR CELLULAR ABBERATION

ASSESSMENT NURSING INFERENCE OBJECTIVES NURSING RATIONALE EVALUATION

DIAGNOSIS INTERVENTION
Subjective: Deficient Breast Cancer Is Short Term Independent:
knowledge the leading type of Goal: After 8 hours of
“May nakakapa regarding illness, cancer in women.  Review with  Validates current nursing
akong bukol sa prognosis, Most breast cancer After 8 hours of patient level of intervention the
dibdib ko, anong treatment, self-care, begins in the lining nursing understanding of understanding, patient was able to
dapat kong and discharge of the milk ducts, intervention the specific identifies verbalize accurate
gawin?” (I have a needs. sometimes the patient will diagnosis, learning needs, information about
lump in my breast lobule. The cancer verbalize treatment and provides diagnosis,
as
what should I do?) grows through the accurate alternatives, and knowledge base prognosis, and
verbalized by the wall of the duct and information future from which potential
patient into the fatty tissue. about diagnosis, expectations. patient can make complications at
Breast cancer prognosis, and informed own level of
metastasizes most potential decisions. readiness.
commonly to complications at
Objective: auxiliary nodes, own level of  Helps with GOAL MET
lung, bone, liver, readiness. adjustment to the
 Verbalization and the brain.  Provide clear, diagnosis of
of the problem accurate cancer by
 Statement of information in a providing needed
misconception factual but information along
sensitive manner. with time to
 V/S taken as Answer absorb it.
follows specifically, but
do not provide  Patient has the
T: 37.1 ˚C unessential right to know (be
P: 92 Long Term details. informed) and
R: 19 Goal: participate in
BP: 120/ 80 decision making.
 Provide Accurate and
anticipatory concise
guidance with information helps
 patient regarding dispel fears and
treatment anxiety, helps
protocol, length clarify expected
of therapy, routine, and
expected results, enables patient to
possible side maintain some
effects. Be honest degree of control.
with the patient.
 Promotes well
being, facilitates
recovery, and it’s
critical in
enabling patient
to tolerate
treatments.
 Review with
patient the  Creativity may
importance of enhance flavor
maintaining and intake,
optimal especially when
nutritional status. protein foods
taste bitter.

 Improves
 Encourage diet consistency of
variations and stool and
experimentation stimulates
in meal planning peristalsis.
and food
preparation.

 Recommend
increased fluid
intake and fiber  Early recognition
in diet, as well as of problems early
routine exercise. intervention,
minimizing
complications
  Instruct patient to that may impair
assess oral oral intake and
mucous provide routine
membranes avenue for
routinely, noting systemic
erythema, infection.
ulceration.

Dependent:

Collaborative: