ILOILO DOCTOR’S COLLEGE

BACHELOR OF SCIENCE IN NURSING

West Avenue Timawa, Molo, Iloilo City

NCM 112 (RLE)

CARE OF CLIENTS WITH PROBLEMS IN OXYGENATION, FLUID AND ELECTROLYTES,
INFECTIOUS, INFLAMMATORY AND IMMUNOLOGIC RESPONSE, CELLULAR ABERRATIONS,
ACUTE AND CHRONIC
NURSING CARE PLAN:
BREAST CANCER

A Case Study Presented to the Department of Nursing of Iloilo Doctor’s College

PRESENTED TO: MRS.
Arvi Tenderly V. Melliza, RN, M.A.N.
(NCM 112 RLE & SKILLS CLINICAL INSTRUCTOR)

PRESENTED BY:
Camarista, Coleen Mae C.
(BSN III-G GROUP 1)

ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

Coleen Mae C. Camarista, BSN III-G (10/26/2021)

 ILOILO DOCTOR’S COLLEGE
BACHELOR OF SCIENCE IN NURSING
West Avenue Timawa, Molo, Iloilo City

SUBJECTIVE: Risk for defensive SHORT TERM: Promoting decision- - The nurse can be Expected evaluation
coping related to the After 4 hours of making ability instrumental in outcomes may include:
- ‘Denies pain’ diagnosis of breast nursing interventions ensuring that the 1. Exhibits knowledge
cancer and related the patient will be patient and family about diagnosis and
- “2 weeks ago, I
treatment options able to increased members truly surgical treatment options
noticed a lump
on my left knowledge about the understand their a. Asks relevant
breast, right disease and its options. The nurse questions about
after BSE… yet I treatment; can then help the diagnosis and available
felt no pain in improvement of patient weigh the surgical
the area” as decision-making risks and benefits treatments
verbalized by ability in improving of each option. b. States rationale for
the client coping abilities. surgery
c. Describes advantages
Rationale: Promoting positive - To assist the and disadvantages of
OBJECTIVES:
Repeated projection of LONG TERM: adjustment and patient in treatment options
- Fixed round
falsely positive self- After 8 hours of nursing coping identifying and
lump with
evaluation based on intervention the patient mobilizing her 2. Verbalizes willingness to
irregular
self-protective pattern will be able to: support systems deal with anxiety and
borders
that defends against 1. Exhibits knowledge can be beneficial to fears related to the
palpated in the
about diagnosis and
upper outer underlying perceived her well-being. diagnosis and the effects
surgical treatment
quadrant of left threats to positive self- of surgery on self-image
options
breast at 2:00 regard. and sexual
2. Verbalizes willingness functioning
- Left axillary
to deal with anxiety and Reducing fear and - Providing the
edema noted.
fears related to the anxiety and patient with 3. Demonstrates ability to
diagnosis and the effects improving coping realistic cope with diagnosis and
- There is
of surgery on self-image ability expectations about treatment
symmetry of
and sexual the healing process a. Verbalizes feelings
the breasts with
functioning
no puckering or and expected appropriately and
3. Demonstrates ability
nipple recovery can help recognizes normalcy of
to cope with diagnosis
discharge. alleviate fears. mood lability
and treatment.
Providing education b. Proceeds with

Coleen Mae C. Camarista, BSN III-G (10/26/2021)

 ILOILO DOCTOR’S COLLEGE
BACHELOR OF SCIENCE IN NURSING
West Avenue Timawa, Molo, Iloilo City

and preparation - Patients with newly treatment in timely

about surgical diagnosed breast fashion
Treatments cancer are c. Discusses impact of
expected to absorb diagnosis and
an abundance of treatment on family
new information and work
during a very
emotionally 4. Makes decisions
difficult time, and regarding treatment
this may lead to options in timely fashion
difficulty in making
treatment
decisions.

Coleen Mae C. Camarista, BSN III-G (10/26/2021)