NCP : Post Op Breast Cancer

Patient: Mrs.F

Assessment Nursing Diagnosis Goal of Care Intervention Rationale Evaluation

Sub Cues: Acute pin related to Within 8hours of nursing INDEPENDENT: After 8hours of nursing
Patient: Mrs. F, I’ve post-operative incision diagnosis patient will: - Perform pain - To assess intervention patient will:
been undergo of at right breast assessment etiology and
mastectomy on my right secondary to simple -Patient will understand contributing - Patient will feel
breast. Until now it still mastectomy as the cause of the pain issues. comfortable in
hurts manifested by pain scale - Monitor vital - Usually altered affected area.
of 7/10 -Patient will sign in cute pain
demonstrate use of - Patient
relaxation technique to - Instruct patient - Timely verbalizes
reduce pain. to report pain intervention is reduced pain
right away. more likely o be scale levels
successful in
Obj Cues: DEPENDENT: alleviating pain. - Patient
 Facial grimace expresses total
 Pain scale of - Administer - To maintain comfort in terms
7/10 at the site analgesics s acceptable level of
of operation ordered of pain. environmental
T: 37.5 factors.
RR: - Identify specific - To promptly
BP: 120/90 sign and identify - Patient Indicates
symptoms of underlying the need for
infection site condition pain
medications

- Vital Signs are in

normal ranges.