Name: Cyrill Alexandria G.

Tolentino Date: December 15, 2021 2021

Level & Section: BSN 3B

NURSING CARE PLAN

Assessment:  Objective cues: generalized weakness and a new lump in the upper outer quadrant
of left breast
          Subjective cues:

Nursing diagnosis (prioritize)

Fatigue related to consequences of chemotherapy for breast cancer as evidenced by

generalized weakness and a new lump in the upper outer quadrant of left breast

Nursing Diagnosis (PES)

Problem: Fatigue
Etiology: breast cancer
Signs and Symptoms: generalized weakness and a new lump in the upper outer quadrant of left
breast

Inference:

Breast cancer is a leading killer after lung cancer high incidence of age since the age of
30 years, Breast cancer is rarely found in the age below 20 years. It is most common after age 50.
Early detection and treatment influence the prognosis considerably of Breast cancer.

Outcome Identification:
After 1 hour of nursing intervention, the patient will establish adequate energy
level and will demonstrate active participation in necessary and desired activities.

Nursing Responsibilities Rationale

Assess the patient’s activities of daily living,
as well as actual and perceived limitations to
physical activity
Encourage progressive activity through self-
care and exercise as tolerated.
Refer the patient to
physiotherapy/occupational therapy team as
required
Encourage verbalization of positive or
negative feelings about actual or perceived
change.
Maintain therapeutic communication and
demonstrate positive caring in routine activities
To create a baseline of activity levels, degree of
fatigability, and mental status related fatigue
and activity intolerance.
To gradually increase the patient’s tolerance to
physical activity.
To provide a more specialized care for the
patient in terms of helping him/her build
confidence in increasing daily physical activity.
To allow the client to express herself and
release tension on feelings
To facilitate good nurse-patient interaction and
also gain clients trust to cooperate.
Evaluation:
After 1 hour of nursing intervention, the patient established adequate energy
level and demonstrated active participation in necessary and desired activities.