NCM 103

3. Lenlen is a 31-year-old female who is a breast cancer survivor. She underwent mastectomy or removal of her breast to survive 1 month
ago but when she finished her surgery she realized that she no longer feels normal compared to her old self and to other women. Lenlen
then went to a professional to consult, she stated that the mastectomy affected her life due to the big changes that her body went. She
reports experiencing anxiety and fear that other people look at her as abnormal or seriously ill, she stated developing unhealthy eating
habits, frequent anxiety, she became more introverted in comparison to her old self, and she became more insecure of her physical
appearance.
The vital signs are as follows:
Temp 36.8 C Axillary
HR 120 bpm
RR 17 bpm
SpO2 96%
BP 140/90 mmHg
 NCM 103
Assessment Diagnosis Planning Intervention Rationale Evaluation
Subjective: Disturbed body Short term: Independent: Independent: Goal met:
 The patient image related to The patient would The patient will be Anxiety Short term:
stated she is a Alteration in self- be able to able to perform management After 1 month of
cancer survivor perception as acknowledge and anxiety management techniques has been intervention, the
that went on manifested by fear accept her current techniques. proven to calm down patient was able to
mastectomy development of situation after a The patient will be patients who have acknowledge and
surgery. unhealthy eating month of counseling educated on healthy anxiety attacks such accept her current
 The patient habits, and frequent as evidenced by coping mechanism. as calm breathing situation. Due to
stated that she’s anxiety. Caused by having a stable The patient will be patterns. constant effort the
no longer feels patient mastectomy mental health and educated on healthy This will make sure mental well-being of
normal surgery. relief from anxiety . eating habits. that the patient will the client is now
compared to her Long term: The patient will be know how to self stable and relieved
old self. The patient would encourage on a manage themselves. from constant
 The patient gain a growth mind regular exercise Eating habits has a anxiety. Goal was
stated the she set after a 6 of routine. huge effect on our met.
develop months as the Dependent: mental well-being Long term:
unhealthy eating patient would be Intake of anti- that is why it is very The patient was
habits, frequent able to perform her anxiety medication important to able to gain a growth
anxiety, and daily task normally. for anxiety attacks organize. and developed mind
became more The patient would This will help the after 6 months of
introverted. be able to exhibit patient have a interventions, she
 The patient positive caring in healthy relationship can now do her daily
verbalized routine activities with their weight and tasks normally
experiencing after completing the body image. without disturbance.
anxiety and fear. therapy. Dependent: Goal was met.
This will make sure The patient was
Objective: that the patient can able to have a
 Vital Signs: keep their anxiety in positive and caring
T= 36.8C check and in balance. perspective in her
HR= 120bpm routines after
RR= 17bpm interventions. Goal
SpO2= 96% was met.
BP= 140/90 mmHg
NCM 103