Nursing management

1. Providing education and preparation about surgical treatment

Prepare the patient for what to expect before, during and after surgery

► Describe surgical procedure

Inform the patients about post operative Drain, inform about drain care instruction will be
provided prior to discharge.

Inform the patients about decrease arm and shoulder mobility after Surgery

Administer antiemetics prophylactically, as directed, for patients receiving chemotherapy

Administor I.V fluids and hyperalimentation as indicated

Help patient identify and use support persons or family or community

2. Reducing fear, anxiety and improving coping ability

► Providing the patient with realistic expectation about the healing process and expected
recovery can help alleviate pain.

■ Marinating open communication and assuring the patient. Involve the patient in planning
and treatment.

Increase patient awareness of available resources at the treatment facility such as

psychiatrist, social workers and support group.

► Realize that a diagnosis of breast cancer is a devastating emotional shock to the women.
Provide psychological support to the patient throughout the diagnostic and treatment
process.

3. Promoting decision making ability

► Give the patient treatment option and asked to make a choice. The nurse help the patient
weight the and benefits of each option.

The patient may be presented with option of having breast conservation treatment followed
by radiation and mastectomy.

► Prepare the patient for the effects of chemotherapy, and plan ahead for alopecia, fatigue.

https://www.scielo.br/j/tce/a/583YFyYhTjDhBqrn5WJBBKK/?format=pdf&lang=en

https://www.slideshare.net/NehaNupur8/breast-cancer-ppt-med-surg#51