Student Nurses’ Community

NURSING CARE PLAN ─ Breast Cancer

ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION

SUBJECTIVE: Deficient After 8 hours of INDEPENDENT  Validates current After 8 hours of

knowledge Breast Cancer Is nursing  Review with patient level of nursing
“May nakakapa regarding the leading type intervention the understanding of understanding, intervention the
akong bukol sa illness, of cancer in patient will specific diagnosis, identifies learning patient was able
dibdib ko, anong prognosis, women. Most verbalize treatment alternatives, needs, and to
dapat kong treatment, breast cancer accurate and future expectations. provides knowledge verbalize
gawin?” (I have a self-care, and begins in the information base from which accurate
lump in my breast discharge lining of the milk about diagnosis, patient can make information about
what should I do?) needs. prognosis, and diagnosis,
ducts, informed decisions.
as verbalized by potential prognosis, and
sometimes the
the patient complications at potential
lobule. The  Helps with
cancer grows own level of  Provide clear, accurate adjustment to the complications at
through the wall readiness. information in a factual diagnosis of cancer own level of
OBJECTIVE: readiness.
of the duct and but sensitive manner. by providing
into the fatty Answer specifically, but needed information
 Verbalization of tissue. Breast do not provide along with time to
the problem cancer unessential details. absorb it.
 Statement of metastasizes
misconception most commonly  Patient has the right
to auxiliary  Provide anticipatory to know (be
 V/S taken as nodes, lung, guidance with patient informed) and
follows bone, liver, and regarding treatment participate in
the brain. protocol, length of decision making.
T: 37.1 ˚C therapy, expected Accurate and
P: 92 results, possible side concise information
R: 19 effects. Be honest with helps dispel fears
BP: 120/ 80 the patient. and anxiety, helps
clarify expected
routine, and
enables patient to
maintain some
degree of control.

 Promotes well
Student Nurses’ Community

 Review with patient the being, facilitates

importance of recovery, and it’s
maintaining optimal critical in enabling
nutritional status. patient to tolerate
treatments.

 Creativity may
 Encourage diet enhance flavor and
variations and intake, especially
experimentation in meal when protein foods
planning and food taste bitter.
preparation.
 Improves
 Recommend increased consistency of stool
fluid intake and fiber in and stimulates
diet, as well as routine peristalsis.
exercise.
 Early recognition of
 Instruct patient to problems early
assess oral mucous intervention,
membranes routinely, minimizing
noting erythema, complications that
ulceration. may impair oral
intake and provide
routine avenue for
systemic infection.