ASSESSMENT Subjective: Nalulungkot at naaawa ako sa sarili ko.

Akala ko simpleng rashes lang yun nakita ko sa left breast ko, kung sana naagapan yun bago lumala at naging cancer baka hindi nila ako tatangalan ng breast. as verbalized by the client. Objective: Evident missing body part of the left breast. Grimace and crying while verbalizing noted. Poor appetite and uncooperative in ADL Apathy, Social Isolation, and concealing of the loss body part.

DIAGNOSIS Disturbed body image related to loss of body part secondary to curative surgery in cancer or mastectomy.

BACKGROUND STUDY Body image is the attitude a person has about the actual or perceived structure or function of all or part of his or her body. This attitude is dynamic and altered through interaction with other persons and situations. As an important part of one's selfconcept, body image disturbance can have profound impact on how individuals view their overall selves. This involves grieving that can be a functional adaptation or may be dysfunctional or unresolved.
SOURCE: Lippincott's Manual of Psychiatric Nursing Care Plans By Judith M. Schultz, Sheila L. Videbeck

PLANNING After a month of nursing intervention clients psychological condition will improve evident by the 5 stage of grief from bargaining and depression towards acceptance.

INTERVENTION
Assess perception of change in structure or function of body part Assess perceived impact of change on activities of daily living (ADLs), social behavior, personal relationships, and occupational activities. Encourage verbalization of positive or negative feelings about actual or perceived change. Maintain therapeutic communication and demonstrate positive caring in routine activities. Teach patient adaptive behavior like using of adaptive equipment that conceals altered body part breast pads Help patient identify ways of coping and divertional activities.

RATIONALE
To identify existing problem and plan certain therapeutic actions. To help the client sustain his physical and social needs while she is unable.

EVALUATION Goals met. After a month of nursing intervention clients psychological condition improved evident by the 5 stage of grief from bargaining and depression to acceptance. Subjective: Medyo maayos na pakiramdam ko ngayon. Napagtanto ko lang na hindi naman magtatapos buhay ko dito. Habang may buhay may pagasa. as verbalized by the client,

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. To help the client gain back her confidence by concealing altered body part.

To make the client focus on activities shes interested and happy instead of her altered body part.