Student Nurses Community

NURSING CARE PLAN Breast Cancer

ASSESSMENT
SUBJECTIVE:
May nakakapa
akong bukol sa
dibdib ko, anong
dapat kong
gawin? (I have a
lump in my breast
what should I do?)

as verbalized by
the patient
OBJECTIVE:
Verbalization of
the problem
Statement of
misconception
V/S taken as
follows
T: 37.1 C
P: 92
R: 19
BP: 120/ 80

DIAGNOSIS
Deficient
knowledge
regarding
illness,
prognosis,
treatment,
self-care, and
discharge
needs.

INFERENCE

Breast Cancer Is
the leading type
of cancer in
women. Most
breast cancer
begins in the
lining of the milk
ducts,
sometimes the
lobule. The
cancer grows
through the wall
of the duct and
into the fatty
tissue. Breast
cancer
metastasizes
most commonly
to auxiliary
nodes, lung,
bone, liver, and
the brain.

PLANNING

INTERVENTION

After 8 hours of
nursing
intervention the
patient will
verbalize
accurate
information
about diagnosis,
prognosis, and
potential
complications at
own level of
readiness.

INDEPENDENT
Review with patient
understanding of
specific diagnosis,
treatment alternatives,
and future expectations.

Provide clear, accurate

information in a factual
but sensitive manner.
Answer specifically, but
do not provide
unessential details.

Provide anticipatory
guidance with patient
regarding treatment
protocol, length of
therapy, expected
results, possible side
effects. Be honest with
the patient.

RATIONALE

Validates current
level of
understanding,
identifies learning
needs, and
provides knowledge
base from which
patient can make
informed decisions.

Helps with
adjustment to the
diagnosis of cancer
by providing
needed information
along with time to
absorb it.

Patient has the right

to know (be
informed) and
participate in
decision making.
Accurate and
concise information
helps dispel fears
and anxiety, helps
clarify expected
routine, and
enables patient to
maintain some
degree of control.

Promotes well

EVALUATION
After 8 hours of
nursing
intervention the
patient was able
to
verbalize
accurate
information about
diagnosis,
prognosis, and
potential
complications at
own level of
readiness.

Student Nurses Community

Encourage diet
variations and
experimentation in meal
planning and food
preparation.

Recommend increased
fluid intake and fiber in
diet, as well as routine
exercise.

being, facilitates
recovery, and its
critical in enabling
patient to tolerate
treatments.

Review with patient the

importance of
maintaining optimal
nutritional status.

Instruct patient to
assess oral mucous
membranes routinely,
noting erythema,
ulceration.

Creativity may
enhance flavor and
intake, especially
when protein foods
taste bitter.

Improves
consistency of stool
and stimulates
peristalsis.

Early recognition of
problems early
intervention,
minimizing
complications that
may impair oral
intake and provide
routine avenue for
systemic infection.