Student Nurses’ Community

NURSING CARE PLAN- Breast Cancer

ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION
SUBJECTIVE: Deficient Breast Cancer Is After 8 hours of INDEPENDENT After 8 hours of
knowledge the leading type nursing • Review with patient • Validates current nursing
“May nakakapa regarding of cancer in intervention the understanding of level of intervention the
akong bukol sa illness, women. Most patient will specific diagnosis, understanding, patient was able
dibdib ko, anong prognosis, breast cancer verbalize treatment alternatives, identifies learning to
dapat kong treatment, begins in the accurate and future expectations. needs, and verbalize
gawin?” (I have a self-care, and lining of the milk information provides knowledge accurate
lump in my breast discharge ducts, about diagnosis, base from which information about
what should I do?) needs. sometimes the prognosis, and diagnosis,
patient can make
as verbalized by lobule. The potential prognosis, and
informed decisions.
the patient cancer grows complications at potential
through the wall own level of • Provide clear, accurate • Helps with complications at
of the duct and readiness. information in a factual adjustment to the own level of
OBJECTIVE: into the fatty readiness.
but sensitive manner. diagnosis of cancer
tissue. Breast Answer specifically, but by providing
• Verbalization cancer do not provide needed information
of the metastasizes unessential details. along with time to
problem most commonly absorb it.
• Statement of to auxiliary
misconceptio nodes, lung, • Provide anticipatory • Patient has the right
n bone, liver, and guidance with patient to know (be
the brain. regarding treatment informed) and
• V/S taken as protocol, length of participate in
follows therapy, expected decision making.
results, possible side Accurate and
T: 37.1 ˚C effects. Be honest with concise information
P: 92 the patient. helps dispel fears
R: 19 and anxiety, helps
BP: 120/ 80 clarify expected
routine, and
enables patient to
maintain some
degree of control.

• Review with patient the • Promotes well

importance of being, facilitates
Student Nurses’ Community

maintaining optimal recovery, and it’s

nutritional status. critical in enabling
patient to tolerate
treatments.

• Encourage diet • Creativity may

variations and enhance flavor and
experimentation in meal intake, especially
planning and food when protein foods
preparation. taste bitter.

• Recommend increased • Improves

fluid intake and fiber in consistency of stool
diet, as well as routine and stimulates
exercise. peristalsis.

• Instruct patient to • Early recognition of

assess oral mucous
membranes routinely,
noting erythema,
ulceration.
problems early
intervention,
minimizing
complications that
may impair oral
intake and provide
routine avenue for
systemic infection.