Modified radical mastectomy is the most common surgical procedure for operable breast cancer. In a modified mastectomy the entire breast is removed, as well as the lymph nodes. The large chest muscle known as the pectoralis major is not removed.
Modified radical mastectomy is the most common surgical procedure for operable breast cancer. In a modified mastectomy the entire breast is removed, as well as the lymph nodes. The large chest muscle known as the pectoralis major is not removed.
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Modified radical mastectomy is the most common surgical procedure for operable breast cancer. In a modified mastectomy the entire breast is removed, as well as the lymph nodes. The large chest muscle known as the pectoralis major is not removed.
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Problem: Impaired skin integrity related to mechanical trauma to the skin secondary to MRM
Nursing Scientific Expected
Assessment Planning Interventions Rationale Diagnosis Explanation Outcome S=Ø Impaired skin Modified radical Short term: 1. Assess skin, 1. Establish Short term: integrity mastectomy is note color, After 4 es After the related to usually the turgor, and O= mechanical treatment of hours of NI, sensation. compara nursing trauma to the choice. This is The patient the patient tive interventions, skin the most manifested: secondary invasive of the will baseline the patient to MRM three > Disruption of verbalize an providing shall have treatment skin surface at options understandi opportun verbalized an the right upper described here, extremity. ng on how ity for understandin but despite this > Wound is it is the most to maintain 2. Describe timely g on how to 7cm in common and diameter proper care intervent maintain surgical measure > localized procedure for with her wounds and ion proper care edema on operable breast observe wound 2. Establish with her cancer. This is changes. operative site largely because es wound >localized it provides an Long term: compara effective erythema treatment and After 3 days tive >facial mask is also the least of NI, the baseline disfiguring >guarding breast removal patient will providing Long term: behavior procedure. In a display opportun After the modified The patient radical timely 3. Demonstrat ity for nursing may manifest: mastectomy e good skin wound timely interventions, the entire hygiene, > altered breast is healing AEB e.g., wash intervent the patient mental status removed, as thoroughly intact skin, ion shall have well as the and pat dry > altered LOC lymph nodes on decreased carefully. displayed > changes in the same side. erythema 3. Maintaini timely wound The large chest motor muscle known and ng clean, healing AEB response as the absence of dry skin intact skin, pectoralis > paralysis of major is not purulent provides decreased extremities removed, which discharge a barrier erythema and means the > necrosis chest wall is to absence of still covered infection. purulent and protected