TThe RN is developing a plan of care for a 35-year-old female, newly diagnosed w
ID: 122995 • Letter: T
Question
TThe RN is developing a plan of care for a 35-year-old female, newly diagnosed with breast cancer. Assessment findings include: the patient is teary and states, “I haven’t been sleeping since the diagnosis.” The patient doesn’t make eye contact, has difficulty sitting still and her voice is trembling. Her mucous membranes are dry and she says she has not had an appetite. She says, “I don’t know if I am going to need surgery to remove my breasts. I don’t know how it will make me feel or look”. Initial Discussion Post: Develop a 3-part actual nursing diagnostic statement, related to therapeutic communication, stress and adaptation OR patient teaching. Use the patient data in the scenario, including the problem, etiology and symptoms. Develop a patient specific, measurable outcome with a time-frame, appropriate for your chosen diagnosis and this patient. Explain why this diagnosis is a priority for this patient. The answers posted don't clarify the question at hand. A patient specific measurable outcome is needed.
Explanation / Answer
Nursing Diagnosis for Newly Diagnosed Breast cancer patient
Goal: Reduction of fear and stress in patient.
Intervention:
outcomes:
knowledge: The patients will gains knowledge about process of treatment.
Skills: The patients will assess for the emotional well-being.
Attitude: The patient will express the feeling of less anxious and reduced fear.
2.Imbalanced nutrition less than body requirement related to loss of appetite.
Goal: To maintain adequate nutrition.
Intervention:
outcomes:
Knowledge: The patient will gain the knowledge of importance of nutritious diet.
Skills:The patient will assess for regular intake of diet.
Attitudes: The patient will have good appetite and adequate nutrition.
3.Body image disturbance related to significance of loss of part of breast.
Goal: To improve positive feelings about self.
Intervention:
Outcomes:
Knowledge: The patient wiill understand the increase sense of well-being.
Skills: The patient will assess for perception of body image changes.
Attitude: The patient will express comfortness and positive feelings.
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