Clinical Management Matrix for Breast Cancer in Adolescence

This clinical management matrix provides a comprehensive guide for the management of breast cancer in adolescence. It covers lifestyle risk factors, symptoms, investigations, treatment options, and palliative care. The matrix also includes the roles of different healthcare professionals and support groups.

Running head: CLINICAL MANAGEMENT MATRIX
ASSESSMENT TASK 3
Name of the Student
Name of the University
Author Note

1CLINICAL MANAGEMENT MATRIX
CHRONIC DISEASE-
BREAST CANCER
ADOLESCENCE LIFESTYLE RISK
FACTORS
SYMPTOMS BEGIN TO
APPEAR
INVESTIGATIONS ACUTE HOSPITALISATIONS TREATMENT UNIT
(CHEMOTEHERAPY,
MASTECTOMY,
RADIATION UNIT)
REHABILITATION UNIT AT HOME GP OFFICE PALLIATIVE CARE DEATH
Client
 The client should opt
for an early
inspection of the
cancer by consulting
the GP
 Fixing doctor
appointment
 Discussion of concerns
with the healthcare
professional
 Assessing the risk factors
related to obesity or
menstrual age
 Reading articles and health
portals about the different signs
and symptoms
 Taking self-care management
efforts such as, aerobic
exercise, and dietary
modifications
 Consulting the doctor and
undergoing a mammogram
 Other diagnostic procedures are
breast ultrasound, breast
examination and removing
sample of the breast to perform
biopsy.
 Seek help from the healthcare
professionals regarding the best
possible treatment option among
chemotherapy, lumpectomy,
mastectomy, or radiation therapy
 Adhering to medication management
strategies like hormone blocking
therapy, and monoclonal antibodies.
 Peer support
 Shows compliance to
different schedules of
hormonal therapy
 Receives education
about the different side
effects of hormonal
therapy
 Consuming proper
doses of tamoxifen
and/or aromatase
inhibitors
 Joining rehabilitation
programs
 Learning different
coping strategies
 Performing physical
therapy
 Learning different
strategies of self-
management
 Performing physical
therapy at least thrice a
week
 Going for follow-up to the
clinics
 Seeking immediate
help from the GP for
sudden adverse
reactions or
deterioration in health
conditions
 Planning a living will
 Formulation of a power of
attorney after consultation
with the lawyer
-
Family/ Primary
Caregiver
 Providing necessary
support and helping
the patient through
the course of
screening and
treatment
 So compassion and
adopt an empathetic
approach towards the
condition\on
 Provides physical, emotional,
psychosocial, spiritual and
financial assistance
 Encourage activities of daily
living
 Provides physical, emotional,
psychosocial, spiritual and
financial assistance
 Provide the much needed fiscal
support for conduction of different
diagnostic tests
 Engage in a discussion with
interdisciplinary team members for the
different concerns related to the patient
during his/her stay in the hospital
 Keep a check on health status
 Induce all forms of
emotional, physical, and
financial assistance
 Take into account all
possible adverse effects
of issues that might arise
in the patient during the
course of the treatment
 Provide necessary
physical, fiscal, spiritual,
and emotional support
 Hold meetings and
consultations with
members of the
rehabilitative team
regarding progress of
the patient health
 Motivate and boost the
patient on different ways
by which a meaningful
and purposeful life can be
lead
 Provide ongoing support
in the form of emotional
and psychological
support in leading a
normal life and carrying
out the activities of daily
living
 Immediately reports
any sudden
symptoms or side
effects to the
concerned GP and
oncologist
 Adequate monetary,
emotional, spiritual, and
psychological support is
provided
 Establishes contact
with different support
groups for relating
the story of the
patient
Community
-  Motivates the person to
adhere to healthy
community lifestyle
activities that are
beneficial for preventing
cancer progression
 Provide assistance to the
patient in dealing with the
diagnosis of the condition
 Adopt an empathetic
approach
 Provides help and much
needed support to the family
members of the patient at
times of their distress
 Encourage the
patient in all ways
during their stay at
rehabilitation units
 Provide encouragement
for performing BSE at
regular intervals with the
help of the support
groups
-  Play an important role in
providing the necessary
social, emotional, and
psychological assistance
 Create provision for
pastoral care
services and spiritual
counselling
Breast Care Nurse
 Ensuring care
continuity and
enhancing the
services that are
provided
 Educate the patients for
achieving best health
outcome
 Provide psychological
and emotional all
through the course of
 Hold counselling sessions to
explain about the wide range of
coping mechanism
 Address the patient concerns
 Provide valuable information
that will facilitate assessment of
 Conduct exhaustive and
comprehensive physical
examination and note down
necessary information regarding
the cancer sign & symptoms
 Thoroughly checks the wounds of the
patient at the site of cancer
 Helps in administration of medication
 Provides assistance in conducting
activities of daily living
 Provides much needed
help and support to the
patient upon being
diagnosed with breast
cancer reaction to the
diagnosis and how to
 Provide health teaching
on self-care strategies
 Medication administration
 Pain and symptom
management
 Encouraging patient to
perform breast self-
examination on a monthly
basis using assistance
from the support groups
 Provide emotional,
physical, and
psychological support
 Provide assistance to
the GP and the
patient while holding
 Address the emotional,
physical, and
psychological needs of
the patient
 Efficiently manage the
cancer and co-morbid
 Advocate for the rights
of the family

2CLINICAL MANAGEMENT MATRIX
diagnosis and cancer
treatment
the selected treatment strategy
 Take efforts to inform patient
and family members about
different referrals and team
members
 Suggest referral to other
professionals for staging the
breast cancer and performing
breast reconstruction
cope with cancer consultation sessions symptoms

Oncology Nurse
 Fulfil the role of
caring for the cancer
patient
 Provide exhaustive
information on the
projection and the
pathophysiology of
the disease
 Administering pain
management
medications such as,
NSAID (aspirin) and
acetaminophen
(Tylenol)
 Responsible for
educating the patient on
cancer and its symptoms
 Managing the pain
related symptoms
assessment
 Gaining a deeper
understanding of the results
obtained following conduction of
biopsy, breast ultrasound and
mammogram
 Coordinate the care services
that are delivered to the patient
 Suggest patient referrals to
members of the multidisciplinary
team
 Comprehend the laboratory
results gain a deeper
understanding of the
consequences of breast cancer
 Provide education to the patient on the
benefits of the treatment provisions
that are available to the patient
 Evaluation of the proposed care plan
 Management of pain by analgesics
 Coordinating care services by a
collaborative approach
 Educating the patient on
the potential advantages
and the
contraindications of the
treatment
 Safely administering
certain chemotherapy
and hormone blocker
drugs
 Maintaining the medical
records and history of the
patient up to date
 Suggesting the patient to
seek referralservices from
multidisciplinary
healthcare professionals
 Promote patient centred
care services for
addressing the needs
 Reducing adverse medical
complications
 Making referral to other
staff
 Coordinating delivery of
care services
 Provide referrals
to the GP
 Advocate for patient
rights
 Educate the patient
 Offer psychological and
emotional support
 Provide
psychological and
spiritual support
GP
 Providing assistance
in medication
adherence
 Effectively controlling
the symptom
management
 Administering
analgesics such as,
Tylenol and
ibuprofen for treating
the pain felt in the
breasts
 Assesses the patient
condition
 Evaluates the suggested
treatment options
 Detects and screens
breast cancer
 Stages it
 Provide help to the patients on
the different referral
recommendations
 Deliver quick conclusive
diagnosis on the cancer
 Evaluates and suggests referral
 Refers to breast reconstructive
surgeons
 Offers education to the patient
and family on the diagnosis
results
 Recommends medications
 Suggests treatment strategies
 Manages the cancer symptoms
 Refers to other staff
 Promotes consultation for second
opinion
 Collaborates with breast
reconstructive surgeon
 Conducts regular
assessments
 Addresses cancer
symptoms
 Coordinates care to the
breast care specialist
team
 Ongoing assessment
 Symptom management
 Supports the family
 Provides information on
the effects of a positive
diagnosis
 Discusses different
treatment options
 Forms collaboration
withend-of-life
healthcare staff
 Promotes shared
decision making
 Supports the family
Breast
oncology/Plastic
reconstructive
surgeon
-  Will help in suggesting the steps
for the primary treatment
 Will conduct assessment
necessary for the reconstruction
surgery
 Adopt a collaborative care
approach
 Will suggest the type of reconstruction
surgery that is required depending on
the severity of the cancer
 Educate the patient and different
coping skills
 Refer the patient to
other forms of
occupational therapy for
allowing participation in
different physical
activities and improving
the health status
 Ongoing assessment
 Management of
complications from
reconstructive surgery
 Deliver ongoing care
 Co-ordinate between the
care services
 Take assistance from a
palliative healthcare
team
 Provide support to
the family

3CLINICAL MANAGEMENT MATRIX
Physiotherapist/
Occupational
Therapist
 Provide
comprehensive
interventions or
improving the
ability of the client
to conduct
activities of daily
living and
enhance the
quality of life
 Provide education on post-operative
physiotherapy strategies for breast
cancer
 Conduct counselling
sessions
 Conduct baseline
assessment
 Train on range-of-motion
exercises
 Educate on modification
or elimination of different
habits such as, wearing
tight clothes, sun bathing
routines, and heavy work
Dietician Educator
 Provide
encouragement to the
client for adhering to
lifestyle tips
 Conduct an
exhaustive nutritional
assessment
 Assess the nutritional
requirements
 Optimise the nutritional status
of the patient
 Suggest dietary alterations
 Dietary management
 Collaborative care
 Liaison with nurses, doctors and other
professionals
 Monitor patient progress
 Arrange nutritional
support
 Educate carers and
patient
 Advocate healthy lifestyle
 Suggest
recommendations
 Conduct follow-up
assessments
Psychologist
 Advocate for the patient
 Provide psychological support
 Deliver counselling
services
 Assesses the
psychological and
mental state of family
and patient
 Provide mental and
emotional assistance
 Hold status to empower
the patients and carers
 Provide emotional
support
 Provide counselling
and bereavement
support
Pharmacist
 Educate patient and family on different
medicines
 Collaborate with the GP
 Talk about the adverse
impacts of the
interventions
 Help patient to show
medication compliance
 Provide help during end
of life
Social Worker (Renal)
 Provide support and
resources related to
the disease
 Advocate for the patient
 Refer to different community support
groups that are accessible
 Address the patient’s
psycho-social issues
 Provide psychosocial
support
 Create provisions for
counselling sessions for
the patient and family
members
 Provide emotional support
 Hold discussions on
power of attorney or living
will
 Advocate for the patient
 Refer to spiritual
leaders and pastoral
care

4CLINICAL MANAGEMENT MATRIX
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