Clinical Management Matrix for Breast Cancer in Adolescence

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
 Suggest referral to other
 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
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