TABLE OF CONTENTSINTRODUCTION...........................................................................................................................1NURSING CARE PLAN................................................................................................................1Assessment..................................................................................................................................1Nursing diagnosis........................................................................................................................1Expected outcomes......................................................................................................................2Planning.......................................................................................................................................2Intervention..................................................................................................................................3Rationale......................................................................................................................................4Evaluation....................................................................................................................................4REFERENCES................................................................................................................................5
INTRODUCTION Breast cancer is considered to be the most common form of cancer in the whole world(Jørgensen and et.al., 2015). Around 1.7 million new cases of breast cancer were discovered inthe year 2012. Though it is regarded as the disease of the developed world, about 50 per centcases of breast cancer occur in countries that are less developed (Breast cancer: prevention andcontrol, 2017). The present assignment is based on the case of Mrs. Anatasia Tsimboulki. Anindividualized nursing care plan has been developed for Mrs. Anastasia and her family. NURSING CARE PLAN Mrs Anastasia Tsimboulki is a 45 years Greek Orthodox female with breast cancer. Shehas 3 young children of the age of 9 months, 3 years and 5 and half years. She has been underclose monitoring because of a family history of breast cancer. An incisional biopsy wasperformed which detected the presence of invasive lobular carcinoma in the left breast. She hasbeen recommended by the doctor to have a 6 month course of adjuvant chemotherapy. Belongingto an orthodox Greek community makes Mrs Anastasia practice insularity and self- containmentwhich may often act as barriers to proper treatment. Further, females of Greek religionemphasize religious perspective in cancer related health behaviours. Furthermore, Mrs Anastasiais concerned about the ways in which her ability to support the family would be affected by herillness. She also fears that adjuvant chemotherapy regimen as well as the surgery may limit herability to take care of her daughters. Assessment During the assessment, it was learnt that there was a family history of breast cancer inMrs Anastasia’s family. Two of her aunts suffered with breast cancer. Physical assessmentfindings indicated the presence of a 3 cm tumour in the left breast. Axillary node detectionindicated that 4 nodes are positive. Nursing diagnosis The patient has a risk of infection due to surgical incision. Acute pain may be caused due to surgery. Patient undergoing decisional conflict about treatment. There is lack of awareness aboutrisks and benefits of therapy.1
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