15+ Mastectomy Nursing Care Plans

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Mastectomy is the surgical removal of one or both breasts either partially or completely. A mastectomy is usually carried out to treat or prevent breast cancer. Surgical management for patients with breast cancer usually involves lumpectomy or mastectomy. In many cases, radiation therapy is combined with surgery.

Types of breast surgery include:

  • Total (simple) mastectomy – removal of breast tissue and nipple
  • Modified radical mastectomy – removal of the breast, most of the lymph nodes under the arm, and often the lining over the chest muscles
  • Lumpectomy – surgery to remove the tumor and a small amount of normal tissue around it

Nursing Care Plans

Providing perioperative nursing care for patients who are to undergo Mastectomy is an integral part of the therapeutic regimen. The nursing goal is to provide support, alleviating anxiety, managing pain, and providing information.

Here are 15+ nursing care plans (NCP) and nursing diagnosis for a patient undergoing Mastectomy:

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  1. Fear/Anxiety
  2. Impaired Skin Integrity
  3. Acute Pain
  4. Situational Low Self-Esteem
  5. Impaired Physical Mobility
  6. Deficient Knowledge
  7. Risk for Injury
  8. Impaired Skin Integrity
  9. Activity Intolerance
  10. Risk for Ineffective Breathing Pattern
  11. Risk for Infection
  12. Ineffective Therapeutic Management
  13. Risk for Dysfunctional Grieving
  14. Ineffective Peripheral Tissue Perfusion
  15. Fear
  16. Other Possible Nursing Care Plans
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Risk for Infection

Nursing Diagnosis

Skin is considered as a first line of defense against any foreign organism. Because of the surgical procedure the skin is impaired causing a possible entry for the organisms hence may cause infection.

Persons at risk for infection are those whose natural defense mechanisms are inadequate to protect them from the inevitable injuries and exposures that occur throughout the course of living. Infections occur when an organism invades a susceptible host. Breaks in the integument or mucous membranes allow invasion by pathogens. If the patient’s immune system cannot combat the invading organism adequately, an infection occurs.

Objectives

  • The patient will be able to identify and demonstrate interventions to prevent or reduce risk of infection.
  • The patient will achieve timely wound healing and be free from signs and symptoms of infection.
Nursing InterventionsRationale
Stress proper hand washing techniqueHandwashing is the single most effective way to prevent infection.
Provide regular catheter careTo reduce the risk of infection.
Instruct on proper wound careFor first-line defense against nosocomial infections or cross contamination.
Encourage to eat vitamin C rich foodsTo promote wound healing.
Emphasized the necessity of taking antibiotics as directedTo boost the immune system.
Closely observe and instruct to report signs and symptoms of infection such as fever, sore throat, swelling, pain, and drainageTo prevent and detect as early as possible the presence of any progressing infection.
Inspect the wound for swelling, unusual drainage, odor redness, or separation of the suture linesWound infection are accompanied by signs of inflammation and a delay in healing.
Empty and re-establish negative pressure in close wound drains at least once per shiftNegative pressure pulls fluid from the incisional area, which facilitates healing.
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Recommended Resources

Recommended nursing diagnosis and nursing care plan books and resources.

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See also

Other recommended site resources for this nursing care plan:

Other care plans and nursing diagnoses related to reproductive and urinary system disorders:

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Matt Vera is a registered nurse with a bachelor of science in nursing since 2009 and is currently working as a full-time writer and editor for Nurseslabs. During his time as a student, he knows how frustrating it is to cram on difficult nursing topics. Finding help online is nearly impossible. His situation drove his passion for helping student nurses by creating content and lectures that are easy to digest. Knowing how valuable nurses are in delivering quality healthcare but limited in number, he wants to educate and inspire nursing students. As a nurse educator since 2010, his goal in Nurseslabs is to simplify the learning process, break down complicated topics, help motivate learners, and look for unique ways of assisting students in mastering core nursing concepts effectively.
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