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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Ineffective Therapeutic Management

Nursing Diagnosis

With an ongoing changes in health care, patients are being expected to be co-managers of their care. They are being discharged from hospitals earlier, and are face with increasing complex therapeutic regimens to be handled in the home environment. Likewise, patients with chronic illness often have limited access to health care providers and are expected assume responsibility for managing the nuances of their disease. Patient’s with sensory perception deficits, altered cognition, financial limitations,and those lacking support system may find themselves overwhelmed and unable to follow the treatment plan. Elderly patients, who often experience most of the above problems, are specially at high risk for ineffective management of the therapeutic plan.

Assessment

  • Unable to meet the goals of a treatment
  • Knowledge deficit of prescribed regimen
  • Perceived seriousness
  • Difficulties with prescribed regimen

Desired Outcomes

  • Client will verbalize acceptance of need and desire to change actions to achieve agreed-on outcomes
  • Client will participate in problem-solving of factors interfering with the integration of therapeutic regimen
Nursing InterventionsRationale
Assess for related factors that may negatively affect success with the following regimenPatient’s perceived seriousness and threat of disease affect his or her compliance with the program.
Assess patients confidence or her ability to perform the desired behaviorPositive conviction that one can be advised successfully executive a behavior is correlated with performance and successful outcomes.
Assess the patient’s ability to learn or remember the desired health-related activityCognitive impairments need to be an alternative plan can be advised.
Assess patients ability to perform the desired activityPatient’s with limited financial may unable to purchase special foods.
Use therapeutic communication skillsTo assist the client in a problem-solving solution.
Provide positive reinforcement for effortsTo encourage the continuation of desired behaviors.
Promote client and SO participation in planning and evaluating the processEnhances commitment to plan, optimizing outcomes.
Assist client to develop strategies for monitoring therapeutic regimenPromotes early recognition of changes, allowing a proactive response.
Identify home- and community-based nursing serviceFor assessment, follow-up care, and education in clients home.
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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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