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 Dysfunctional Grieving

Nursing Diagnosis

Extended, unsuccessful use of intellectual and emotional responses by which individuals, families, communities attempt to work through the process of modifying self-concept based on the perception of loss. Dysfunctional grieving is a state in which an individual is unable or unwilling to acknowledge or mourn an actual or perceived loss. This may subsequently impair further growth, development, or functioning. Dysfunctional grief may be marked by a broad range of behaviors that may include pervasive denial, or a refusal to partake in self-care measures or the activities of daily living.

Desired Outcomes

  • Client will verbalize a sense of beginning to deal with grief occurring from the loss of breast
  • Client will participate in therapy to learn new ways of dealing with anxiety and feelings of inadequacy
Nursing InterventionsRationale
Assess clients ability to manage activities of daily living and period of time since a loss has occurredThey persist and interfere with normal activities, the client may need additional assistance.
Note stage of grief is experiencingStages of grief may progress in a predictable manner or may be experienced in different stages.
Acknowledge client’s sense of relief when death follows a long and debilitating courseSadness and loss are still there, but the death may be released and the grieving process may be soother.
Meet with both members of the coupleTo determine how they are dealing with the loss.
Encourage the client and SO to identify healthy coping skills they have used in the pastThese can be used in the current situation to facilitate dealing with grief.
Refer to other sources as needed, counseling, psychotherapy, significance of loss religious references, grief support groupDepending upon the meaning of the loss, an individual may require on-going support to work through grief.
Stay with the client and ensure privacy during emotional periodsThe nurse presence provides support. Ensuring privacy demonstrate the client’s dignity.
Acknowledge the client’s grief and reinforce that feeling angry or sad is normal and expectedValidating client’s feelings give permission for him or her to experience true emotions.
Encourage sharing with those who can be empathic, such as another breast cancer survivorSharing a significant loss with a person who has survived a similar experienced provides a bond for healing.
Avoid administering prescribed sedatives or tranquilizers as a substitute for spending time with the clientNumbing the mind interferes with grieving.
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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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