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 Injury

Nursing Diagnosis

  • Risk for Injury

Risk Factors

  • Muscle weakness
  • Altered mobility
  • Sensory and perceptual disturbances due to anesthesia

Nursing Diagnosis

  • Risk for Injury related to change in center of gravity secondary to extensive removal of chest tissue

Desired Outcomes

  • Client will verbalize understanding of individual factors that contribute to the possibility of injury and take steps to correct situations.
  • Client will demonstrate behaviors, lifestyle changes to reduce risk factors and protect self from injury.
Nursing InterventionsRationale
Access mood, coping abilities, and personality stylesFactors may result in carelessness and increased risk-taking without consequences.
Identify interventions and safety devicesTo promote a safe physical environment and individual safety.
Encourage participation in self-help programs, such as assertiveness training, positive self-imageTo enhance self-esteem and sense of self-worth.
Assist client during periods of ambulation when necessaryThe nurse supports the client when or if the client loses balance.
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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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