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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Impaired Skin Integrity

Nursing Diagnosis

  • Impaired Skin Integrity

Mastectomy, like any other surgical procedures, includes invasion of the inside body, specifically the skin and subcutaneous area. Upon incision, there will be impairment of the skin integrity causing damage, impairment of skin circulation and sensation and pain in the incision site.  An incision is made in the breast. The underlying muscles are opened to expose the tumor beneath the breast. The surgeon then removes part or all of the breast while taking great care not to injure nearby blood vessels or nerves. The muscles are then repaired and the skin incision is closed with sutures that will either absorb or be removed soon after the operation. The actual incising of the skin is seen as an impairment in the skin’s integrity.

Assessment

Patient may manifest

  • Presence of surgical wound on the breast where incision was made
  • Pain
  • Numbness of surrounding areas
  • Disruption of skin surface
  • Redness
  • Itchiness
  • Poor capillary refill

Desired Outcomes

  • Client will participate in prevention measures and treatment program.
  • Client will be able to display progressive improvement in wound healing.
Nursing InterventionsRationale
Assess incision site taking note of the size, color, location, temperature, texture, consistency of wound/lesion if possibleTo provide comparative baseline data.
Inspect surrounding skin for erythema, induration, macerationTo assess the extent of involvement.
Assess for odors and drains coming out from the skin or area of injuryTo assess the early progression of wound healing, development of hemorrhage or infection.
Inspect skin on a daily basis, describing lesions and changes observedTo promote timely intervention and revision of the plan of care.
Keep the area clean or dry, carefully dress wounds, support incision, and prevent infectionTo assist the body’s natural process of repair.
Use appropriate wound coveringsProtect the wound and/or surrounding tissue.
Encourage an increase in protein and calorie intakeTo aid in timely wound healing for the patient.
Encourage adequate rest and sleepPrevents fatigue and provides recuperation
Encourage early ambulation and mobilizationTo promote circulation and reduce risks associated with immobility.
Instruct on frequent position changesTo prevent bed ulcers from occurring.
Use the aseptic technique in cleansing/dressing and medicating lesionsReduces the risk of cross-contamination.
Instruct proper disposal of soiled dressingTo prevent the spread of the infectious agent.
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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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