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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Activity Intolerance

Nursing Diagnosis

Activity intolerance refers to the insufficient physiological or psychological energy to complete desired daily activities. Most activity intolerance is related to generalized weakness and debilitation secondary to acute or chronic illness and disease. This is especially apparent in elderly patients with a history of orthopedic, cardiopulmonary, diabetic or pulmonary –related problems. It is also common in persons who undergone surgeries and it is experienced postoperatively.

The person is suffering from a physical and psychological inability to complete daily activities caused by generalized weakness due to post-surgical procedure. Post-operative patient usually is under bed rest for a few days that may hinder them to their usual activity. Pain that may accompany post-op also inhibit the client to possible ranges of motion.

Assessment

  • Weakness
  • Limited range of motion
  • Fatigue
  • Dyspnea
  • Decreased hemoglobin and hematocrit level
  • Immobility
  • Exertional discomfort
  • Abnormal heart rate and blood pressure
  • Pallor
  • Cyanosis

Desired Outcomes

  • Client and the significant, others will be able to identify negative factors affecting activity tolerance and eliminate/reduce their effects when possible.
  • Client will be able to improve his activity and perform techniques to enhance activity tolerance.
Nursing InterventionsRationale
Assess the patient’s level of mobilityThis aids in defining what the patient is capable of, which is necessary before setting realistic goals.
Assess nutritional statusAdequate energy reserves are required for activity.
Ascertain ability to stand and move about and degree of assistance necessary/ use of equipmentTo determine what goals to be established to perform wellness.
Provide a quiet environment and encourage the use of stress managementReduces stress and excess stimulation, promoting rest.
Encourage adequate rest periodsReduces stress and excess stimulation, promoting rest.
Promote comfort measures and provide for the relief of painRest provides time for energy conservation and recovery.
Plan care with rest periods between activitiesTo enhance the ability to participate in activities.
Instruct SO in monitoring response to activity and in recognizing signs and symptomsTo reduce fatigue.
Assist client in learning and demonstrating appropriate safety measuresTo prevent injuries.
Encourage the client to maintain positive attitudes; suggest the use of relaxation techniques, such as visualization/guided imagery as appropriateTo enhance a sense of well-being.
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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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