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.
- Impaired Skin Integrity
- Acute Pain
- Situational Low Self-Esteem
- Impaired Physical Mobility
- Deficient Knowledge
- Risk for Injury
- Impaired Skin Integrity
- Activity Intolerance
- Risk for Ineffective Breathing Pattern
- Risk for Infection
- Ineffective Therapeutic Management
- Risk for Dysfunctional Grieving
- Ineffective Peripheral Tissue Perfusion
- Other Possible Nursing Care Plans
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.
- Limited range of motion
- Decreased hemoglobin and hematocrit level
- Exertional discomfort
- Abnormal heart rate and blood pressure
- 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.
|Assess the patient’s level of mobility||This aids in defining what the patient is capable of, which is necessary before setting realistic goals.|
|Assess nutritional status||Adequate energy reserves are required for activity.|
|Ascertain ability to stand and move about and degree of assistance necessary/ use of equipment||To determine what goals to be established to perform wellness.|
|Provide a quiet environment and encourage the use of stress management||Reduces stress and excess stimulation, promoting rest.|
|Encourage adequate rest periods||Reduces stress and excess stimulation, promoting rest.|
|Promote comfort measures and provide for the relief of pain||Rest provides time for energy conservation and recovery.|
|Plan care with rest periods between activities||To enhance the ability to participate in activities.|
|Instruct SO in monitoring response to activity and in recognizing signs and symptoms||To reduce fatigue.|
|Assist client in learning and demonstrating appropriate safety measures||To prevent injuries.|
|Encourage the client to maintain positive attitudes; suggest the use of relaxation techniques, such as visualization/guided imagery as appropriate||To enhance a sense of well-being.|
Recommended nursing diagnosis and nursing care plan books and resources.
- Nursing Care Plans: Nursing Diagnosis and Intervention (10th Edition)
An awesome book to help you create and customize effective nursing care plans. We highly recommend this book for its completeness and ease of use.
- Nurse’s Pocket Guide: Diagnoses, Prioritized Interventions and Rationales
A quick-reference tool to easily select the appropriate nursing diagnosis to plan your patient’s care effectively.
- NANDA International Nursing Diagnoses: Definitions & Classification, 2021-2023 (12th Edition)
The official and definitive guide to nursing diagnoses as reviewed and approved by the NANDA-I. This book focuses on the nursing diagnostic labels, their defining characteristics, and risk factors – this does not include nursing interventions and rationales.
- Nursing Diagnosis Handbook, 12th Edition Revised Reprint with 2021-2023 NANDA-I® Updates
Another great nursing care plan resource that is updated to include the recent NANDA-I updates.
- Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5(TM))
Useful for creating nursing care plans related to mental health and psychiatric nursing.
- Ulrich & Canale’s Nursing Care Planning Guides, 8th Edition
Claims to have the most in-depth care plans of any nursing care planning book. Includes 31 detailed nursing diagnosis care plans and 63 disease/disorder care plans.
- Maternal Newborn Nursing Care Plans (3rd Edition)
If you’re looking for specific care plans related to maternal and newborn nursing care, this book is for you.
- Nursing Diagnosis Manual: Planning, Individualizing, and Documenting Client Care (7th Edition)
An easy-to-use nursing care plan book that is updated with the latest diagnosis from NANDA-I 2021-2023.
- All-in-One Nursing Care Planning Resource: Medical-Surgical, Pediatric, Maternity, and Psychiatric-Mental Health (5th Edition)
Definitely an all-in-one resources for nursing care planning. It has over 100 care plans for different nursing topics.
Other recommended site resources for this nursing care plan:
- Nursing Care Plans (NCP): Ultimate Guide and Database MUST READ!
Over 150+ nursing care plans for different diseases and conditions. Includes our easy-to-follow guide on how to create nursing care plans from scratch.
- Nursing Diagnosis Guide and List: All You Need to Know to Master Diagnosing
Our comprehensive guide on how to create and write diagnostic labels. Includes detailed nursing care plan guides for common nursing diagnostic labels.
Other care plans and nursing diagnoses related to reproductive and urinary system disorders:
- Acute Glomerulonephritis | 4 Care Plans
- Acute Renal Failure | 6 Care Plans
- Benign Prostatic Hyperplasia (BPH) | 5 Care Plans
- Chronic Renal Failure | 11 Care Plans
- Hemodialysis | 3 Care Plans
- Hysterectomy (TAHBSO) | 6 Care Plans
- Mastectomy | 14+ Care Plans
- Menopause | 6 Care Plans
- Nephrotic Syndrome | 5 Care Plans
- Peritoneal Dialysis | 6 Care Plans
- Prostatectomy | 6 Care Plans
- Urolithiasis (Renal Calculi) | 4 Care Plans
- Urinary Tract Infection | 4 Care Plans
- Vesicoureteral Reflux (VUR) | 5 Care Plans