The RN is developing a plan of care for a 35-year-old female, newly diagnosed wi
ID: 84768 • Letter: T
Question
The RN is developing a plan of care for a 35-year-old female, newly diagnosed with breast cancer. Assessment findings include: the patient is teary and states, "I haven't been sleeping since the diagnosis." The patient doesn't make eye contact, has difficulty sitting still and her voice is trembling. Her mucous membranes are dry and she says she has not had an appetite. She says, "I don't know if I am going to need surgery to remove my breasts. I don't know how it will make me feel or look". Initial Discussion Post: Develop a 3-part actual nursing diagnostic statement, related to therapeutic communication, stress and adaptation OR patient teaching. Use the patient data in the scenario, including the problem, etiology and symptoms. Develop a patient specific, measurable outcome appropriate for your chosen diagnosis and this patient. Explain why this diagnosis is a priority for this patient.Explanation / Answer
1. The statement is ------ Anxiety related to the removal of the breast as evidenced by insomnia, trembling voice, dry mouth and loss of apetite. In this three part statement, the first part i.e. anxiety is the problem, the second part is etiology or cause of the problem which is removal of the breast. The third part is the sign or symptom shown by the patient like insomnia, trembling voice, dry mouth and loss of apetite.
3. This diagnosis is priority for the patient because she is suffering from breast cancer. The body image with which a woman is surviving for so long suffers a jolt with the diagnosis of this type of cancer. She goes to depression thinking about the removal of her breast. She becomes afraid of loosing her self image and confidence with the loss of that part.
2. The outcome ----- The patient will be put to sleep by administration of medicine.
The patient will communicate her problem to her relatives and friends.
The patient will practice looking at positive aspects of her appearance.
The underlined words are "measurable" verbs.
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