Nursing Care Plan (NCP) for a Patient with Breast Cancer

ASSESSMENT DIAGNOSIS PLANNING IMPLEMENTATION RATIONALE EVALUATION

Subjective: Self-Care Deficit Short-Term Independent: Short-Term Goal:
"Nahihirapan ako related to Goal:  Promoted client’s and  To enhance commitment After 1 hour of
kumilos kasi nanghihina weakness due to After 1 hour of significant ’s participation to plan, optimizing proper nursing
ako kaya ‘di ko chemotherapy proper nursing in problem identification outcomes, and supporting interventions, the
maasikaso sarili ko. and side effects interventions, the and desired goals and recovery and/or health client was able to
Kailangan ko ng of other client will be decision-making promotion verbalize
tutulong sa akin." as medications. able to verbalize healthcare practices
verbalized by the client. healthcare  Guided the client in  To help in determining the and identify
practices and accepting the needed safe limits of trying to be alternative action
Objective: identify amount of dependence independent versus asking to perform
 Body weakness alternative action for assistance when Activities of Daily
noted to perform necessary Living (ADLS).
 Inability to put on Activities of
and remove clothing Daily Living  Assisted with meeting Long-Term Goal:
independently (ADLS). client’s specific self-care After 3 days of
 Inability to bathe needs: proper nursing
access bathroom Long-Term interventions, the
independently Goal: Dressing client was able to
 Inability to prepare After 3 days of  Dressed client and/or perform ADLs
food and feed proper nursing assisted with dressing within level of own
oneself interventions, the ability and with
independently client will be  Provided privacy during  To promote privacy as minimal assistance.
 Inability to perform able to perform dressing client may take longer to
toileting tasks ADLs within dress and may be fearful Goal Met
independently level of own of breaches in privacy.
 Inability to ambulate ability and with Bathing
independently minimal  Bathed and/or assisted in
assistance. bathing and provided
hygienic needs

 Instructed client to request

assistance when needed

 Assisted in and out of

shower

Feeding
 Placed the client in a
 To make the task easier
 comfortable position for while also reducing the
feeding. risk for aspiration

 Provided client with proper  To expand possibilities of

utensils to aid in self- success
feeding such as plate guard,
drinking straw

 Encouraged food and fluid  To maximize food intake

choices reflecting
individual likes and
abilities that meet
nutritional needs

 Assisted client to handle  To increase independence

utensils or in guiding or assistance with
utensils to mouth. movement of arms and
hands

 Provided food and fluid of  To facilitate swallowing

appropriate consistency

 Cut food into bite-size  To prevent overfilling

pieces. mouth and reduce risk of
choking
Toileting
 Provided mobility
assistance to bathroom

 Provided or assisted with  To promote independence

use of assistive equipment and safety in sitting down
such as raised toilet seat, or arising from toilet or
support rails for aiding elimination

 Provided privacy while  To promote privacy which

client is toileting may improve the client’s
ability to empty bowel and
bladder.

 Promoted independence but

intervene when the client is
not able to carry out self-
References:
Doanges, M. E., Moorhouse, M. F., & Murr, A. C. (2016). Nurse’s Pocket Guide: Diagnoses, Prioritized Interventions, and
Rationales. (14 ed.). F. A. DAVIS COMPANY, Philadelphia, Pennsylvania
Wayne, G. (2017). Self-Care Deficit Nursing Care Plan. https://nurseslabs.com/self-care-deficit/