BREAST CANCER NCP

Assessment Nursing Diagnosis Planning Intervention Rationale Evaluation

Subjective: Fear related to Short term: Independent: Short term:
“Natatakot po disease process as After 15 minutes of 1.Established rapport -For cooperation and trust Goal met, as evidenced
ako kasi sa evidenced by nursing intervention, the of the patient. by the patient
ganyang sakit feeling of worry and client will be able to: 2. Identified type of fear by -Patients who find it  Identified
namatay yung nervousness  Identify sources asking question and active unacceptable to expose fear sources of fear
mama ko” as of fear listening. may find it convenient to  Verbalized ways
verbalized by the  Verbalize ways know that someone is on how to reduce
patient. on how to reduce willing to listen. it
it 3. Assessed and evaluated -This provides a foundation
behavioral and expression for planning interventions to Long Term:
Objective: Long Term: of fear. support patient’s coping Goal met, as evidenced
-feeling of worry After 2 days of nursing strategies. by the client:
-trouble thinking intervention, the client 4. Open about your -This validates the feelings  Demonstrated
-nervousness will be able to: awareness of the patient’s that the patient is holding how to reduce
-sweating  Demonstrate fear. and demonstrates fears
-Diagnosis of how to reduce recognition of those  Verbalized
Stage II breast fears feelings. improve level of
cancer.  Verbalize 5. Discussed situation with -This approach helps the anxiety/stress
improve level of the patient and help patient deal with fear.  Verbalized other
anxiety/stress differentiate between real feelings/concerns
 Verbalize other and imagined threats to
feelings/concerns well-being.
6. Told patient that fear is a -This reassurance places
normal and appropriate fear within the field of
response to circumstances normal human experiences.
in which nervousness,
feeling of worry, or trouble
concentrating is anticipated
or felt.
7. Maintained a relaxed and -The patient’s feeling of
accepting demeanor while stability increases in a
communicating with the peaceful and non-
patient. threatening environment.

Health Education:
1. Educated about -To provide knowledge and
condition and reduce fear/anxiety.
treatments. -This will help the patient to
2. Emphasized importance help cope up with her
of living healthy lifestyle condition. To still improve
within the limitations of quality of life even she has
the condition. on going treatments.

3. Educated and
demonstrate ways on -These techniques will
how to reduce lighten fear. Improve signs
fear/anxiety. and symptoms of
Ex. Meditation, fear/anxiety.
prayer, music,
Therapeutic Touch,
and healing touch
techniques help
lighten fear.
4. Emphasized importance
of complying to -This will enhance the
treatments. compliance to treatment.

Dependent:
Referred to cognitive
behavioral group therapy. -A reward that comes from
participating in a group is
the opportunity to meet
others with the same
problem. Even if not,
everyone will have the same
triggers or severity of
symptoms, it is helpful to
know that the patient
realizes that he or she is not
alone.
 LUNG CANCER NCP
Assessment Nursing Planning Intervention Rationale Evaluation
Diagnosis
Subjective: Acute pain Short term: Independent: Short term:
“Everytime na related to cancer After 15 minutes of nursing 1. Established rapport -For trust and cooperation The goal is met, as
humihinga ako, invasion of pleura intervention, the client will of the patient evidenced by the client
ang sakit sakit as evidenced by be able to identify at least 2. Assessed vital signs -For baseline assessment verbalized 3 ways to
ng dibdib ko” as pain scale of 8 three diversional activities 3. Assessed for lung sounds -To identify abnormal help reduce pain such
verbalized by out of 10 and to help reduce pain. sounds related to his as guided imagery,
the client. chest pain condition breathing techniques,
4. Assessed pain scale -To identify level of pain and visualization.
5. Assessed patient’s verbal -Verbal and/or nonverbal
Objective: Long term: and nonverbal cues of cues may provide clues to
 Pain scale: After 8 hours of nursing pain the degree of pain, need for Long term:
8/10 intervention, the client will or effectiveness of The goal is partially
 Facial be able to: interventions met, as evidenced by:
grimace  Verbalize relieve -Fears or concerns can  Verbalized
 Restlessness from pain as 6. Encouraged verbalization increase muscle tension and relieve from
 Bradypnea evidenced by the of feelings about the pain. lower threshold of pain pain as
 RR: 11 cpm pain scale below 3 perception. evidenced by
 Fatigue out of 10. -Promotes relaxation and the pain scale
 Feeling of  Verbalize other 7. Provided comfort redirects attention. Relieves of 5 out of 10.
discomfort concerns and measures: frequent discomfort and augments  Verbalized
 Chest wall feelings changes of position, back therapeutic effects of other concerns
pain rubs, support with pillows. analgesia. and feelings
 Wheezing Encourage use of
relaxation techniques,
visualization, guided
imagery, and appropriate
diversional activities. -Decreases fatigue and
8. Scheduled rest periods, conserves energy,
provide quiet enhancing coping abilities.
environment.
Dependent: -For pharmacological
1. Administered medications, treatment of pain
as prescribed. Ex.
Acetaminophen, Opioids
(codeine, morphine)

Health Education: -To provide knowledge and

1. Educated about the reduce fear/anxiety
condition -To provide knowledge
2. Educated about the about the choices of
treatments such as treatment.
radiation,
chemotherapy,
surgery, and
immunotherapy. -To still prolong and improve
3. Emphasized quality of life.
importance of healthy
living lifestyle within
the limitations of his
condition. -To enhance compliance of
4. Emphasized patient to treatment of his
compliance to condition.
treatments
PROSTATE CANCER NCP
Assessment Nursing Diagnosis Planning Intervention Rationale Evaluation
Subjective: Impaired urinary Short term goal: Independent: Short term goal:
“Bukod po sa elimination related to After 15 minutes of 1.Established rapport. -For trust and cooperation Goal met, as
hindi ako tumor in the prostate nursing intervention, the of the patient. evidenced by the
makaihi, ang as evidenced by client will be able to 2. Asked information about -For baseline assessment client was able to
sakit din po ng tenderness in verbalize at least 2 types the urination pattern, and may help to identify verbalize to possible
puson ko” as suprapubic area and of possible treatment for present condition, past causes and other underlying treatments for his
verbalized by the distended bladder his condition. condition, family history, conditions. condition.
client. diet, and lifestyle
3. Palpation and percussion -To assess the bladder
Long term goal: was also performed.
Objective: After 1 day of nursing 4. Encouraged verbalization -To help identifying other Long term goal:
-Tenderness in intervention, the client of feelings/concerns concerns Goal partially met, as
suprapubic area will be able to: 5. Flow of urine, the size and -To identify changes and evidenced by the
-Distended  Demonstrate strength, input, and output progress of treatments. client:
bladder behaviors on was observed and  Demonstrated
-Dysuria how to regain documented. some
-Dribbling after urinary control behaviors on
urination  Comply with the Health education: how to regain
recommended 1.Informed about the -To provide knowledge to urinary
treatment condition: overview, possible the patient. Also, to reduce control.
specific to his causes, signs and symptoms, fear and anxiety.  Complied
condition diagnostics, and treatments. with the
 Verbalize 2. Emphasized importance of -To still improve quality of treatments.
concerns/feelings improving lifestyle within life and help with the  Verbalized
the limit of the condition. treatments. other
3. Informed and - Helps regain control of the concerns/
demonstrated behaviors on bladder, sphincter, or feelings.
how to regain urinary urinary control and
control such as: minimizes incontinence.
 Void when urge is noted
but not more than every
2–4 hr per protocol
 Perform perineal
exercises: tightening
buttocks, stopping, and
starting urine stream
4. Treatments on prostate -To provide knowledge
cancer such as radiation about the choices of
therapy, hormone therapy, treatment.
chemotherapy,
immunotherapy, and
bisphosphonate therapy
were discussed.
5.Informed and -To minimize infections and
demonstrated on proper maintain skin integrity.
perineal care.
6. Emphasized the -To enhance compliance to
compliance for the the treatment
treatment. recommendations.

Dependent:
1.Inserted urinary catheter,
as ordered.
2. Encouraged the patient to
take 2-4 liters of fluid per
day, unless contraindicated.
-To help eliminate the urine
- Voiding with urge
prevents urinary retention.
Limiting voids to every 4
hours (if tolerated)
increases bladder tone and
aids in bladder retraining.
CERVICAL CANCER NCP
Assessment Nursing Diagnosis Planning Intervention Rationale Evaluation
Subjective Decisional conflict Short term goal: Independent: Short term goal:
“Nahihirapan ako related to After 30 minutes of 1.Established rapport -For trust and cooperation The goal is met, as
na magdesisyon, treatment options nursing intervention, of the patient. evidenced by the client
gusto ko parehas as evidenced by the client will be able 2.Assessed prior knowledge about -To identify prior was able to:
na radiation at verbalized to verbalize: the condition and treatments information learned and  Verbalized one
chemotherapy problem  At least one help to plan for advantage of
kasi mas maganda advantage of interventions and health chemotherapy
daw ang epekto, chemotherapy education.  At least one
kaya lang di  At least one 3. The usual ability to manage own - Family advantage of
naman namin advantage of affairs was identified. Clarify who disruption/conflicts can radiation
kakayanin yung radiation has legal right to intervene on complicate decision
 Verbalized
babayaran kapag  Verbalize behalf of the patient (e.g., parent, process. But this can also
understanding
dalawa at sabay” understanding spouse, other relative, or court help with the financial
of the
as verbalized by of the appointed guardian/advocate). planning for the chosen
condition
the client. condition treatment.
4. Through active listening, the - To help client clarify
reason for indecisiveness were problem
Objective: identified.
-delayed decision Long term goal: 5.Corrected misconceptions client - Provides for better
Long term goal:
making After 1 week of have and provided information. decision making.
The goal is met, as
-self-focusing nursing intervention, 6. The patient were encouraged to - Fosters patient’s sense of
evidenced by the client
-verbalization of the client will be able make developmentally appropriate self-worth, enhances
verbalized her chosen
uncertainty about to verbalize her decisions concerning own care. ability to learn/exercise
treatment where she
the choices decision regarding the 7. Promoted a free from stress and coping skills.
decided to undergo
-feeling of worried treatment. calm environment. The patient -To help make a better
chemotherapy.
-Diagnosis of was also encouraged to relax and decision making without
stage II cervical give time to think. pressuring the patient.
cancer
Health Education:
1.Restated the prior knowledge
regarding the condition. Other -To refreshed prior
concerns were also determined. knowledge and can aid in
2.Restated information about the decision making.
radiation therapy and -This may also help the
chemotherapy. patient to know the other
  Overview, how it is done
Advantages/Disadvantages
 Added information about
other recommended
treatments such as
immunotherapy, targeted
therapy, surgery, and
supportive care.
3.Emphasized importance of early
initiation of treatment.
4. Emphasized importance of
family involvement in the
treatment.
Collaborative:
 Refer to some government
offices, organizations,
programs, or charities to
get financial assistance.
choices of treatment. To
help in deciding the better
treatment for her.
-This may help to
stop/slow the progression
of the cancer.
-To provide support to the
client and decision making
regarding the treatment.
-To help with financial
problems and achieve the
desired treatment for the
betterment of her
condition.
ENDOMETRIAL CANCER NCP
ASSESSMENT NURSING PLANNING INTERVENTION RATIONALE EVALUATION
DIAGNOSIS
Subjective: Disturbed body Short term goal: Independent: Short term goal:
“Alam mo ba nung image related to After 15 minutes of 1.Established rapport. -For trust and cooperation The goal is met, as
high school ako, chemotherapy nursing intervention, of the patient. evidenced by the client
lagi ako binabati treatment as the client will be able to 2. The patient’s perception -The answer reveals the verbalized 2 adaptive
na ang ganda- evidenced by verbalize at least 2 about body image were feelings and point of view behaviors she can apply.
ganda daw ng verbalization of adaptive behaviors she assessed. about the changes. The
buhokat balat ko the problem can apply. nurse can now focus on that
pero ngayon insecurity and use it as a
tingnan mo starting point when working Long term goal:
naman halos Long term goal: on improving body image. The goal is partially met,
makalbo na ako After 1 week of nursing 3. The patient’s level of -The attitude towards their as evidenced by the client:
tapos ang dry pa intervention, the client acceptance were assessed. new situations makes a  Demonstrated the
ng balat ko. will be able to significant difference. use of brown hair
Feeling ko tuloy  Demonstrate 4. The patient were asked -This may adjust the plan of wig
ang panget ko the use of hair how this change affects her care and include areas that  Verbalized slight
na.” as verbalized wig social and occupational are affected. Resources can relief from
by the client.  Verbalize relief relationships with others. facilitate transitions into physical changes.
of anxiety from new roles and help adapt to  Recognized self-
physical new situations. sabotage and
Objective: changes 5. The patient’s support -Family members and accepted the
-Diagnosis of  Recognize self- system were also asked. caregivers can make offered help and
Stage III sabotage and changes much more recommendations.
endometrial accept help manageable and  Verbalized other
cancer  Verbalize other 6. Every time the patient predictable. concerns and
-On going concerns and shows that she is willing and -Positive reinforcement feelings regarding
chemotherapy feelings cooperative to the treatment, promotes self-esteem and the condition.
-frustrated regarding her she is praised and given motivates the patient to
-feeling of condition. positive feedback. continue care.
worried 7. Assured the patient of the
-hair loss normalcy of her feelings and -Experiencing stages of grief
-facial expression emotions. over loss of a body part or
of sadness function is normal and typically
-restlessness involves a period of denial, the
-skin dryness Health Education: length of which varies among
-darkening of  Reinstated why her individuals.
extremities condition need this
treatment. -To understand better why
o Explain the the treatment is important
effects of and for improvement of the
medications or quality of her life. Discussing
treatment that the importance of the
might be the therapy and educating
cause of about possible body image
alterations of the changes beforehand might
body. make it easier to cope.
 Discussed to the patient
on how to take care of
the affected area such as - Knowledge and skills about
washing as often as the care in the altered body
necessary, use soft brush, part or function increases
or using a gentle independence and
shampoo. confidence.
-The use of moisturizers,
lotions, and other creams or
oils for skin. As prescribed by
the physician.
 Discussed about adaptive
behaviors such as: use of
wigs, cosmetics, and -Adaptive behaviors help the
clothing that conceals the patient compensate for the
altered body part or actual changed body
enhances remaining part structure and function.
or function.
 Advised the patient to
focus on remaining
abilities. -Strengthening skills can
boost the patient’s
Collaborative: confidence and distract
 Referred the patient to from feelings of loss.
support groups
composed of individuals -Lay people in similar
with similar alterations. situations offer a different
 Suggested the patient to type of support, which is
consider going to physical perceived as helpful.
and occupational therapy, -These are helpful in
vocational counselor, identifying ways/devices to
psychiatric counseling, regain and maintain
clinical specialist independence. Patient may
psychiatric nurse, social need further assistance to
services, and resolve persistent emotional
psychologist, as needed. problems.