CHAPTER 5

NURSING CARE PLAN 1

ASSESSMENT NURSING CLIENT NURSING RATIONALE EVALUATION
DIAGNOSIS OUTCOME INTERVENTION
SUBJECTIVE: “May Deficient After 8 hours of INDEPENDENT   Validates After 8 hours of
nakakapa akong
knowledge nursing Review with current level of nursing
bukol sa dibdib ko,
anong dapat kong regarding illness, intervention the patient understanding, intervention the
gawin?” (I have a prognosis, patient will understanding of identifies learning patient was able
lump in my breast treatment, self- verbalize accurate specific diagnosis, needs, and to verbalize
what should I do?) as care, and information about treatment provides accurate
verbalized by the discharge needs diagnosis, alternatives, and knowledge base information about
patient OBJECTIVE: prognosis, and future from which diagnosis,
Verbalization of the
potential expectations.  patient can make prognosis, and
problem Statement
of misconception
complications at Provide clear, informed potential
V/S taken as follows own level accurate decisions.  Helps complications at
T: 37.1 ˚C P: 92 R: 19 information in a with adjustment own level of
BP: 120/ 80 factual but to the diagnosis of readiness.
sensitive manner. cancer by
Answer providing needed
specifically, but do information along
not provide with time to
unessential absorb it. 
 details.  Provide Patient has the
anticipatory right to know (be
guidance with informed) and
patient regarding participate in
treatment decision making.
protocol, length of Accurate and
therapy, expected concise
results, possible information helps
side effects. Be dispel fears and
honest with the anxiety, helps
patient. clarify expected
routine, and
 Review with enables patient to
patient the maintain some
importance of degree of control.
maintaining  Promotes well
optimal recovery, and it’s
nutritional status. critical in enabling
 Encourage diet patient to tolerate
variations and treatments. 
experimentation Creativity may
in meal planning enhance flavor
and food and intake,
 preparation.  especially when
Recommend protein foods
increased fluid taste bitter. 
intake and fiber in Improves
diet, as well as consistency of
routine exercise.  stool and
Instruct patient to stimulates
assess oral peristalsis.  Early
mucous recognition of
membranes problems early
routinely intervention,
minimizing
noting erythema, complications that
ulceration. 3/2/24, 7:33 AM
298071056-
Nursing-Care-
Plan-for-Breast-
Cancer-NCP -
Student Nurses
Community
complications that
may impair oral
intake and
 provide routine
avenue for
systemic infection