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Breast Cancer Care Study
Breast Cancer Care Study
ANALYSIS OF DATA
This is the second phase of the nursing process. It involves the act of deducing facts or information that
has been gathered on the client and her condition in order to arrive at the needs of the client and the
The results from laboratory investigation, history, signs and symptoms manifested by the client are
carefully analyzed, comparing them with standard measures to aid in diagnosing the client’s condition.
TABLE 1: DIAGNOSTIC INVESTIGATIONS
DATE SPECIMEN INVESTIGATIO RESULTS NORMAL INTREPRETATIO REMARKS
N VALUES N
12/06/2023 Fine needle To show the tissues Destruction of There should not Not normal Client was sent to
aspiration of the of the breast surrounding be any theater for
breast tissues of the destruction of mastectomy and
outer quadrant surrounding left breast
of the right tissues removed
breast
12/06/2023 Renal function test
Blood Creatinine 3.02 mmol/L 2.50 - 8.30
mmol/L Normal No treatment
Urea 43 umol/L 44-106 umol/L Normal given
BUN/CREAT ratio 33.8 8.0 – 36.0 Normal No treatment
given
No treatment
given
12/06/2023 Blood Liver function test
AST 29.8 U/L 5.0 – 40.0 U/L Normal No treatment
ALP 109.7 U/L 35.0 – 129.0 Normal given
GGT 53.7 U/L U/L Normal No treatment
Total protein 74.1g/L 6.0 -71.0 U/L Normal given
66.0 – 87.0 g/L No treatment
given
No treatment
given
12/06/2023 Blood Hemoglobin level 12.6g/dL 11.5 - 16.5g/dL Normal No treatment
given
12/06/2023 Blood White blood cell 4.6 x 10⁹/L 3.5 -10.0 x Normal No treatment
count 10⁹/L given
From the literature review, the causes of breast cancer are history of breast cancer in the family, high
fat diet, have never been pregnant, have long menstrual cycles, begin menstruation early or menopause
late, etc.
In the case of my client, the cause was attributed to history of breast cancer.
1. Painless, non-tender mass in the affected 1. Client had painless, non-tender mass in the left
2. Changes in size and contours of the 2. Client had changes in size and contours of the
3. Bleeding or discharge from the nipple. 3. Client had discharge from the nipple.
4. A scaly rash around the nipple 4. Client did not have a scaly rash around the
7. Acute bone pains in the back or limbs. 6. Client had retraction of the nipple.
8. Itching of the nipple and ulceration. 7. Client did not have acute bone pains in the back
or limbs.
Treatment modalities used for breast cancer include surgical treatment which involves radical
mastectomy, simple mastectomy, primary tumor excision and lumpectomy. Radiation therapy,
chemotherapy and endocrine therapy are also used in the treatment of breast cancer. Client’s condition
was intervened by surgical means. Radical mastectomy was performed. Besides the surgical treatment,
With reference to the complication stated in the literature review my client developed none of
them because of early diagnosis, prompt attention and management she received. She had a
This is the ability of client and her family to participate in the care for the achievement of set
Client was conscious from the day of admission till she was discharged. She was able to maintain
her personal hygiene before the operation and was assisted to maintain her personal hygiene after
the surgery.
Her family supported her emotionally and psychologically by advising and reassuring her that,
she was going to be well and be with them soon. They visited her every day and brought all the
Mrs. Adelaide Nyanteh was able to pay her bills it was been taken care off by the army. She was
also very co-operative and friendly and therefore made friends with the other patients and the
HEALTH PROBLEMS
Pre-operative problems
1. Pain
2. Anxiety
3. Anticipatory grieving
Post operative problems
1. Pain
2. Self-care deficit
NURSING DIAGNOSES
This is the second stage in the nursing care plan which deals with the identification of the client
actual problem and potential problems from the information gathered on the client.
The diagnosis changes from day to day depending on the condition of the client and response to
After assessing Mrs. Adelaide Nyanteh, the following nursing diagnoses were made:
2. Anxiety due to knowledge deficit (cancer of the breast and mastectomy) related to the
disease condition.
8. Risk for airway obstruction related to altered level of consciousness produced by general
anesthesia.