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Cues

Nursing Diagnosis Knowledge Deficit [Learning Need] regarding illness, prognosis, treatment, self care, and discharge needs related information misinterpretat ion, myths and unfamiliarity with information resources as evidenced by questions/req uest for information, verbalization of problem

Analysis

Goals and Objectives After series of nursing intervention the client will be able to verbalize understanding of condition/ disease process and treatment as evidenced by demonstratin g procedure correctly and explain reasons for the action and expressing correct information regarding the illness.

Intervention

Rationale

Evaluation

Subjective: State unfamiliar ity about the disease Seeking informati on on how to do self care

Objective: Verbalizat ion of the problem Misconce ption

Breast cancer is a kind of cancer that develops from breast cells. Breast cancer usually starts off in the inner lining of milk ducts or the lobules that supply them with milk. A malignant tumor can spread to other parts of the body. A breast cancer that started off in the lobules is known as lobular carcinoma, while one that developed from the ducts is called ductal carcinoma.

Independent Review with patient/SO understanding of specific diagnosis, treatment alternatives, and future expectations. Validates current level of understanding, identifies learning needs, and provides knowledge base from which patient can make informed decisions. Aids in identification of ideas, attitudes, fears, misconceptions, and gaps in knowledge about cancer

Goal was met. The client was able to: >Demonstrate procedure correctly and explain reasons for the action >Express correct information regarding the illness/conditi on

Determine patients perception of cancer and cancer treatment(s); ask about patients own/previous experience or experience with other people who have (or had) cancer. Provide clear, accurate information in a factual but

Helps with adjustment to the diagnosis of cancer by

sensitive manner. Answer questions specifically, but do not bombard with unessential details.

providing needed information along with time to absorb it. Note: Rate and method of giving information may need to be altered to decrease patients anxiety and enhance ability to assimilate information. Patient has the right to know (be informed) and participate in decision tree. Accurate and concise information helps to dispel fears and anxiety, helps clarify the expected routine, and enables patient to maintain some degree of

Provide anticipatory guidance with patient/SO regarding treatment protocol, length of therapy, expected results, possible side effects. Be honest with patient.

control. Ask patient for verbal feedback, and correct misconception about individuals type of cancer and treatment. Misconceptions about cancer may be more disturbing than facts and can interfere with treatments/dela y healing. Enables patient/SO to begin to put limitations into perspective and plan/adapt as indicated.

Outline normally expected limitations (if any) on ADLs (e.g., difficulty cooking meals when nauseated/fatigued , limit sun exposure, alcohol intake; loss of work time because of effects of treatments). Provide written materials about cancer, treatment, and available support systems.

Anxiety and preoccupation with thoughts about life and death often interfere with patients ability to assimilate adequate

information. Written, takehome materials provide reinforcement and clarification about information as patient needs it. Stress importance of continuing medical follow-up. Provides ongoing monitoring of progression/ resolution of disease process and opportunity for timely diagnosis and treatment of complications. Patient/family/S O need to reevaluate choices as condition changes (for better/worse) and treatment options become available or are exhausted.

Encourage periodic review of advance directives. Promote inclusion of family/SO in decision-making process.