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Breast Cancer Case Study

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Submitted By kanui067
Words 864
Pages 4
Mary Kanu
NUR 180
February 24, 2009

Case Study on Client with Breast Lesions

1. (a) Was it painful and tender?
(b) When was your last Mammogram?
(c) Have you being doing your BSE regularly?
(b) Are you taking any hormonal replacements or antidepressants?
(c) Did you notice any changes in the breast symmetry, skin temperature and color changes?
2. Yes, it is very important that you go see your Doctor for an evaluation. Secondly, it has taken two years since your last mammography. This should be the best time to have it done again either for screening or diagnostic.

3. (a) Explore the client feelings for a frozen section and possible mastectomy by encouraging her to express her feelings about her illness and determine her level of knowledge.

(b) Evaluate the client and family coping ability

(c) Provide a clear explanation of the procedure and her post operative care such as the placement of tube to collect the drainage from the incision and that her arm on the affected side will be elevated. In addition to the above, she would have to begin arm exercises shortly after sugery. Nurse to demonstrate the exercise and have client repeat the exercise.

(d) If the client seems able to absorb the above information, provide other information such as the types of beast prostheses available.

(e) Take measurement on both sides of the breast to obtain baseline data

(f) Explain to the client that if she is going to have a radical mastectomy, the skin on the anterior surface of one thigh may be shaved and prepared in case she needs a graft.

4. My priorities in planning the immediate care for the client and the family include :
Client:-
(a) Keep client arm elevated on a pillow to enhance circulation and prevent edema. (b) Check the suction tubing to ensure proper function, and observe the drainage site for erythema, induration,

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