This website uses cookies to ensure you have the best experience. Learn more

Nursing Essay On The Care Of A Patient With Breastcancer And Lymphoedema

1863 words - 7 pages

Irene is a thirty-three year old married woman, who has two young children aged six months and five years. She has recently been attending the surgical outpatients clinic for investigation of a lump in her right breast. During her appointments at the clinic, Irene has expressed anxiety regarding the outcome of the lump on her breast. She is therefore later diagnosed with breast cancer and has been admitted to the breast surgery ward to receive treatment for her cancer. It has been arranged that Irene is to have surgery involving a wide local incision to remove the breast lump and any surrounding malignant tissue as well as an auxillary clearance (lymph node dissection) (Tschudin, 1996). However, Irene expresses concern at this time that her surgery will cause her arm to swell (lymphoedema) and this will affect her interaction with her baby. Therefore as the nurse responsible for Irene's care, a care plan of actual and potential postoperative complications of this surgery has been devised, this will include possible nursing interventions that would be implemented for Irene. However this assignment will concentrate on two postoperative problems that are of priority. These are pain and discomfort, which are associated with this type of surgery (Tschudin, 1996) and lymphoedema, which Irene has expressed personal concern about. These problems will now be addressed.Pain is defined as an unpleasant subjective sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage (ISAP, 1979).According to Logan (1995) pain and discomfort are actual postoperative problems that Irene will experience as a result of her breast cancer surgery, therefore management of her pain is of one high priority (Mallett & Dougherty, 2000).According to Alexander et al (1994) pain can be described as acute or chronic in nature and the experience of pain may also affect the patient psychologically. Therefore they describe acute pain, as a pain that follows injury, or surgery that is rapid on onset, has a short duration, varies in intensity and can produce psychological effects such as fear and anxiety.Indifferently, Chronic pain is a pain that is associated with progressive diseases such as cancer, which have a duration longer than six months, varies in intensity and can produce psychological effects such as anxiety and depression. According to Kweekeboom (1996), Irene, who is already anxious prior to surgery may be at further risk of inducing pain after surgery as anxiety has been known to cause muscle tension and induce pain. However, providing the patient with support and information before surgery can reduce both anxiety and postoperative pain (Heath, 1995).Phipps et al (1995) also reinforces this and states that patients who receive instructions about a forthcoming experience such as pain, perceive the actual experience as being less unpleasant.Irene would then be advised, pre-operatively, of what may be expected,...

Find Another Essay On Nursing essay on the care of a patient with breastcancer and lymphoedema

An Analysis of the Relationship between Theory and Practice in Nursing Assessment in the Delivery of Patient-Centred Care

2317 words - 10 pages In this essay I will be exploring the relationship between nursing theory and practice in patient assessment. I will analyse the activities of daily living section (Appendix 1) of the combined nursing assessment tool and look at how it facilitates patient centred care. I decided to focus my essay on this after working on a ward on placement where it was routine to complete a Combined Nursing Assessment within four hours of any patient arriving

nursing ethics at patient care Essay

756 words - 3 pages the task in the same way. One employee may know of a shortcut or a different way of doing something that another may not (McDaniel, 2004). This is a good example of operation variety. When working on ethics in a company two very important topics come to mind. One is the importance of continuing education and another is organizational curiosity. These two factors work hand in hand with each other because companies can send their employees to

Patient Safety, Quality Care, and Medical Errors in Nursing

1112 words - 5 pages of the largest groups of healthcare providers, have new roles and responsibilities to improve patient safety and quality. Nurses can attempt to do this through being educated. Safety and Quality of care are two of the most important morals in nursing and healthcare. Being well equipped in these two areas is based on the commitment to uphold ethical principles to do no harm, always safeguard the patient, and act with ethical comportment (Egan

The Effects of Staffing on Patient Care

1849 words - 8 pages something unexpected had happened, such as an emergency or state showing up for a visit to the facility. This includes the director of nursing and all unit managers. This involves everyone employed in my facility and other long-term care facilities. The floor staff is often left short by patient care standards, although with state standard, they may be fully staffed, because office personnel are not required to help on the floor but their

The Effects of Staffing on Patient Care

1803 words - 8 pages , competition for talent is becoming more heated in several parts of the country,” (Stanford, 2013). By nurses taking on jobs in other areas of the field, we are left to find people to replace them and when that happens, it creates a shortage on the front line of patient care. The literature, “The Unintended Consequences of Staffing Mandates in Florida Nursing Homes: Impacts on Indirect-Care Staff,” talk about the effect that staff shortage has on the

Examining the Health Care Needs of a Patient with Parkinson’s Disease

653 words - 3 pages complications that demand specialized attention. Patients are often seen by a neurologist to assist with signs of progression. A shift in the plan of care will occur as the motor complications become long term. The next step involves several types of specialist such as urologist, psychiatrist, specialized nurses, and gastroenterologist (Baker & Gershanik, 2006). According to published data, almost 40% of advanced PD patients need to be admitted to

Postoperative Care of the Patient with Complications: Ileus

1389 words - 6 pages & Alavi, 2009, p. 47) Opioids also cause the motility to slow. A collaborative effort must be used by all staff to ensure the patient has the best care possible. A nurse should teach a patient about pain management. GI motility will continue to be suppressed if the patient remains on opioids. The nurse should inform the patient of the benefits and side effects of continuing pain medication. The patient can use other forms of pain relieving

Care of a Vulnerable Patient

2848 words - 11 pages system and memory has a tendency to deteriorate. Rita may also be feeling pressure from her daughter to make the decision to go into respite care making Rita feel she has become a burden to her family. The role of the nurse is a varied one with emphasis on patient centred care. Patient centred care puts the client in control of the treatment or at the very least gives them a say in what is being planned for them, giving the client a say in what

The aims and objectives of this assignment are to select a patient that I have cared for with complex health care needs and identify one aspect of patient education he/she requires

1235 words - 5 pages I was introduced to the client, a woman of approximately 40 years of age, and her permission was given for me to use this assessment for the purpose of my study. The client in this assignment will be referred to as "Mrs X" - a pseudonym, in order to protect her real identity. For the purpose of confidentiality, this is also a requirement of the Nursing and Midwifery Code of Professional Practice (2002).Mrs X is a newly diagnosed patient with non

The author of this essay will be discussing a patient with type 2 Diabetes Mellitus

3083 words - 12 pages IntroductionThe author of this essay will be discussing a patient with type 2 Diabetes Mellitus and will also be discussing the nursing care that will be received by the patient following a hypoglycaemic attack.The patient being described is a fictitious seventy year old lady called Mabel Gordon; she lives in a flat in a city centre with her husband Bert. Mabel has had type 2 diabetes for years which has been poorly controlled by medication and

Discuss the ethical, political and practice implications on accountability in nursing as a result of the current economic climate and recent cuts in health care spending

3588 words - 14 pages care may also be impaired (Edwards, 2009). Justice is one of the fundamental principles in nursing ethics and is concerned with the equal treatment of equal cases and acting in non-discriminatory manner (Hendrick, 2004). It is also stated by the NMC (2008), that patients must not be discriminated in any way, however this ethical and professional principle might not be maintained due to greater focus on the benefit of time allocation rather than

Similar Essays

Mental Health What It Is About, An Insight Into The Nursing Care Of A Depressed Patient

1178 words - 5 pages appearance. (See appendix I non-verbal skills and verbal skills)In order to help Vera with her depression whilst she is in hospital the nurses have to assess her needs and continually reassess her. It is essential in the formulation of giving her the appropriate care whilst she is in need of help. The information usually required in the assessment of a depressed patient is biographical details; height, weight and changes in weight, a full set of

Patient And Family Centered Care In Nursing

746 words - 3 pages Nursing should focus on patient and family centered care, with nurses being the patient advocate for the care the patient receives. Patient and family centered care implies family participation. This type of care involves patients and their families in their health care treatments and decisions. I believe that it is important to incorporate this kind of care at Orange Regional Medical Center (ORMC) because it can ensure that we are meeting the

Nursing Education And Quality Patient Care

895 words - 4 pages Introduction Adequate levels of nurses who are suitably educated and equipped are needed to address the challenging quality and protection issues persistent in health care. Nursing deficiency is not only viewed as workforce issue, but also as an issue of eminence care. In the health care systems, 80% of registered nurses comprise the professions in place of 2.6 million jobs. This lays a base under which their significance and impacts on health

Acute Nursing Care Of A Patient Undergoing Bariatric Surgery Nursing Assignment

2630 words - 11 pages ACUTE NURSING CARE REPORT OF AN ADULT PATIENT WITH SEVERE OBESITY, SCHEDULED TO UNDERGO BARIATRIC SURGERY Introduction Mrs Raw’ah Amsah Daher, a 46-year-old female patient admitted into the Gastroenterology unit to prepare for her elected bariatric surgery tomorrow morning, as a treatment for her Type II Diabetes. Her BMI is 53.3 kg/m2 (Height 170cm and weight 154 kg). After discussing various surgical options with the Clinical Nurse Specialist