Nursing Care Plan

Nursing Care Plan

Introduction

In this paper, I have to prepare a nursing care plan for a cancer patient named Mere. Mere is a 28 year old Maori woman who has been diagnosed with Stage 4 cervical cancer. She is admitted to the surgical ward for a hysterectomy in the morning. Mere is a solo mother of three children aged 8, 5 and 2 years. She lives among a very supportive whanau in a small rural community that is located several hours drive from the hospital. Mere attended pre-admission clinic and has arrived in the ward at 7.30 am in preparation for her surgery later in the day. I am the admitting nurse and assigned to care for Mere. On arrival, Mere admits that she is very worried because she has never been in hospital before; she is afraid of hospitals and is very uncertain about the outcome of this surgery and her condition. I have to make her nursing care plan which has to be implemented before and after her surgery.

Assessment

In order to make her relax regarding her surgery I have to implement stress management strategy. She is so stressed because her children have no one except her. She has to live for her children. howeve4r, she has asked about her disease and the outcomes of the surgery. I have to explain her about all this.

Stress management for patients with cancer is aimed at detection, diagnosis, treatment, and prevention of psychological distress (PD). PD is a universal clinical phenomenon experienced by at least 38% of patients with cancer, yet only10% are identified as having PD. Nurses are presumed providers of psychosocial care, yet no research examined what nurses perceive as their role in caring for patients with cancer, and whether nurses believe that providing psychosocial care to patients with cancer is within their role. Patient care that rests on assumptions is too precarious; nurses' role beliefs are critical in light of their impact on practice and psychological distress. However, nurses' current psychosocial care practice may fail to detect, treat, or prevent psychological distress, even in the absence of structural barriers. Nurses' psychosocial care appears to lack reflection on its clinical significance. Implications for social change include improving psychosocial care for patients and survivors of cancer that could result in improvements in quality of life.

Studies with cancer outpatients reported high levels of anxiety and depression, although age is not necessarily a predictor of distress. Women reports higher levels of anxiety than men. Both men and women report similar levels of depression. Suicide and suicide ideation have been well-documented possibilities for cancer patients suffering from PD. Cancer patients are considered to be at an increased risk for suicide compared to the general population and although this risk could lessen over time depending on the type of cancer the risk of suicide persisted for 25 years in some cancer patients.

Nursing diagnosis

Cervical cancer, carcinoma of the cervix or cervical includes neoplasm malignant develop in the lower fibro muscular portion of ...