Question

D.F. is a 27-year-old female who presents to the gynecologist’s office for her yearly examination complaining of bilateral breast pain and tenderness.

Subjective Data

Last menstrual cycle: 18 days ago
Pain is dull pain
Breasts feel heavy and tender
Performs monthly breast self-examinations

Objective Data

Breasts moderate size, evenly pigmented, bilaterally symmetric, and hang equally with smooth contour. Venous patterns bilaterally similar. Breasts firm, smooth, elastic without tenderness, lumps, or nodules. Areolae round, nipples protruding, symmetric, soft, pliable, smooth, and intact without discharge. Axillary lymph nodes are not palpated.

Questions

1. What other questions should the nurse ask about the breast pain?
2. What are some of the causes of breast pain?
3. Develop a problems list from the objective and subjective data.
4. What should be included in the plan of care?
5. Based on the readings and the subjective and objective data, what is the most likely cause of breast pain for this patient?

Answer 1

1.nurse should collect the history about breast feeding or pregnancy related questions.

Ask about any family history of breast cancer

Ask about nipple dry , sore and irrited conditions of the patient.

Ask about the duration , frequency and period of pain in the breast

Ask about any medical history is there or not

Ask about any previous breast surgical history .

2.causes of breast pain

Side effects of drugs

Injury to the breast

BENINGN state of breast

Stress and anxiety

Cyclical breast pain

Non cyclical breast pain

Chest wall pain

Pregnancy related breas pain.

Hormonal changes

Breast cyst

Breast cancer and sprain around the neck and back .

3.problems in subjective and objective data are;

Breast tenderness

Heavy and full feeling

4.plan of care

Advice the patient to do a pregnancy test for confirmation of pregnancy

Providing analgesic to relief pain

Advice the patient to do mild hot water application to get refief from the pain and fullness of the breast

Advice the patient to avoid the sore , dry and merited nipples to avoid pain

Advice the patient to stop any medication for few days to get relief from the pain.

Advice them to go for scanning and screening examinations.

5.Most likely cause of breast pain for this patient is pregnancy related breast pain.