Question

Judy Franklin, 22 years old, has just graduated from college and is about to start a job as a graphic arts designer in a large marketing company. Judy is also planning her wedding to George 6 months from now. She found a lump in her left breast during self-exam and has come to the physician for an initial consultation. During the assessment, the nurse learns Judy has not told her fiancé about her findings. Judy will not make eye contact with the nurse and appears distracted during the interview.

Question 1

What nursing diagnoses would be appropriate for Judy?

Question 2

How might you assist Judy in deciding how to inform her fiancé if the lump is determined to be a malignant tumor?

Question 3

What support interventions would you initiate to help Judy as she waits for the results of diagnostic testing to determine the cause of the lump?

Answer 1

Question no:1

Nursing diagnosis:

1. Anticipatory grieving related to loss of physiological well- being
2. Situational low self-esteem related to financial aspects of the treatment
3. Situational low self-esteem related to newly job performance
4. Situational low self-esteem related to wedding plan
5. Acute pain related to disease process of the lump
6. Imbalanced nutrition less than body requirements related to emotional distress, fatigue, poorly controlled pain
7. Imbalanced nutrition less than body requirements related to hyper metabolic state of the disease
8. Risk for fluid volume deficit related to hyper metabolic state of the disease process
9. Fatigue related to emotional distress
10. Fatigue related to decreased metabolic energy production.
11. Fear related to situational crisis, separation from the family.

Question no:2

1. Explain about the various insurance plan which are involved in treatment process.
2. Describe about the out of pocket costs of the treatment.
3. Advise her to get help from the life partner
4. Advise her to apply for concession of the treatment

Question no:3

1. Assess the patient and SO for patient grief currently being experienced. Explain the process as clear as possible.
2. Use active listening skills for communication and non-judgmental environment.
3. Provide support for the debilitating depression and encourage her for the strengthening of her mind for positive reaction
4. Reinforce teaching regarding disease condition and treatment regimen.
5. Provide interaction with patients who had undergone same treatment and their success.
6. Describe the positive aspects of the situation.
7. Provide emotional support regarding the financial crisis.
8. Describe the benefits of the insurance which is helpful for the treatment.
9. Advice the patient to take frequent rest periods.
10. Encourage the patient to share her feelings with her life partner to whom she is planned to marry

Answer 2

Ans of breast umps. Some of them can be panful amd lumps nclude imfecti0us growth and There are mamy causes dre harmlēss , while oher Causes Fn feetions, injuvies Causes of breast dang erous can cerous non e ancer Bregst Cacer the second 1eadimg cause related dea ths n the unifed slates Uomen Corrently death rates from breast cancer dre oleelining The decline im death rctes may of easl; er detection and improved be due to a combínafion better scre eninq as weij as cubile mos} breast lumps are freatsments harmless , euery breast lump shou l el be evalvated by establis h a diagnosis of Camcer doctor to escclude NUTSing diagno ses aducc ale s to cancer fred fment their families amd freat he ahole The for patient amcd Tole iT nurse not ust the cancer perso Anticipatory qrievinq related io loss of physioloqical uellbeing Sifua ionaJ tow self -esteem relafed to inancial aspects of the freatm ent. sibua tional rela ted plam. Acuhe pain related newly job performance. diseases low self esteem wedding pro cessof the Tump. Tmbalanced tham body requirements selateol fo emolional dishress faliq ve poorly conrolled pain. Tmbalanced nuiion less han body hyper metabolic s tate'of rhe disease nuTilion less requirements relqted t0 Risk for flu;d volume delicit rolaled fo hyper metabolic Shate of he disease pro cess . falique decreased mefabolic enerJy produčtion and emotiona felated fo Sres . Fear related toifualional cTisis ,seperation from the fansty

for Queson 2. insurCmce NuTse shoold eacplaim Judy about the various inuolved in treatment process should plan whieh are describe her about the out he pocket e osts of the reatment Iife pastner amel dlse dclvise her fo of the treatment Must advise her to qet hele from the яРPly for concessio) fosr Фoestionз Assess the paient and So for palientgrief being coTrently eseperienced Eieplain he process as clear as possíble se Active eskening skill s for communieafion and non Prouide support for the de bil;- judgemental talinq depression amd encourage her for the strengthening of her mind for positive reaction. Reinforce teach?nq Tegarding disease conditio) and treatment regimen.rovide m Feraction ojrh patients cuho had un d er d and heimr success environment ane Same freatment Oes cribe he posiive aspects of te the finaniaj Des eribe he benefits of the insurance cuhich is help ful for Hhe reatmenti Advice Hhe patient to take periods Encourage the patient to share planned Prouide emoliona Supporf regarding Situation TiSiS frequent est feeling maTy with her life paTtner to whom she is her