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CASE
STUDY OF
BREAST
CANCER
INTRODUCTION
Breast cancer is a cancer that starts in the cells of
the breast in women and men. Worldwide, breast
cancer is the second most common type of cancer
after lung cancer (10.4% of all cancer incidence,
both sexes counted) and the fifth most common
cause of cancer death. In 2005, breast cancer
caused 502,000 deaths worldwide (7% of cancer
deaths; almost 1% of all deaths).
Breast cancer also occurs in males. Incidences of
breast cancer in men are approximately 100 times
less common than in women, but men with breast
cancer are considered to have the same statistical
survival rates as women.
In this case study, I am eager enough
to know and understand better the
disease. It has been chosen, since it
is now fastly increasing in our
morbidity rates among diseases. It is
better for me to be educated with its
causative factors as well as the
prevention and management
whenever BREAST CANCER occurs.
OBJECTIVES
General Objective:
This study aims to
develop the knowledge,
skills and attitudes of the
student nurses through
effective utilization of
nursing process in dealing
with the course of patient
with BREAST CANCER.
Specific Objectives:
At the end of the study, the
student nurses will be able to:
1. Identify the patient’s profile, past
medical history, as well as the family
history, personal history, social history,
psychological history and the patient’s
history of present illness for further
understanding his condition.
2. Analyze the physical appearance of the
patient using Inspection, Palpation,
Percussion and Auscultation method
that may help in determining the
clinical manifestation presented by the
disease.
3.Identify, interpret and analyze the
laboratory and diagnostic
examination and its significant
findings to justify the presence of
the disease.
4.Identify and enumerate the
anatomical part of the body that is
involved and affected by the
disease and its respective
functions.
5.Explain the nature and identify the
causes and predisposing factors
that contribute to the development
of the disease.
6.Formulate Nursing Care Plan for
better delivery of care based on
the client’s needs and concerns.
Mrs. A is living in a
Government housing area. Their
house is structured close to their
neighbors and her condition was
not a hindrance for her to mingle
or socialize with them.
E.Psychological History
•Absence of •Normal
edema
BODY PARTS METHOD FINDINGS ANALYSIS
•Skin •Palpation •Warm to touch •Normal
•Inspection •long and black with •Normal
normal distribution
•Symmetrically
•Head •Inspection aligned at the
midline.
•Normal
•Without lumps
•Palpation
•Normal
BODY PART METHOD FINDINGS ANALYSIS
•Level shoulder
•shoulder •Normal
•Inspection
BODY PARTS METHOD FINDINGS ANALYSIS
•Eyes
eyebrow •Symmetrically •Normal
•inspection aligned
•Hair evenly
distributed
•Normal
BODY PARTS METHOD FINDINGS ANALYSIS
•Eyes
Eyelashes •Inspection •Normal •Normal
distribution
•Ear
Auricle •Inspection •Symmetrically •Normal
aligned
•Uniform in •Normal
color
•Mouth
Lips •Inspection •Dry w/ cracks •Abnormal. It
indicates
dehydration
•Abnormal. Due
Teeth •Inspection •Presence of
to oral hygiene
dental carries
practice.
•Normal
Tongue •Inspection •At the midline
•Abnormal due
•Dry w/ patches to dehydration
•Normal
•Palpation •Normal
•Moves Freely
•Not Tender
BODY METHOD FINDINGS ANALYSIS
PARTS
•Mouth
Uvula •Inspection •Position •Normal
centrally
Lymph •Palpation •Not palpable •Normal
nodes
•Tenderness
•Palpation •Normal
BODY PARTS METHOD FINDINGS ANALYSIS
•Upper
Extremities
Hands •Inspection •Presence of •Abnormal. Fluids are
and IV (PNSS) regulated to replace
Palpation losses and aid to
immobilization of
secretion.
•Palpation •Normal
Pulse •Distal pulses
are palpable
BODY PARTS METHOD FINDINGS ANALYSIS
RESULT ANALYSIS
Color Yellow Normal
Characteristics Slightly turbid Presence of
pus,RBC/bacterial
cell
Specific gravity 1.020(1.015-1.025) Normal
Reaction 6.05 (4.5-8) Normal
Albumin Negative Normal
Sugar Negative Normal
Pus cells 3.5Hpf (0-4 Hpf) Normal
RBC To numerous to count Normal
Amorphous urates Moderate Normal
Epithelial cells Moderate Hematuria
LIVER ULTRASOUND Date
Taken:December 09, 2008
FINDINGS:
LAB RESULT
NEUTROPHILS- Decreased •Ductal Carcinoma
Hgb- Decreased •Lobular Carcinoma
Hct- Decreased
ATYPICAL LYMPHOCYTE-
decreased
Stage 0—non-invasive
carcinomas (LCIS or DCIS).
Cancer cells have not invaded
the surrounding breast tissue.
ASSESSMENT
S> “Hindi ako masyadong makagalaw dahil baka
tumagas na naman ang dugo”.
GENERIC NAME:
Cephradine Antibiotic
Dosage: 300mg q8
INDICATION CONTRAINDICATION
Presented to:Dra.Annabelle
Iturralde
Clinical Instructor