ABSTRACT
Introducción: El cáncer de mama es una de las neoplasias más frecuentes en mujeres a nivel mundial y causan más muertes cada año. El diagnóstico oportuno es muy importante ya que es de relevancia en la elección y eficacia del tratamiento, teniendo mayor éxito cuando se detecta temprano. La mejor estrategia para la detección temprana es a través de la prevención primaria mediante información, orientación y educación a la población femenina acerca de los factores de riesgo y la promoción de conductas favorables a la salud. El objetivo del estudio fue identificar dominios y clases afectadas en paciente postoperada de mastectomía. Materiales y Métodos: Estudio de caso en paciente femenina de 47 años de edad diagnosticada con cáncer de mama izquierda, realizándole mastectomía radical izquierda en una institución de salud del sector privado de Tampico, Tamaulipas, México. Se aplicó el proceso enfermero, realizando la valoración de enfermería con la Taxonomía II de Diagnósticos de enfermería, se describen los dominios y clases afectadas en el periodo posoperatorio, implementándose el plan de cuidados de enfermería con las interrelaciones diagnósticos, intervenciones y resultados. Resultados: La paciente evolucionó favorablemente, egresando al tercer día de la intervención quirúrgica, se proporcionó educación para sus cuidados en el domicilio. Discusión y Conclusiones: Al finalizar la investigación del caso, se observó la importancia de llevar a cabo el plan de cuidados de enfermería con las respectivas interrelaciones para brindar atención de calidad.
Introduction: Breast cancer is one of the most common cancers in women worldwide and causes more deaths each year. Early diagnosis is very important because it is relevant in the choice and treatment efficacy, with greater success when caught early. The best strategy for early detection is through primary prevention through information, guidance and education to the female population about risk factors and promoting positive health behaviors. The aim of the study was to identify domains and affected classes in a postoperative mastectomy patient. Materials and Methods: A case study in female patients of 47 years of age diagnosed with left breast cancer, performing left radical mastectomy in a private health institution in Tampico, Tamaulipas, Mexico. The nursing process was applied, making the nursing assessment with Taxonomy II Nursing Diagnoses, domains and affected classes in the postoperative period are described, implementing the nursing care plan with interrelationships, diagnoses, interventions and outcomes. Results: The patient improved, egressing the third day after surgery, education was provided for care at home. Discussion and Conclusions: After investigating the case, the importance of carrying out the plan of nursing care with the respective relationships to provide quality care was observed.
Subject(s)
Humans , Female , Middle Aged , Postoperative Care/nursing , Mastectomy, Radical/nursing , Unilateral Breast Neoplasms/diagnosis , Mastectomy, Radical/psychology , Unilateral Breast Neoplasms/psychologyABSTRACT
PURPOSE: The assessment of satisfaction of women after mastectomy for nursing care. MATERIAL AND METHODS: The research was carried out on a group of 217 patients after radical mastectomy and took place at Surgical Clinic of Swietokrzyskie Oncology Centre in Kielce. Authors' assessment scale was used in research. RESULTS: Tested patients assessed nurses' professional tasks in terms of therapy as very high. The lowest marks were given to nurses' tasks in terms of physical rehabilitation. On intermediate level in patients' assessment were nursing, prophylactic, psychosocial support and educational tasks. Patients after mastectomy in younger age group (less then 50 years) assessed nurses' therapy tasks (p < 0.05) significantly higher in comparison to group of women in the age of 50 and more. Married and professional active women assessed significantly higher therapeutic and nursing tasks. Moreover, therapeutic tasks were higher assessed by women with two-sided mastectomy. CONCLUSIONS: 1) Patients assessed nurses' professional tasks realised in terms of therapy as very high, while nursing service as far as physical rehabilitation is concerned was assessed as very low. 2) The higher level of satisfaction from therapy tasks was seen in younger patients (under 50), married, professionally active, not longer than 1 year after the operation and with two-sided mastectomy.
Subject(s)
Mastectomy, Radical/nursing , Mastectomy, Radical/psychology , Patient Satisfaction , Adult , Aged , Humans , Middle Aged , Nurse-Patient RelationsABSTRACT
After having been subjected to radical mastectomy for breast cancer, women are usually fitted with an external breast prosthesis. Different types of prostheses are available, but oncology nurses have few data enabling them to advise their patients adequately. In this prospective randomized crossover study of 101 women undergoing one-sided mastectomy for breast cancer, the self-adhesive breast prosthesis was compared with the traditional external prosthesis. Questionnaires were used to evaluate the woman's judgment of the prosthesis in relation to her final preference for one type of prosthesis. Complete data were available for 91 women, 59.3% of whom finally preferred the self-adhesive type. Preference was independent of age, randomization, order, or the possible use of adjuvant chemotherapy. Satisfaction with the self-adhesive prosthesis was independent of randomization order but satisfaction with the traditional type was significantly more when it was the first type of prosthesis. Preference for the self-adhesive prosthesis over the traditional type mas mainly related to an increased perception of the prosthesis as a part of the body. Preference for the traditional prosthesis over the other type was mainly related to the greater ease of application and the lesser local irritation of the skin. Findings from this study can be useful in oncology nursing practice.
Subject(s)
Adhesives , Breast Implants/psychology , Breast Implants/supply & distribution , Mastectomy, Radical/psychology , Patient Acceptance of Health Care/psychology , Adult , Aged , Aged, 80 and over , Body Image , Breast Implants/adverse effects , Cross-Over Studies , Female , Humans , Logistic Models , Mastectomy, Radical/adverse effects , Mastectomy, Radical/nursing , Middle Aged , Oncology Nursing , Prospective Studies , Surveys and QuestionnairesABSTRACT
This paper explores the practical application of Martha Rogers' Science of Unitary Human Beings using a brief case study to illustrate the central concept of energy fields. Pattern manifestation appraisal and deliberative mutual patterning gave guidance for the care of a patient who had recently had a bilateral mastectomy. It is suggested that far from being a complicated and esoteric framework, the Science of Unitary Human Beings will have considerable impact on future nursing practice.
