HNN112 Lecture Notes - Lecture 10: Nursing Care Plan, Mastectomy, Sexual Dysfunction
HNN112 WEEK 10 Seminar Note
• identify the factors that influence sexuality
a) age
b) gender
c) level of health
d) developmental level
e) career
f) psychological problems
g) pathologies
h) culture
• list ethods to assess a patiet’s spiritual eeds
a) Ask diretl, do ou hae a spiritual needs that you would like us to
osider?
b) Osere patiet’s lothes, ehaiour, ad roo deoratio
c) Listeig to patiet’s epressig a
d) Communicate with family
e) Medical history
f) Ask if there is any religious regimen
• identify patient potential and actual problems relating to spirituality and sexuality
a) sexual dysfunction
b) ineffective sexuality pattern
c) rape-trauma syndrome
d) moral distress
e) impaired religiosity
f) spiritual distress
g) risk for impaired religiosity
h) readiness for enhanced spiritual well-being
Case study
You are caring for a 30 year old woman, Gill, who has been recently diagnosed with
breast cancer. She is scheduled for a mastectomy.
Gill expresses to you her fear of dying, and verbalises her anger at God, her disbelief
that this can be happening to her and her sense of isolation.
“he also sas that she a’t stad the thought of the losig a reast.
(Assessment – Problem identification– Planning – Implementing – Evaluation)
1. Discuss a possible nursing care plan for this patient.
a) Idetif patiet’s prole firstl. Eaple: fear of dig, lo od
image.
b) Discuss these problems with patient and doctor
c) Come up with a nursing plan to address these problems
d) Reassess patiet’s situatio to see if the iteretios are effetie
2. Identify relevant data/cues including patient symptoms
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