CHAPTER 14 Women’s Health^499
- Mastectomy for larger tumors or more than two tumors in the same breast.
- Chemotherapy before surgery to shrink some tumors, or after surgery:
- cyclophosphamide
- methotrexate
- fluorouracil
- doxorubicin
- epirubincin
- vincristine
- paclitaxel
- docetaxel
- Hormonal therapy:
- tamoxifen
- anastrozole
- Radiation therapy.
- Prophylactic bilateral mastectomy for women with BRCA1 or BRCA2 genes.
NURSING DIAGNOSES
- Body image disturbance.
- Anticipatory grieving.
- Altered sexuality patterns.
NURSING INTERVENTIONS
- Allow patient to voice concerns and questions over treatment plans.
- Monitor incision site, dressing, and drainage.
- Check for signs and symptoms of infection.
- Explain to patient:
- Disease.
- Use of affected arm.
- Use of pain medication, timing, and side effects.
- Urge follow-up mammography.
- Discuss low-fat diet.