- Disturbed Body Image related to Adverse effects of treatment and Body consciousness as evidenced by expresses concerns about sexuality and Monitors changes in one’s body
- Fatigue related to Adverse effects of chemotherapy and increased physical and mental exertion as evidenced by Difficulty maintaining usual physical activity and expresses weakness and tiredness
- Risk for Infection related to Immunosuppression and decreased white blood cell count as evidenced by signs of Infection
| Assessment | Nursing Diagnosis | Planning/Outcomes | Intervention | Evaluation |
| Subjective data: Expressed about the changes in appearance Objective data: -Expresses concerns about sexuality -Depressive symptoms -Expresses fear of reaction by others -Monitors changes in one’s body -Hair loss -Weight loss | Disturbed Body Image related to Adverse effects of treatment and Body consciousness as evidenced by expresses concerns about sexuality and Monitors changes in one’s body | Patient will verbalize understanding and acceptance of changes in appearance. Patient will demonstrate lifestyle modifications to cope with bodily or appearance changes. | 1. Encourage the patient to verbalize feelings and concerns about body image. Allowing the patient to verbalize feelings and acknowledging them encourages a trusting relationship and enhances the patient’s coping. 2. Prepare for hair loss. Preparing for hair loss before it occurs can empower the patient. They may choose a wig, colourful scarves or head coverings, hats, or to go bald. 3. Encourage self-care. Encourage the patient to be kind to themselves as their body changes. Wear warm, soft clothing, receive lymphatic drainage massages for swelling, treat skin irritation with fragrance-free moisturizers, and eat foods that are soothing to the mouth. 4. Refer the patient to appropriate support groups. Other cancer survivors can be a tremendous source of encouragement for a patient undergoing chemotherapy. They can offer advice for managing physical and emotional changes. | Patient verbalized understanding and acceptance of changes in appearance. Patient demonstrated lifestyle modifications to cope with bodily or appearance changes. |
| Subjective data: Increased physical and mental exertion Immunosuppression Objective data: -Disinterest in activities -Drowsiness -Expresses a lack of energy -Increased need for rest -Inadequate role performance | Fatigue related to Adverse effects of chemotherapy and increased physical and mental exertion as evidenced by Difficulty maintaining usual physical activity and expresses weakness and tiredness | Patient will identify factors that cause and aggravate fatigue and demonstrate interventions that can help alleviate fatigue. Patient will verbalize an increased sense of energy and ability to perform activities. | 1. Plan care with rest periods in between interventions. Frequent rest periods enable restoration and conservation of energy. Rest should be limited to 30 minutes so as not to interrupt sleep at night. 2. Alter work demands. The patient may need to take time off work during chemotherapy or may be able to complete tasks by working from home. 3. Delegate responsibilities. Chemotherapy often requires support from friends and family. The patient may need to delegate their responsibilities such as cooking, childcare, or errands to their spouse or another support person. 4. Encourage movement. Research shows that physical activity during and after chemotherapy decreases fatigue. Yoga can improve flexibility, strength, and sleep and can be adjusted to the patient’s activity level. | Patient identified factors that cause and aggravate fatigue and demonstrate interventions that can help alleviate fatigue. Patient verbalized an increased sense of energy and ability to perform activities. |
| Subjective data: Verbalizes fear from Infection Objective data: -Immunosuppression -Decreased white blood cell count | Risk for Infection related to Immunosuppression and decreased white blood cell count as evidenced by signs of Infection | Patient will remain free from any signs of infection. Patient will demonstrate infection control interventions. | 1. Promote good handwashing before and after patient interventions. Good handwashing techniques reduce pathogens on the hands and help prevent transmission of infection to the patient. 2. Encourage personal hygiene. Maintaining personal hygiene helps prevent infection and positively impacts the patient’s self-confidence and overall well-being. The patient should be instructed on proper oral hygiene to prevent thrush. 3. Administer antibiotics as indicated. Antibiotics may be given prophylactically prior to procedures or surgery or as a treatment for a current infection in patients undergoing chemotherapy. 4. Ensure interventions and procedures are performed aseptically. Chemotherapeutic agents are often administered intravenously, and the patient may have an implanted port or central line. Maintaining aseptic technique when accessing these devices is vital to prevent contamination and bloodstream infections. | Patient free from signs of infection. Patient demonstrated infection control interventions. |