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Nursing Diagnoses and Interventions of Japanese Patients with End-Stage Breast Cancer Admitted for Different Care Purposes
Authors:Chie Ogasawara  RN  PhD    Tomoko Hasegawa  MPH  RN    Yasuko Kume  PhD  RN    Ilkuyo Takahashi  MS  RN    Yukari Katayama  RN    Yoko Furuhashi  RN    Masayo Andoh  RN    Yuko Yamamoto  MS  RN    Sumiko Okazaki  PhD  RN  and Michiko Tanabe  PhD  RN
Institution:Department of Nursing, School of Health Sciences, Graduate School of Medicine, Osaka University. ogasawar@sahs.med.osaka-u.ac.jp
Abstract:PURPOSE: To clarify actual nursing diagnoses for and interventions given to patients with end-stage breast cancer admitted for different care purposes. METHODS: Nursing diagnoses, defining characteristics, related/risk factors, and nursing interventions were analyzed in a convenience sample of 150 patient records. FINDINGS: A total of 539 nursing diagnoses (96 labels) were documented. Frequently listed diagnoses were chronic pain, risk for infection, and activity intolerance. The most frequently used nursing diagnosis for the chemotherapy group was risk for infection. The nurses in this study rarely report any diagnoses related to death and dying. CONCLUSIONS: Nursing diagnoses and interventions differed depending on the purpose of admission. PRACTICE IMPLICATIONS: Oncology nurses need to consider the reasons for admission when making nursing diagnoses and interventions for patients with end-stage breast cancer.
Keywords:Breast cancer                            end-stage                            nursing diagnosis                            nursing intervention                            nursing record                            patient
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