Question

Patient introduction: F. E. is a 74-year-old woman who comes to the medical clinic with concerns related to various “spots” on

her face. She says they have been there for a while and she thought they were just “age spots” but got

concerned after her friend was diagnosed with a malignant melanoma

Provide a nursing care plan for F.E. Provide a two nursing diagnosis.

Nursing Care Plan 1

Assessment	Nursing Diagnosis	Goals/Plan	Nursing intervention	Evaluation

Nursing Care Plan 2

Assessment	Nursing Diagnosis	Goals/Plan	Nursing intervention	Evaluation

Please fill out the table and cite the reference. Thanks

Answer 1

Nursing Care Plan for Malignant Melanoma

1. Expectant Grieving

Grieving: An ordinary complex procedure that incorporates passionate, physical, otherworldly, social, and scholarly reactions and practices by which people, families, and networks join a genuine, foreseen, or saw misfortune into their every day lives.

May be identified with

• Foreseen loss of physiological prosperity (e.g., loss of body part; change in body work); change in way of life
• Seen potential passing of patient
• Perhaps prove by
• Changes in dietary patterns, modifications in rest designs, movement levels, moxie, and correspondence designs
• Refusal of potential misfortune, stifled sentiments, outrage

Wanted Outcomes

• Distinguish and express emotions suitably.
• Proceed with ordinary life exercises, looking toward/making arrangements for the future, each day in turn.
• Verbalize comprehension of the perishing procedure and sentiments of being upheld in sorrow work.

Interventions

• Expect beginning stun and skepticism following analysis of malignant growth and damaging methods (distorting medical procedure, colostomy, removal).
• Evaluate persistent thus for phase of anguish presently being experienced. Clarify process as proper.
• Give open, nonjudgmental condition. Utilize restorative relational abilities of Active-Listening, affirmation, etc.
• Empower verbalization of musings or concerns and acknowledge articulations of pity, outrage, dismissal. Recognize typicality of these emotions
• Know about weakening sadness. Pose quiet direct inquiries about perspective.
• Visit habitually and give physical contact as suitable, or give visit telephone support as fitting for setting. Organize care supplier and bolster individual to remain with persistent varying.
• Fortify instructing with respect to ailment procedure and medicines and give data as proper about passing on. Be straightforward; don't give bogus expectation while offering enthusiastic help.

2. Risk for Impaired Skin Integrity

Hazard for Impaired Skin Integrity: in danger for modified epidermis as well as dermis.

Hazard components may incorporate

• Impacts of radiation and chemotherapy
• Immunologic shortfall
• Modified healthful state, sickliness

Wanted Outcomes

• Distinguish mediations proper for explicit condition.
• Take an interest in methods to forestall entanglements/advance mending as suitable.

Nursing Intervention

• Evaluate skin often for symptoms of malignant growth treatment; note breakdown and deferred wound mending. Underline significance of detailing open zones to parental figure.
• Wash with tepid water and mellow cleanser.
• Urge patient to stay away from vivacious scouring and scratching and to pat skin dry as opposed to scouring.
• Audit healthy skin convention for tolerant accepting radiation treatment: Avoid scouring or utilization of cleanser, moisturizers, creams, salves, powders or antiperspirants on region;
• Abstain from applying warmth or endeavoring to wash off imprints or tattoos put on skin to recognize region of illumination;
• Suggest wearing delicate, free cotton apparel; have female patient abstain from wearing bra in the event that it makes pressure;
• Empower liberal utilization of sunscreen or square and breathable, defensive apparel.

Some common nursing Interventions and Rationales

Survey skin from head to toe; note regions of suspected skin malignant growths and their size and attributes

• Get pattern information to decide whether development keeps on spreading or if treatment is viable

Plan patient and help with biopsies of skin sores

• Most biopsies will be performed by punch or surgical blade;

Survey and oversee torment as vital

• Patients may encounter torment following a method or chemotherapy

Screen for indications of contamination following biopsy or extraction

• Biopsies might be followed with electric flow searing, however may bring about an open injury that can get tainted.
• Following extraction and curettage, screen for depleting of discharge, smell or regions that don't give indications of recuperating

Apply or manage meds as suitable

• Topical meds
• Meds for cutting edge malignant growth (vismodegib, sonidegib)

Shallow basal cell carcinoma regularly just requires topical prescriptions for treatment, anyway further developed tumors, melanomas or with metastases, drug might be required, particularly if different medications have not been viable.

Screen indispensable signs; changes in skin

• Watch for indications of unfriendly responses to prescriptions given

Anticipation training for patients and their families

• Evasion of expanded UV presentation
• Utilize every day sunscreen

Counteraction of further diseases or improvement of new malignant growth is significant for patients and their families.

Instruct persistent on the most proficient method to assess dubious moles utilizing ABCDE mental helper

• Patients can without much of a stretch self screen any dubious moles and report any progressions or advancements to their essential consideration supplier or dermatologist.