Question

D. 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 malignant melanoma.

Please provide 2 nursing care plans related to this case. Thanks

Nursing Care Plan

Assessment	Nursing Diagnosis	Goals/Plan	Nursing intervention	Evaluation

Answer 1

Melanoma- is a skin cancer in which pigment producing cells that gives colour to the skin become cancerous.

The exact cause of all melanomas isn't clear, but exposure to ultraviolet (UV) radiation from sunlight or tanning lamps and beds increases your risk of developing melanoma. Limiting your exposure to UV radiation can help reduce your risk of melanoma.

Nursing care plan on melanoma-

1. Impaired skin integrity related to melanoma as evidenced by presnce of warts on the face.

1. Assessment-

Subjective data- patient says that she has spot on her face.

Objective data- shiny pink pearly bumps on face, Skin growth with raised border that are crussty in center, wart like growth.

2. Diagnosis- impaired skin integrity related to melanoma as evidenced by presnce of warts on the face.

3. Goal- to maintain skin integrity of the patient.

4. Nursing interventions-

* Assess skin from head to toe; note areas of suspected skin cancers and their size and characteristics.

* Get baseline data to determine if growth continues to spread or if treatment is effective.
* Apply or administer medications as appropriate
Topical medications
Medications for advanced cancer (vismodegib, sonidegib)

* Check skin regular for any abnormally.

* Avoidance of extended UV exposure.

* Use sunscreen

* Educate the patient how to evaluate the suspicious mole.

5. Evaluation-

Skin integrity is maintained to some extent. And the patient feels better now.

2. Anxiety related to physical changes on face as evidenced by over concern on Spot.

1. Assessment

Subjective data- Patient says that various spots are occur on my face. Patient is fearful as her friend is recently diagnosed with malignant melanoma.

Objective data- facial expressions of the patient tells that patient is anxious.

2. Diagnosis- Anxiety related to physical changes on the face as evidenced by over concern spot.

3. Goal- patient will able to lessen her anxiety. Patient will feels relaxed.

4. Nursing interventions-

* Carefully assess the level of anxiety.

* Establish a therapeutic relationship with patient.

* Encourage the patient to express her feelings.

* Listen the patient carefully.

* Educate the patient about the disease process.

* Ask the patient to do meditation.

* Provide cool amd calm environment to the patient.

5. Evaluation-

After applying all above nursing interventions now the patient's anxiety is relieved to some extent.