This nursing care plan diagnosis, and interventions for the following conditions: Pain Related to Malignant Melanoma Skin Cancer
What are nursing care plans? How do you develop a nursing care plan? What nursing care plan book do you recommend helping you develop a nursing care plan?
This care plan is listed to give an example of how a Nurse (LPN or RN) may plan to treat a patient with those conditions.
Important Disclosure: Please keep in mind that these care plans are listed for Example/Educational purposes only, and some of these treatments may change over time. Do not treat a patient based on this care plan.
Care Plans are often developed in different formats. The formatting isn’t always important, and care plan formatting may vary among different nursing schools or medical jobs. Some hospitals may have the information displayed in digital format, or use pre-made templates. The most important part of the care plan is the content, as that is the foundation on which you will base your care.
Nursing Care Plan for: Pain Related to Malignant Melanoma Skin Cancer
If you want to view a video tutorial on how to construct a care plan in nursing school, please view the video below. Otherwise, scroll down to view this completed care plan.
Scenario: |
A 55 year old male is post-opt from a removal of a malignant melanoma mole on the back of his left arm (stage 3) and lymphadenectomy on left axillary node. The patient has axillary padding to collect drainage from the axillary site. The site where the patient’s mole was removal is covered with 4×4 gauze and is clean, dried, and intact. The patient is alert and oriented x3 is and complaining of 10 on 1-10 scale pain on his left side. The patient says it feels like his left side is “on fire” when he does any type of movement. VS: HR 100, BP 150/96, 02 Sat 98% on RA, RR 18, and Temp 98.6. Left arm radial pulse palpable and skin warm and pink. Capillary refill less than 3 seconds.
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Nursing Diagnosis: |
Pain related to surgery as evidence by patient verbalizing pain rating 10 on 1-10 scale, elevated HR and BP. |
Subjective Data: |
The patient says it feels like his left side is “on fire” when he does any type of movement.
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Objective Data: |
A 55 year old male is post-opt from a removal of a malignant melanoma mole on the back of his left arm (stage 3) and lymphadenectomy on left axillary node. The patient has axillary padding to collect drainage from the axillary site. The site where the patient’s mole was removal is covered with 4×4 gauze and is clean, dried, and intact. The patient is alert and oriented x3 is and complaining of 10 on 1-10 scale pain on his left side. VS: HR 100, BP 150/96, 02 Sat 98% on RA, RR 18, and Temp 98.6. Left arm radial pulse palpable and skin warm and pink. Capillary refill less than 3 seconds.
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Nursing Outcomes: |
-Pt will rate his pain less than 3 on 1-10 scale within 2 hours.-Pt will verbalize 3 non-pharmacological techniques to use to help relieve pain.
-Pt will verbalize 3 side effects to expect from pain medication and what activities to avoid while taking pain medication. |
Nursing Interventions: |
-The nurse will assess the patient’s pain level every 4 hours.-The nurse will administered Lortab 5-325mg PO every 4 hours as needed for pain.
-The nurse will teach the patient 3 non-pharmacological techniques to use to help relieve pain. -The nurse will teach and provide pt with printed materials on drug side effects of Lortab and what type of activities he should avoid doing while taking the medication. |