Nursing diagnoses and interventions of Japanese patients with end-stage breast cancer admitted for different care purposes.
OBJECTIVE
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.


RESULTS
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.


CONCLUSIONS
Oncology nurses need to consider the reasons for admission when making nursing diagnoses and interventions for patients with end-stage breast cancer.
Ogasawara
Chie
C
Department of Nursing, School of Health Sciences, Graduate School of Medicine, Osaka University. ogasawar@sahs.med.osaka-u.ac.jp
Hasegawa
Tomoko
T
Kume
Yasuko
Y
Takahashi
Ilkuyo
I
Katayama
Yukari
Y
Furuhashi
Yoko
Y
Andoh
Masayo
M
Yamamoto
Yuko
Y
Okazaki
Sumiko
S
Tanabe
Michiko
M
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000150:complications / Q000451:nursing*; D005260:Female; D006801:Humans; D007564:Japan; D008875:Middle Aged; D024802:Nurse's Role; D009730:Nursing Assessment; D009731:Nursing Audit; D009733:Nursing Diagnosis / Q000145:classification / Q000706:statistics & numerical data*; D015403:Nursing Evaluation Research; D009737:Nursing Records; D009859:Oncology Nursing / Q000458:organization & administration*; D009937:Organizational Objectives; D010343:Patient Admission; D010347:Patient Care Planning / Q000458:organization & administration; D010348:Patient Care Team / Q000458:organization & administration; D018579:Patient Selection; D018570:Risk Assessment; D012307:Risk Factors; D013727:Terminal Care / Q000458:organization & administration*