Nursing Care Of An Older Adult

Running Head: Patient Care1

Patient Care2


Multidimensional Care 2

Fatumata Wongbay



Anna’s breast cancer risk factor

Breast cancer is a compilation of abnormal cells developing in the ducts, tissue, or breast lobules. The cells usually develop quickly, forming lumps that starve the nearby tissues (Waks, & Winer, 2019). The risk factors for breast cancer are a combination of various factors. Various factors predispose Anna to breast cancer. One of the significant risk factors of this patient is the positive history of cancer in her family.

The history shows that her mother and grandmother had breast cancer which puts her at considerable risk. The other one is her gender. This disease occurs typically almost 100 times more frequently in women. This, therefore, predisposes her to this disease. The other factor is obesity and lack of physical exercises. Lastly, age is another very significant factor that predisposes this patient t breast cancer. As the patent is approaching the menopause age, this is the age where most patients are diagnosed with this disease and thus a significant risk factor.

Anna’s breast cancer Signs and symptoms

Different people with breast cancer will present with different signs and symptoms. The development of lumps in the breasts is one of the signs of breast cancer (Sorin, et al., 2020). The tumors are irregular in shape, not painful, and hard. Although the practitioner did not find any discharge during the examination, the tenderness on the right breast is another sign of breast cancer. The signs and symptoms that this patient presents may be early signs of breast cancer. It is therefore important to do further assessment and tests to ascertain this.

Another symptom is nipple pain. Nipple pain related to cancer may range from mild to severe or from short to long-lasting episodes. This is especially when the disease is spreading to other parts of the body. Nipple pains caused by cancer will usually only affect one breast and nipple. It is also noted that there is no symmetry between the left and the right breast. The left breast has no anomalies. Studies show that when breasts are not symmetric, it may be a sign of breast cancer. Extreme fatigue is a significant symptom that is usually presented with patients suffering from breast cancer. The patient reports exhaustion that does not go away. Since this patient reports that she has been feeling exhausted, this could indicate that she is developing breast cancer.

Care strategies and rationale

One of the essential care strategies is pain reduction and management. Pain treatment usually is part of cancer treatment. It is essential to have a plan of how to manage the nipple pain s as to increase the patient’s quality of life. If the patient gets relief from the pain to allow them, to enjoy their day-to-day activities.