Pain Related to Tumor Progression

Patient will report a decrease in pain severity to a level of 3/10 or less within 1 week.

- Administer prescribed pain medication as per the schedule.

- Patient reports pain at or below the target level of 3/10.

- Educate patient on proper pain management techniques.

- Improved patient comfort and satisfaction with pain control.

Risk for Infection Related to Chemotherapy

Patient will maintain an absence of infection throughout chemotherapy treatment.

- Monitor vital signs, including temperature, daily.

- No signs of infection (fever, chills, increased WBC count).

- Administer prescribed antibiotics as needed.

- Clear lab results with WBC count within normal range.

Fatigue Related to Chemotherapy and Radiation

Patient will report improved energy levels and ability to perform daily activities.

- Encourage rest periods and balance with light activity.

- Patient reports increased energy and ability to engage in ADLs.

- Provide nutritional support (e.g., high-protein snacks) to combat fatigue.

- Improved quality of life as measured by daily activity levels.

Anxiety Related to Cancer Diagnosis and Prognosis

Patient will verbalize coping strategies and express decreased anxiety.

- Provide emotional support and allow patient to express concerns.

- Decreased anxiety, as measured by reduced score on anxiety scale (e.g., GAD-7).

- Offer referral for counseling or support groups for emotional well-being.

- Patient reports feeling more at ease with diagnosis.

Altered Nutrition (Nausea, Anorexia)

Patient will maintain adequate nutrition during treatment and report improved appetite.

- Administer antiemetic medications as prescribed before chemotherapy.

- Weight maintained or improved; adequate food intake.

- Educate patient on small, frequent meals with nutrient-dense foods.

- Patient consumes at least 50% of daily calorie goal.

Administer pain medication as prescribed (opioids)

Pain relief is necessary to enhance comfort and allow the patient to engage in daily activities.

Every 4 hours PRN, as per medication orders.

Pain level maintained at or below 3/10.

Monitor for signs of infection (fever, chills)

Early detection of infection helps prevent complications in an immunocompromised patient.

Daily, with daily temperature checks.

No signs of infection (fever, chills, abnormal lab results).

Encourage fluid intake and small meals

Proper hydration and nutrition are key for maintaining energy levels and supporting the immune system.

Continuous, with regular check-ins.

Adequate hydration and nutrition maintained.

Provide emotional support and listen to concerns

Emotional support can help reduce anxiety and allow patients to better cope with cancer treatment.

Ongoing, during each nursing visit.

Decreased anxiety and improved coping mechanisms.

Referral for counseling services

Professional counseling can assist in processing emotional challenges and improve overall well-being.

As needed.

Improved psychological well-being as reported by patient.

Pain Management

Educated on the use of pain medication and non-pharmacological methods (e.g., relaxation techniques).

January 16, 2050

Patient expressed understanding.

Infection Prevention

Informed on hand hygiene, signs of infection, and when to seek medical assistance.

January 16, 2050

Patient verbalized comprehension.

Nutritional Support

Discussed high-protein foods and importance of small, frequent meals to combat fatigue and nausea.

January 16, 2050

Patient agreed to try small meals.

Emotional Well-being

Provided information about counseling services and support groups for cancer patients.

January 17, 2050

Patient expressed interest in joining a support group.