Materiały źródłowe

• #1 Nursing Considerations for Breast Cancer Survivorship Care | Oncology Nursing Society

  http://www.ons.org/publications-research/voice/news-views/01-2021/nursing-considerations-breast-cancer-survivorship

  More than 3.5 million people in the United States are living with a breast cancer diagnosis. […] The American College of Surgeons Commission on Cancer updated its 2020 standards to include a dedicated survivorship program team to develop appropriate services such as treatment summaries, care plans, and screening and preventative services. […] Each survivor needs a comprehensive care plan individualized to their personal health, family history, and type of treatment. […] Understanding the unique side effects associated with specific treatment types will help nurses to determine relevant recommendations for the care plan. […] Survivors should also follow general screening recommendations for other cancers, such as colonoscopy screening beginning at age 45 and an annual skin examination. […] Educate, monitor, and refer for lymphedema management. […] Conduct routine assessment and management of psychosocial concerns (e.g., distress, anxiety, depression, financial toxicity). […] Coordinate and communicate the survivorship care plan with the entire healthcare team.

• #2 Breast Cancer: Nursing Diagnoses & Care Plans | NurseTogether

  https://www.nursetogether.com/breast-cancer-nursing-diagnosis-care-plan/

  Breast cancer can affect one or both breasts and is usually found through an exam or mammogram and then diagnosed through a biopsy to determine if cells are malignant. […] Nurses can expect to encounter patients with breast cancer in a variety of settings. Women are routinely assessed for breast cancer and nurses may be involved in performing mammograms. Once diagnosed, nurses will have roles in the patients treatment including both outpatient and in the hospital. Nurses provide support and education to their patients before, during, and after treatment for breast cancer. […] Once the nurse identifies nursing diagnoses for breast cancer, nursing care plans help prioritize assessments and interventions for both short and long-term goals of care. […] Pain associated with breast cancer can be caused by tissue damage from the cancer. It can also be caused by the treatment measures used to fight the cancer.

• #3 Nursing Care Plan (NCP) for Breast Cancer | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-ncp-for-breast-cancer

  To guide nursing professionals in effectively managing patients with breast cancer. This care plan focuses on understanding breast cancers pathophysiology, recognizing its symptoms, and implementing comprehensive nursing interventions for symptom management, complication prevention, emotional support, and patient education. […] This care plan provides a holistic approach to managing breast cancer, focusing on symptom management, complication prevention, emotional and psychological support, and patient and family education. Tailoring interventions to individual patient needs is essential for effective care and improved quality of life.

• #4 Cancer: Nursing Diagnoses & Care Plans | NurseTogether

  https://www.nursetogether.com/cancer-nursing-diagnosis-care-plan/

  As healthcare professionals caring for patients with cancer, nurses are in a position to change peoples perceptions and attitudes about cancer and its treatment. It is vital to help people decrease the risk of developing cancer, encourage cancer screenings, help patients adhere to cancer treatments, and provide support to the patient and family as they cope with their prognosis. […] Nursing care plans help prioritize assessments and interventions for both short and long-term goals of care. […] Nursing Diagnosis: Acute Pain […] Nursing Diagnosis: Anxiety […] Nursing Diagnosis: Risk for Infection […] Cancer pain affects all aspects of the patients well-being. […] Pain management and relief should be a priority in end-stage cancer as this can help improve the dying patients experience at the end of life. […] Patients with cancer have a higher risk of infection due to immune system changes. Cancer itself and its treatments reduce the bodys ability to fight infection.

• #5 Patient education – Breast Cancer – UF Health

  https://ufhealth.org/conditions-and-treatments/breast-cancer/patient-education

  There are two main types of breast cancer: Ductal carcinoma starts in the tubes (ducts) that move milk from the breast to the nipple. Most breast cancers are of this type. […] Lobular carcinoma starts in parts of the breast, called lobules, that produce milk. […] Ductal carcinoma in situ (also known as intraductal carcinoma) is the most common type of non-invasive breast cancer. DCIS means that the cancer cells are inside the ducts but have not spread through the walls of the ducts into the surrounding breast tissue. […] About 1 out of 5 new breast cancer cases will be DCIS. Nearly all women diagnosed at this early stage of breast cancer can be cured. A mammogram is often the best way to find DCIS early. […] Most breast cancer specialists think that LCIS itself does not become an invasive cancer very often, but women with this condition do have a higher risk of developing an invasive breast cancer in the same breast or in the opposite breast. For this reason, women with LCIS should pay close attention to having regular mammograms.

• #6 Breast Cancer Nursing Care Plan & Management – RNpedia

  https://www.rnpedia.com/breast-cancer/

  The axillary lymph nodes are the most common and initial site of breast cancer metastasis due to the lymphatic drainage system of the breast. […] A firm, immobile mass accompanied by skin dimpling is a highly concerning finding suggestive of breast cancer. […] The primary goal of hormonal therapy in hormone receptor-positive (HR+) breast cancer is to block the effects of estrogen and/or progesterone or reduce their production in the body. […] Indentations or dimpling of the breast skin is a concerning sign that may indicate an underlying malignancy, particularly invasive breast cancer. […] Noninvasive breast cancer, also known as carcinoma in situ, is characterized by cancerous cells that remain confined to their original tissue and have not spread beyond the basement membrane.

• #7 Patient education – Breast Cancer – UF Health

  https://ufhealth.org/conditions-and-treatments/breast-cancer/patient-education

  This is the most common type of breast cancer. It starts in a milk passage (duct) of the breast, has broken through the wall of the duct, and invaded the fatty tissue of the breast. […] Invasive lobular carcinoma starts in the milk-producing glands (lobules). Like IDC, it can spread (metastasize) to other parts of the body. […] Monthly breast self examinations and annual clinical exams and mammograms in women 50 years and older could prevent as many as 30 percent of those deaths. […] The American Cancer Society recommends women begin annual screening mammograms at age 40. Women should begin breast self examinations as early as in their 20s. […] The team of University of Florida physicians and surgeons at the UF Health Breast Center provide comprehensive evaluation and treatment plans for new patients with breast cancer or suspected breast cancer and offer second opinions for breast cancer patients making treatment decisions.

• #8 Breast Cancer: Symptoms, Risk Factors & Treatments | MD Anderson Cancer Center

  https://www.mdanderson.org/cancer-types/breast-cancer.html

  Ductal and lobular carcinoma cancers can be further divided into non-invasive and invasive breast cancer, depending on if they have spread to the surrounding tissue. Non-invasive ductal carcinoma (also called ductal carcinoma in situ, or DCIS) is an early cancer stage that has not spread beyond the ducts. […] If ductal carcinoma spreads to the surrounding tissue, it is considered invasive. Invasive ductal carcinoma is the most commonly diagnosed form of cancer. […] Non-invasive lobular carcinoma (also referred to as lobular carcinoma in situ) is less common, and it isn’t actually classified as cancer. However, having lobular carcinoma in situ may put you at higher risk for developing breast cancer later on. […] High levels of the HER2 receptor or receptors for estrogen and progesterone can fuel the growth and multiplication of breast cancer cells. Targeted therapy drugs can slow or stop this growth.

• #9 Breast Cancer Nursing Diagnosis & Care Plan – NurseStudy.Net

  https://nursestudy.net/breast-cancer-nursing-diagnosis/

  Breast cancer nursing diagnosis requires a thorough understanding of both the disease process and the complex care needs of patients throughout their cancer journey. This comprehensive guide explores the essential nursing diagnoses, interventions, and care plans needed to provide optimal care for breast cancer patients. […] As frontline healthcare providers, nurses play a crucial role in the assessment, care planning, implementation, and evaluation of breast cancer patients needs throughout their treatment journey. […] The nursing process for breast cancer patients involves comprehensive assessment, diagnosis, planning, implementation, and evaluation. Nurses work across various settings from screening and diagnosis through treatment and survivorship care. Their responsibilities include: Conducting initial and ongoing assessments, Developing and implementing personalized care plans, Providing patient education and emotional support, Monitoring treatment responses and side effects, Coordinating care with the multidisciplinary team.

• #9 Breast Cancer Nursing Diagnosis & Care Plan – NurseStudy.Net

  https://nursestudy.net/breast-cancer-nursing-diagnosis/

  Below are five critical nursing care plans commonly implemented for breast cancer patients. Each plan addresses specific patient needs and includes detailed interventions and desired outcomes. […] Nursing Diagnosis Statement: Risk for Infection related to immunosuppression from chemotherapy, surgical procedures, and compromised skin integrity. […] Nursing Interventions and Rationales: Monitor laboratory values, especially white blood cell counts. Rationale: Early detection of neutropenia allows for prompt intervention. […] Educate patient and family about infection prevention strategies. Rationale: Empowers patients to participate in their care. […] Desired Outcomes: The patient will remain free from infection. The patient will demonstrate an understanding of infection prevention measures. The patient will maintain adequate nutritional status to support immune function.

• #9 Breast Cancer Nursing Diagnosis & Care Plan – NurseStudy.Net

  https://nursestudy.net/breast-cancer-nursing-diagnosis/

  Nursing Diagnosis Statement: Knowledge Deficit related to unfamiliarity with disease process, treatment options, and self-care requirements. […] Nursing Interventions and Rationales: Assess current knowledge level and learning preferences. Rationale: Enables tailored education approach. […] Provide information about the disease process and treatment options. Rationale: Facilitates informed decision-making. […] Desired Outcomes: The patient will demonstrate an understanding of the disease process and treatment plan. The patient will perform necessary self-care activities independently. The patient will verbalize confidence in managing care requirements.

• #9 Breast Cancer Nursing Diagnosis & Care Plan – NurseStudy.Net

  https://nursestudy.net/breast-cancer-nursing-diagnosis/

  Nursing Diagnosis Statement: Disturbed Body Image related to changes in physical appearance secondary to mastectomy, alopecia, and treatment-related changes. […] Nursing Interventions and Rationales: Assess the patients perception of body image changes. Rationale: Establishes baseline for intervention planning. […] Provide information about prosthetics and reconstruction options. Rationale: Helps patient make informed decisions about appearance. […] Desired Outcomes: The patient will express acceptance of body changes. The patient will utilize available resources for appearance enhancement. The patient will demonstrate positive coping strategies. […] Nursing Diagnosis Statement: Fatigue related to effects of cancer treatment, altered sleep patterns, and psychological stress. […] Nursing Interventions and Rationales: Assess fatigue levels using standardized scales. Rationale: Provides objective measurement of fatigue.

• #10 Breast Cancer: Nursing Diagnoses & Care Plans | NurseTogether

  https://www.nursetogether.com/breast-cancer-nursing-diagnosis-care-plan/

  Nursing Diagnosis: Acute Pain […] Expected Outcomes: Patient will verbalize pain is reduced or controlled. Patient will demonstrate the ability to perform ADLs due to improved comfort. […] Breast cancer can cause pain due to the tumor(s) or from the cancer treatments. The nurse can assess pain by asking the patient their pain level on a 0-10 scale or using a nonverbal pain scale if the patient is unable to rate. […] Patients being treated for breast cancer often require a combination of opioids and NSAIDs along with antiemetics for nausea caused by chemotherapy to relieve pain and discomfort. […] Fear and anxiety can be caused by the unknown that comes with a breast cancer diagnosis. […] Nursing Diagnosis: Anxiety […] Expected Outcomes: Patient will verbalize anxiety is decreased to a manageable level. Patient will verbalize ways to cope with increasing anxiety/fear. Patient will demonstrate ways to recognize symptoms of anxiety and fear at the onset to avoid reaching a panic state.

• #11 Nursing Care Plan for Breast Cancer – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-breast-cancer/

  Assess the patients pain levels using appropriate pain assessment tools. Administer analgesic medications as prescribed, considering the type and severity of pain. […] Educate the patient on wound care techniques, such as proper cleaning, dressing changes, and signs of infection. […] Provide information on self-breast examination techniques and the importance of regular monitoring. […] Collaborate with the interdisciplinary healthcare team to coordinate comprehensive care, including surgical interventions, radiation therapy, chemotherapy, and follow-up care. […] Assess for signs and symptoms of infection, such as fever, redness, swelling, or discharge, and initiate appropriate interventions. […] Breast cancer is a complex and challenging disease that requires a comprehensive nursing care plan to address the physical, emotional, and educational needs of patients.

• #12 Nursing Care Plan for Breast Cancer – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-breast-cancer/

  Breast cancer treatments can cause acute pain, discomfort, and localized tissue damage, affecting the patients quality of life. […] Breast cancer and its treatment can result in changes to the patients physical appearance, leading to body image disturbances and decreased self-esteem. […] Breast cancer treatments, such as surgery or chemotherapy, can weaken the immune system and increase the risk of infection. […] Breast cancer is a complex disease, and patients may lack knowledge about their condition, treatment options, and necessary self-care measures. […] Breast cancer can significantly impact the patients emotional well-being, leading to feelings of fear, sadness, or overwhelming. […] Establish a trusting and empathetic nurse-patient relationship. Encourage open communication and active listening to address the patients fears, concerns, and emotional needs.

• #13 Importance of nursing care in patients with breast cancer: A narrative review

  https://www.redalyc.org/journal/817/81759552021/html/

  Social and emotional support can help patients learn to cope with psychological stress. This support can reduce levels of depression, anxiety and symptoms related to the disease and treatment. […] The multidisciplinary clinical care session is one of the interventions that can improve the effectiveness of the care provided. […] Self-care and the proactive attitude of women with breast cancer is an aspect addressed by nursing professionals, because it helps in the process of cancer recovery and improvement of well-being, as well as the reduction of costs and institutional expenses. […] It is important to emphasize that in order to achieve self-care behavior and a proactive attitude, it is necessary that nurses provide information and education to the patient and evaluate each stage of the process.

• #13 Importance of nursing care in patients with breast cancer: A narrative review

  https://www.redalyc.org/journal/817/81759552021/html/

  Taking into account that breast cancer involves a set of emotional and psychological affectations in the patient, the nursing professionals see it necessary and pertinent to evaluate the level of coping, stress and degree of adaptation that the patients may acquire. […] The nursing professional plays a fundamental role in this area (quality of life), since many objectives are achieved to a great extent with the comprehensive care of the work of the multidisciplinary team. […] Nursing care in patients with breast cancer continues to be a permanent challenge that requires nursing professionals not only to have clinical competencies for the management of symptoms, but also demand competencies for the educational, emotional, family, psychosocial and spiritual approach. […] The literature continues to demonstrate the importance of the human, dignified and palliative nursing care required by breast cancer patients.

• #13 Importance of nursing care in patients with breast cancer: A narrative review

  https://www.redalyc.org/journal/817/81759552021/html/

  Objective: To demonstrate the importance of nursing care in patients with breast cancer. […] The importance of nursing care is evident through the humanized, dignified and palliative treatment that this type of patients require. […] The literature continues to show the need for nursing care to be comprehensive and strengthened in the light of interdisciplinarity. […] This indicates the importance of nursing care in patients with breast cancer, their family and their immediate social environment. […] The studies reviewed highlight the important role of nurses in providing social, psychological, emotional and family support required by patients who have been diagnosed or have breast cancer, whether in the early, middle or late stages of the disease. […] The role of the nurse is not only related to treatment and cure, but also to establish preventive measures, to control the conditions of the patient and to provide guidance, emotional support.

• #14 Breast Cancer: Nursing Diagnoses & Care Plans | NurseTogether

  https://www.nursetogether.com/breast-cancer-nursing-diagnosis-care-plan/

  Treatments for breast cancer can affect the patients skin integrity causing irritation, pain, and other complications as well as increasing the susceptibility to infection. […] Nursing Diagnosis: Impaired Skin Integrity […] Expected Outcomes: Patient will remain free of infection from impaired skin integrity. Patient will alert provider of changes to the skin such as redness/swelling. Patient will display optimal healing post-mastectomy or lumpectomy without signs of infection.

• #15 4.4 Applying the Nursing Process to Cancer Treatment – Health Alterations

  https://wtcs.pressbooks.pub/healthalts/chapter/4-4-applying-the-nursing-process-to-cancer-treatment/

  Many clients diagnosed with cancer are immunocompromised as a result of the disease or treatment(s) and are at significantly increased risk for infection. […] Nurses play a crucial role in implementing infection prevention measures, assessing for new signs of infection, and monitoring the effectiveness of treatment for infection. […] Clients with cancer often undergo biopsies, surgical interventions, and radiation treatments that cause surgical wounds or impaired skin integrity. […] Nursing interventions include repositioning, changing dressings, and providing health teaching regarding skin care and good nutrition to promote healing. […] Cancer and its treatments can lead to various distressing symptoms such as fatigue, nausea, vomiting, loss of appetite, diarrhea, constipation, mouth sores, and weight loss.

• #15 4.4 Applying the Nursing Process to Cancer Treatment – Health Alterations

  https://wtcs.pressbooks.pub/healthalts/chapter/4-4-applying-the-nursing-process-to-cancer-treatment/

  Nurses assess the clients symptoms, provide supportive care, and administer medications to alleviate discomfort. […] Nurses educate clients about their diagnosis, treatments, potential side effects, and self-care techniques. […] Nurses act as advocates for clients, ensuring they receive appropriate care and support. […] For clients in advanced stages of cancer, nurses provide compassionate end-of-life care to clients and their families. […] Spiritual distress is common in clients experiencing serious illness and nurses promote healthy coping and resilience.

• #16 Cancer Nursing Care Management and Study Guide for Nurses

  https://nurseslabs.com/cancer/

  The nurse identifies potential threats to the patients body image experience, and the nurse assesses the patients ability to cope with the many assaults to the body image experienced throughout the course of the disease and treatment. […] The nurse assesses the patients psychological and mental status, as well as the mood and emotional reaction to the results of diagnostic testing and prognosis. […] Nurses should teach women 20 years of age and above on how to perform BSE. This should be done 5-7 days after menstruation when the breasts are not swollen and tender.

• #16 Cancer Nursing Care Management and Study Guide for Nurses

  https://nurseslabs.com/cancer/

  Get to learn about the nursing care management for patients with cancer in this study guide. […] Nurses play an important role in assessing and managing many of the problems experienced by patients undergoing chemotherapy. […] Nursing care of patients undergoing BMT is complex and demands a high level of skill. […] Nurses in the outpatient settings often have the responsibilities for patient teaching and for coordinating care in the home. […] The outlook for patients with cancer has greatly improved because of scientific and technologic advances. […] Nurses provide information about hair loss and support the patient and family in coping with changes in body image. […] The nurse assesses the patient for the source and site of pain as well as those factors that increase the patients perception of pain.

• #17 Nursing Interventions in the Perioperative Pathway of the Patient with Breast Cancer: A Scoping Review

  https://www.mdpi.com/2227-9032/11/12/1717

  The therapeutic pathway of the patient with breast cancer consists of different stages, with the perioperative period being one of the treatment phases that implies a great effort on the part of the patient and her family and requires a good support network, a supportive health team, and comprehensive access to the health care system and community resources. […] Health professionals involved in the treatment of these patients must be aware of their pathway, demonstrating knowledge of the technical and scientific basis for the therapeutic options, thus contributing to a better adjustment of this person to their health/disease process. […] The emphasis on physical exercise as a rehabilitation mechanism needs to be prioritised and schooled, not only among patients but also among health professionals, so that it can be included and considered relevant for patients’ education, allowing it to reveal an effective impact on motivation and a change in behaviours.

• #17 Nursing Interventions in the Perioperative Pathway of the Patient with Breast Cancer: A Scoping Review

  https://www.mdpi.com/2227-9032/11/12/1717

  In general, the reduction of anxiety seems to be one of the main objectives of nursing interventions in the perioperative period, contributing in a valuable way to patients’ satisfaction with the care provided and to a more positive perception of well-being. […] Psychological and emotional support are also widely mentioned in the selected articles, formulating nursing interventions to be considered in all approaches to patients and, in particular, to patients with breast cancer, taking into account the impact of the surgery on these women’s lives and self-image as a cause of disruption in the person’s self-concept as a woman, mother, or wife in both social and professional contexts. […] The results obtained in this review contribute to the enrichment of knowledge concerning the needs expressed by women with breast cancer in their surgical pathway and also inform about some of the nursing interventions that must be considered throughout the perioperative period.

• #18 Breast cancer for nursing | PPT

  https://www.slideshare.net/emperorsafad/breast-cancer-for-nursing

  Chemotherapy uses drugs to destroy cancer cells. Chemotherapy is sometimes given before surgery in women with larger breast tumors. Chemotherapy is also used in women whose cancer has already spread to other parts of the body. […] Hormonal therapy is prescribed to women with ER-positive breast cancer to block certain hormones that fuel cancer growth. […] Radiotherapy is an effective treatment for most women who have undergone lumpectomy and for some women who have mastectomy surgery. In these cases, the purpose of radiation is to reduce the chance that the cancer will recur. […] Surgical Treatment Lumpectomy is also referred to as breast-conserving therapy. The surgeon removes the cancerous area and a surrounding margin of normal tissue. […] NURSING INTERVENTION: PRE-OP Explain breast cancer and treatment options Reduce fear and anxiety and improve coping abilities Promote decision-making abilities Provide routine pre-op care: Consent, NPO, Meds, Teaching about breathing exercise.

• #18 Breast cancer for nursing | PPT

  https://www.slideshare.net/emperorsafad/breast-cancer-for-nursing

  NURSING INTERVENTION: POST-OP Position patient: Supine, Affected extremity elevated to reduce edema Relieve pain and discomfort: Moderate elevation of extremity, Injection of pain meds Warm shower on 2nd day post-op. […] NURSING INTERVENTION: POST-OP Teach Follow-up care: Regular check-up Monthly BSE on the other breast Annual mammography. […] Prevention of Breast Cancer Get screened for breast cancer regularly Control your weight and Do regular exercise Know your family history of breast cancer Limit the amount of alcohol Avoid induced abortions Avoid unnecessary Medical radiation exposure Preventive mastectomy.

• #19 Breast Cancer Nursing Care Plan & Management – RNpedia

  https://www.rnpedia.com/breast-cancer/

  A firm lump or thickness in breast, usually painless; 50% are located in the upper outer quadrant of the breast. […] A womans risk of breast cancer approximately doubles if she has a first-degree relative (mother, sister, daughter) who has been diagnosed with breast cancer. About 20-30% of women diagnosed with breast cancer have a family history of breast cancer. […] Chemotherapy is the primary used as adjuvant treatment postoperatively; usually begins 4 weeks after surgery (very stressful for a patient who just finished major surgery). […] Monitor for adverse effects of chemotherapy; bone marrow suppression, nausea and vomiting, alopecia, weight gain or loss, fatigue, stomatitis, anxiety, and depression. […] The patient can expect to return home with dressings and wound drains. Instruct the patient to do the following: empty the drainage receptacle twice a day, record the amount on a flow sheet, and take this information along when keeping a doctor’s appointment; report symptoms of infection or excess drainage on the dressing or the drainage device; sponge bathe until the sutures and drains are removed; continue with daily lower arm ROM exercises until the surgeon orders more strenuous exercises; avoid caffeinated foods and drinks, nicotine, and secondary smoke for 3 weeks postoperatively.

• #20 SciELO Brazil – NURSING CARE MANAGEMENT FOR WOMEN WITH BREAST CANCER IN PALLIATIVE CHEMOTHERAPY NURSING CARE MANAGEMENT FOR WOMEN WITH BREAST CANCER IN PALLIATIVE CHEMOTHERAPY

  https://www.scielo.br/j/tce/a/583YFyYhTjDhBqrn5WJBBKK/

  The objective was to understand and to analyze the management of nursing care for women with breast cancer in palliative chemotherapy. […] Nurses play an important role in managing care, and contribute to a closer look at the recognition of such needs, prioritizing the quality of life. […] In the face of the decision to undergo palliative chemotherapy, one must be attentive to the need for care that the patient may present. The nurse is the professional directly dealing with women and their families, being responsible for the administration of the chemotherapeutic agents. Nursing consultation is an effective strategy on an outpatient basis, as it favors the cultivation of a supportive interpersonal relationship, in which management of nursing care implies recognizing and meeting the needs of both patients and families.

• #21 Breast Cancer | UCI Health | Orange County, CA

  https://www.ucihealth.org/medical-services/conditions/breast-cancer

  One concern after breast cancer surgery is the risk of developing lymphedema (swelling of the arm). This may occur if you need to have many lymph nodes removed during surgery. For people at the highest risk, we offer a groundbreaking lymphedema prevention procedure that has decreased lymphedema rates by 80%. This has been a gamechanger for many high-risk people. […] If you need chemotherapy for breast cancer, one common side effect is hair loss. You may have access to a cooling cap (worn during infusions) that significantly reduces chemotherapy-related hair loss. […] Throughout your breast cancer treatment, a nurse navigator will help you coordinate your care. Theyll guide you through what to expect, answer your questions and set up appointments. And youll have a direct number to reach your nurse navigator easily when you need them.

• #21 Breast Cancer | UCI Health | Orange County, CA

  https://www.ucihealth.org/medical-services/conditions/breast-cancer

  As a National Cancer Institute (NCI)-designated academic medical center, we lead and participate in clinical trials for breast cancer. That means you may have access to improved treatments for breast cancer that are not yet widely available. […] At UCI Health, youll have providers who are leaders in breast cancer, state-of-the-art technology and access to clinical trials. We pair all that with strong support, good communication and personalized care. Thats what high-quality breast cancer care looks like in action. And its why the American College of Surgeons designated UCI Health as a National Accreditation Program for Breast Centers.

• #22 Breast Cancer Program | UC San Diego Health

  https://health.ucsd.edu/care/cancer/cancers-we-treat/breast/

  At UC San Diego Health, youll find specialists who work together to understand your disease and develop a treatment strategy that is unique to you. Your care plan may include one or a combination of the following treatment approaches. […] Breast cancer surgery is becoming less invasive, often done without a hospital stay. Many women qualify for breast-conserving procedures like lumpectomy. UC San Diego Health surgeons specialize in sentinel node biopsy to help prevent cancer spread. If a mastectomy is needed, youll have access to a full range of reconstruction options with board-certified plastic surgeons. […] Your doctor may recommend radiation therapy to lower the risk of recurrence. Our radiation oncologists use advanced techniques to target cancer while sparing healthy tissue. […] Advances in genetics are transforming breast cancer care. We use genetic testing to tailor treatments to your cancer.

• #22 Breast Cancer Program | UC San Diego Health

  https://health.ucsd.edu/care/cancer/cancers-we-treat/breast/

  Immunotherapy harnesses the power of your immune system to fight cancer and is an emerging treatment for certain types of breast cancer, including some cases of triple-negative breast cancer (TNBC). […] After breast cancer surgery, rehabilitation including occupational or physical therapy and guided exercise can help restore strength and mobility in your arms and upper body. […] In addition to standard treatments, you may be eligible for a clinical trial, giving you early access to some of the most promising therapies and technologies. […] Your team will stay with you for years through our Survivorship Program. […] At UC San Diego Health, your care is led by a multidisciplinary team of doctors who specialize in breast health. […] Up to 10 percent of all breast cancers are caused by genetic changes or mutations that can be inherited. […] When you have a diagnosis as serious as cancer, you deserve a second opinion on your treatment options. […] At UC San Diego Health, your care goes beyond treating disease. It also includes supporting you and your loved ones emotionally throughout your cancer journey.

• #23 Oncology Nursing: The Vital Work of Treating Breast Cancer Patients

  https://www.stpaulsschoolofnursing.edu/blog/nursing/oncology-nursing–the-vital-work-of-treating-breast-cancer-patie.html

  Every year, more women are diagnosed with breast cancer than any other type of cancer except for skin cancer. Breast cancer accounts for about 1 out of every 3 new cancer diagnoses, and New York, the rate of breast cancer is higher than the national average. […] The rate of women dying from this kind of cancer has dropped 42% since 1989. […] When you work in oncology, youre responsible for things like conducting health histories, helping the patient and her family understand the disease, coordinating and documenting care, and handling direct patient care. Direct care might include administering chemotherapy, taking labs, and administering other medications. […] As an oncology nurse, you have the opportunity to get to know your patients well and develop relationships over time. […] Partnering with a patient on their care journey means celebrating their progress throughout their treatment or comforting them if cancer returns.

• #23 Oncology Nursing: The Vital Work of Treating Breast Cancer Patients

  https://www.stpaulsschoolofnursing.edu/blog/nursing/oncology-nursing–the-vital-work-of-treating-breast-cancer-patie.html

  Specializing in oncology means you could work in a variety of healthcare settings, including hospitals, oncologists offices, intensive care units, outpatient chemotherapy and radiation centers, and inpatient units. […] As you might expect, oncology nurses need specialized training. You may want to complete a certification in oncology nursing, which includes sitting for the Oncology Certified Nurse (OCN) exam.

• #24 Specialist breast care nurses for support of women with breast cancer

  https://pmc.ncbi.nlm.nih.gov/articles/PMC8092434/

  Interventions by specialist breast cancer nurses (SBCNs) aim to support women and help them cope with the impact of the disease on their quality of life. […] Evidence suggests that psychosocial interventions delivered by SBCNs for women with primary breast cancer may improve or are at least as effective as standard care and other supportive interventions, during diagnosis, treatment and survivorship. […] SBCN-led telephone follow-up interventions were equally as effective as standard care, for women with primary breast cancer. […] The evidence suggests that psychosocial interventions carried out by SBCNs for women with a primary diagnosis of breast cancer may improve or are at least as effective as standard care for general health-related quality of life, cancer-specific quality of life, anxiety and depression outcomes and satisfaction with care.

• #24 Specialist breast care nurses for support of women with breast cancer

  https://pmc.ncbi.nlm.nih.gov/articles/PMC8092434/

  The important role of the SBCN in the provision of complex interventions is evident in all the studies, however, this expertise needs to be better articulated in the reporting to allow successful translation to practice. […] There are opportunities for the SBCN to improve the quality of life outcomes for women with early and advanced breast cancer and more clinically applied studies are needed to increase evidence in this area.

• #25 Certified Breast Care Nurse (CBCN®) | ONCC

  https://www.oncc.org/certified-breast-care-nurse-cbcn

  Certified Breast Care Nurse (CBCN) is the only nationally accredited breast care nursing certification that is available exclusively to registered nurses, and that encompasses the entire spectrum of breast care nursing practice. […] A minimum of 2,000 hours of breast care nursing practice within the four years (48 months) prior to application. […] Nursing practice may be in clinical practice, nursing administration, education, research, or consultation. […] Completed a minimum of 10 contact hours of nursing continuing education in breast care nursing or an academic elective in breast care nursing within the three years (36 months) prior to application. […] The certification test is a three-hour, 165 multiple-choice question test based on the CBCN Test Content Outline (Test Blueprint).

• #26 Breast Cancer, Support, Information, Resources

  https://www.cancercare.org/diagnosis/breast_cancer

  CancerCare offers limited assistance for transportation, home care and child care for women who qualify. […] CancerCare may be able to assist with a one-time grant for the purchase of lymphedema supplies. […] CancerCare offers publications about coping with treatment side effects, Connect Education Workshops, individual counseling, and support groups (online, telephone and face-to-face). […] CancerCare provides psychosocial support on a one-on-one basis as well as in a group setting with others who are on a similar journey. […] CancerCare’s professional oncology social workers can provide emotional and practical support to further help you and your family find ways of coping.

• #27 Breast Cancer | Screening, Diagnosis | Duke Health

  https://www.dukehealth.org/treatments/cancer/breast-cancer

  All women are at risk for developing breast cancer, which is why its important to undergo regular screening to find breast cancer early. […] Choosing Duke means youll have access to a high level of experience and research in diagnosing and treating breast cancer. […] Our breast cancer-specific programs provide treatment and resources for your unique situation and through all phases of your care. […] We offer the full range of services to help minimize the side effects of treatment and give you the support you need to cope with the emotional and psychological effects. […] Once your cancer treatment ends, we continue to monitor your health through our survivorship clinic. […] Our breast cancer teams meet weekly to discuss and review our patients care. […] At National Cancer Institute-designated Comprehensive Cancer Centers like Duke Health, youll work with breast cancer specialists whose level of expertise can only be found at a few cancer centers in the country.

• #28 Breast cancer nursing interventions and clinical effectiveness: a systematic review – PubMed

  https://pubmed.ncbi.nlm.nih.gov/32499405/

  Objectives: To examine the effects of nurse-led interventions on the health-related quality of life, symptom burden and self-management/behavioural outcomes in women with breast cancer. […] Results: Thirty-one RCTs (4651 participants) were included. All studies were at risk of bias mainly due to inherent limitations such as lack of blinding and self-report data. […] There is consistent evidence from RCTs that nurse-led surveillance interventions are as safe and effective as physician-led care and strong evidence that nurse-led teaching, guidance and counselling and case management interventions are effective for symptom management.

• #29 Breast Cancer | Fred Hutchinson Cancer Center

  https://www.fredhutch.org/en/diseases/breast-cancer.html

  For many patients, these therapies will be a large part of their treatment. […] We provide all standard therapies for breast cancer. […] This team includes nurses, registered dietitians, physical therapists, social workers and psychologists. […] At Fred Hutch, caregivers are valuable members of a patients care team. […] Our social workers, Spiritual Health team and Patient and Family Resource Center staff are here to help support you. […] At Fred Hutch, everyone whos involved in a breast cancer patients care is laser-focused on offering state-of-the-art breast cancer care. […] Many breast cancer patients at Fred Hutch get promising therapies by taking part in clinical trials. […] Your care team will talk with you about if you might want to join a study and why. This can help you can make the decision that is best for you.

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