SELF ALIENATION OF WOMEN WITH BREAST

CANCER FOLLOWING MASTECTOMY

Health Care and Nursing Phenomena
Presented to
Associate Prof. Dr. Earmporn Thongkrajai
Associate Prof. Dr Somjit Daenseikeow





By. Dewi Rahmawaty Aktyani Putri
Definition






?
Cancer is a genetic disease in which the regulation,
characteristics, and functions of normal cells are
altered.
Breast cancer, cervical cancer, and ovarian cancer, generally target
women (men can get breast cancer, too); others, such as prostate
cancer and testicular cancer, affect only men (Silverstein & Nunn,
2006).
Breast
cancer
Background

Cancer is a major public health
challenge in the world which is
increasing every year
A leading cause of death
worldwide and accounted for 7.6
million mortality rate (around 13%
of all deaths) in 2008 (WHO, 2008)
The most common cancers in terms of new
cases in the world were lung (1.2 million),
breast (1.05 million), colorectal (945,000),
stomach (876,000), and liver (564,000).
Estimates the incidence
of cancer will increase
to 15 million new cases
in 2020
in the United
States, One of 4
mortality rate is due
to cancer
in 2013, there were 64,640
cases of 100,000 of breast
cancer

The Global Burden of Cancer show
that breast cancer incidence rates in
Indonesia were 26 of 100,000
women in 2008 (Bambang, 2010),
100 of 100,000
population in 2010
in the Semarang city, the
highest deaths from
cancer are dying from
breast cancer
In Prof. Dr. Margono Soekarjo Hospital
Purwokerto on January to May 2013, the
number of patient as many as 2,121 people
breast cancer, breast cancer patients who
doing mastectomy and undergo
chemotherapy as many as 826 people, and
the average per month reached 148 breast
cancer patients.

Management of breast
cancer treatment
Pharmacology
Non-
pharmacology
Surgery (lumpectomy and
mastectomy)
radiation therapy
Chemotherapy
combination therapy
good communication
(communication
therapeutic) between
healthcare professionals
and patients
giving health education to
patients and family
support family and
environment.
Framework

Breast Cancer
The diagnosis and treatment :
Mastectomy and cemotherapy
Have psychological effects
fear of death
fear of being a burden
fear of abandonment
Disability
impaired self-esteem
Helplessness
Anxiety
Shame
Decreased self-concept
Stress
Depression
anger
feelings of experiencing self as
fundamentally flawed
as having no purpose in life and also
denying one's feelings and accepting
the evaluations of others
feel alienation from others
Gap between theory and practice
Nurses and other health care providers only provide
pharmacological treatment to overcome his illness and education
about cancer without reviewing how the psychological impact of
post- mastectomy patients.
After giving the drug and health education, no follow-up program
for patients at home.
Family support is also not optimal due to the patient's perception
of the patient's family about the state of post- mastectomy is quite
improved than before.
Purpose

Measure the level of self-
alienation in patients with
breast cancer
To know the family's
perception about the
patient's disease
so it can take the appropriate nursing actions to address
the patient's physical and psychological effects

Research Question
Is there a relationship between self-alienation with
implementation by the nurses and family perceptions
of the patient's illness?


THANK YOU
SAWADEEEKA