Abstract
Brain metastases are related to the poor prognosis of patients. It is not clear why certain cancers are more likely to metastasize to the brain than others. Lung cancer, breast cancer and melanoma noted as the highest incidence of brain tumor metastasis. The purpose of this report was to describe the nursing care of a patient with malignant tumor on the left breast who received multiple chemotherapy and radiotherapy, targeted therapy and mastectomy, and the tumor metastasized to the right occipital lobe of the skull. This study was conducted in surgical pain management ward within 3 days observation. Gordon's eleven health function types’ assessment framework was used. Observations, physical assessments, interviews, medical records were attempted to collect physical, psychological, social and spiritual data. Two specific nursing problems were found. Special attention need to be paid for the pain situation and take individualized nursing measures by evaluating individual patients.
Highlights
Regardless of the primary or metastatic lesions, brain metastases are related to the poor prognosis of patients
The one-year survival rate of patients with symptomatic brain metastases is less than 20%
Breast cancer and melanoma have a higher incidence of brain tumor metastasis.[1]
Summary
Regardless of the primary or metastatic lesions, brain metastases are related to the poor prognosis of patients. The one-year survival rate of patients with symptomatic brain metastases is less than 20%. It is not clear why certain cancers are more likely to metastasize to the brain than others. The overall prognosis of breast cancer brain metastasis is poor, and the untreated survival period is only 2 to 27 months.[2] For cases of simple brain metastasis, surgical resection may be restricted by anatomical location, neurosurgical resection can help reduce the mass effect in symptomatic patients and is still the primary treatment option.[3]
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