ASUHAN KEPERAWATAN PALIATIF PADA Ny. R DENGAN CA MAMMAE METASTASIS PARU DI RUANG JASMINE RUMAH SAKIT Hj. BUNDA HALIMAH BATAM
DOI:
https://doi.org/10.61722/jssr.v4i3.9979Keywords:
Palliative Nursing Care, Breast Cancer, Lung MetastasisAbstract
Breast cancer with lung metastasis is an advanced-stage condition that causes physical and psychological problems requiring comprehensive palliative care. The purpose of this paper was to describe the implementation of palliative nursing care for Mrs. R with breast cancer and lung metastasis in Jasmine Ward at Hj. Bunda Halimah Hospital Batam. The method used was a case study approach through the nursing process including assessment, diagnosis, intervention, implementation, and evaluation. Assessment results showed acute pain, ineffective breathing pattern, anxiety, imbalanced nutrition less than body requirements, risk of shock, and risk of infection. Nursing interventions included pain management, oxygen therapy, wound care, psychological support, nutritional support, and family education. After 3×24 hours of nursing care, pain and dyspnea decreased, the patient appeared calmer, although several nursing problems were not fully resolved due to disease progression. In conclusion, palliative nursing care can improve comfort and quality of life in patients with breast cancer and lung metastasis.
References
American Society of Clinical Oncology. (2024). Palliative care for patients with cancer: ASCO guideline update. https://www.asco.org/supportive-care-guidelines
Bray, F., Laversanne, M., Sung, H., Ferlay, J., Siegel, R. L., Soerjomataram, I., & Jemal, A. (2024). Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians, 74(3), 229–263. https://doi.org/10.3322/caac.21834
D'Alessandro, L., Palomares, S. M., Mancin, S., Sguanci, M., Cattani, D., Cosmai, S., Lopane, D., Gjeloshi, M., Cangelosi, G., & Mazzoleni, B. (2025). Professional roles, skills and advanced educational programs of breast cancer nurses: A scoping review. Nursing Open, 12, e70251. https://doi.org/10.1002/nop2.70251
de Ligt, K. M., de Rooij, B. H., Koppert, L. B., van de Poll-Franse, L. V., Velikova, G., & Cardoso, F. (2023). Patient-reported outcome measures to improve the care continuum for patients with metastatic breast cancer: Opportunities and implications for nursing practice. Seminars in Oncology Nursing, 39(6), 151510. https://doi.org/10.1016/j.soncn.2023.151510
Drageset, S., Austrheim, G., & Ellingsen, S. (2021). Quality of life of women living with metastatic breast cancer and receiving palliative care: A systematic review. Health Care for Women International, 42(7–9), 1044–1065. https://doi.org/10.1080/07399332.2021.1876063
Espina, C., Mckenzie, F., & Dos-Santos-Silva, I. (2017). Delayed presentation and diagnosis of breast cancer in African women: A systematic review. Annals of Epidemiology, 27(10), 659–671.e7. https://doi.org/10.1016/j.annepidem.2017.09.007
Ferlay, J., Colombet, M., Soerjomataram, I., Mathers, C., Parkin, D. M., Piñeros, M., Znaor, A., & Bray, F. (2024). Cancer statistics for the year 2020: An overview. International Journal of Cancer, 149(4), 778–789. https://doi.org/10.1002/ijc.33588
Fitriyanti, D., Tanujiarso, B. A., & Laely, A. J. (2023). Pengetahuan palliative care pada keluarga dengan kanker. Jurnal Nursing Update, 14(3), 1–9.
Gbande, S., Maree, J. E., & Obiora, O. L. (2025). Supporting women receiving palliative chemotherapy for breast cancer. International Journal of Palliative Nursing, 31(9), 456–465. https://doi.org/10.12968/ijpn.2024.0052
Giaquinto, A. N., Sung, H., & Siegel, R. L. (2024). Breast cancer statistics, 2024. CA: A Cancer Journal for Clinicians, 74(3), 207–228. https://doi.org/10.3322/caac.21828
Giannubilo, I., Battistuzzi, L., Blondeaux, E., Ruelle, T., Poggio, F. B., Buzzatti, G., D’Alonzo, A., Della Rovere, F., Latocca, M. M., Molinelli, C., Razeti, M. G., Nardin, S., Arecco, L., Perachino, M., Favero, D., Borea, R., Pronzato, P., Del Mastro, L., & Bighin, C. (2024). Patterns of care at the end of life: A retrospective study of Italian patients with advanced breast cancer. BMC Palliative Care, 23(1), 129. https://doi.org/10.1186/s12904-024-01460-0
Irma, A., Wahyuni, A. S., & Sallo, A. K. M. (2022). Dukungan keluarga dan kualitas hidup penderita kanker payudara. Journal of Midwifery and Nursing Studies, 4(2), 20–27.
Karisma, P., & Arsy, G. R. (2024). Implementasi perawatan paliatif berbasis teknologi digital: Literature review. Jurnal Profesi Keperawatan, 11(2), 166–182.
Kemenkes RI. (2019). Laporan nasional riskesdas 2018. Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI.
Kida, K., Olver, I., Yennu, S., Tripathy, D., & Ueno, N. T. (2021). Optimal supportive care for patients with metastatic breast cancer according to their disease progression phase. JCO Oncology Practice, 17(4), 177–183. https://doi.org/10.1200/OP.20.00622
Koerniawan, M. D., & Daeli, D. K. (2020). Asuhan keperawatan medikal bedah (Edisi ke-1). Penerbit Buku Kedokteran EGC.
Listyarini, A. D., Elza, M. S., Faradiba, N., Mariska, R., Nisa, R. S., & Lestari, S. I. (2023). Literature review: Keperawatan paliatif komunitas pada pasien kanker payudara. Jurnal Profesi Keperawatan, 10(2), 136–146.
Liu, Y., & Guo, H. (2025). Impact of personalized nursing on the quality of life in lung cancer patients. Frontiers in Oncology, 15, 1650066. https://doi.org/10.3389/fonc.2025.1650066
Lucchi, E., Berger, F., Milder, M., Commer, J.-M., Morin, S., Capodano, G., Thomaso, M., Fogliarini, A., Bremaud, N., Henry, A., Mastroianni, B., Chvetzoff, G., & Bouleuc, C. (2024). Palliative care interventions and end-of-life care for patients with metastatic breast cancer: A multicentre analysis. The Oncologist, 29(5), e708–e715. https://doi.org/10.1093/oncolo/oyae023
NANDA International. (2021–2023). Nursing diagnoses: Definitions and classification 2021–2023 (12th ed.). Thieme.
Nasution, B. S. (2020). Asuhan keperawatan medikal bedah (Edisi ke-2). Trans Info Media.
Nåhls, N.-S., Carpén, T., Nuutinen, M., & Saarto, T. (2025). The impact of specialist palliative care on healthcare utilization among patients with breast cancer: A nationwide register-based cohort study. Breast Cancer, 32, 1346–1353. https://doi.org/10.1007/s12282-025-01759-7
Nursalam. (2020). Manajemen dan dokumentasi proses keperawatan: Konsep dan penerapannya (Edisi ke-4). Salemba Medika.
Peng, W.-S., Zhou, S.-J., Wang, B.-D., Xiong, L.-L., Qu, C.-R., Sun, R., Zhang, W.-W., Luo, W.-X., & Yang, X.-F. (2025). Palliative care in patients with brain metastases from breast cancer: A qualitative descriptive study of attitudes, practices, and barriers. BMC Palliative Care, 24, 306. https://doi.org/10.1186/s12904-025-01945-6
Penrod, D., & Hirsch, B. (2023). Nursing care for metastatic bone cancer: Trends for the future. International Journal of Environmental Research and Public Health, 20(15), 6483. https://doi.org/10.3390/ijerph20156483
Potter, P. A., & Perry, A. G. (2021). Fundamentals of nursing (10th ed.). Elsevier.
Sanders, J. J., Temin, S., Ghoshal, A., Alesi, E. R., Ali, Z. V., Chauhan, C., Cleary, J. F., Epstein, A. S., Firn, J. I., Jones, J. A., Litzow, M. R., Lundquist, D., Mardones, M. A., Nipp, R. D., Rabow, M. W., Rosa, W. E., Zimmermann, C., & Ferrell, B. R. (2024). Palliative care for patients with cancer: ASCO guideline update. Journal of Clinical Oncology, 42(19), 2336–2357. https://doi.org/10.1200/JCO.24.00542
Siegel, R. L., Giaquinto, A. N., & Jemal, A. (2024). Cancer statistics, 2024. CA: A Cancer Journal for Clinicians, 74(1), 12–49. https://doi.org/10.3322/caac.21828
Smeltzer, S. C., & Bare, B. G. (2023). Brunner & Suddarth's textbook of medical-surgical nursing (15th ed.). Wolters Kluwer.
Sulistyarini, W. D., Suyatmi, Kusuma, A. I., Dwiyanti, R. S., Abdullah, W. D., & Siska, E. M. (2022). Implementasi intervensi spiritual guided imagery (SGI) terhadap kecemasan pada pasien kanker payudara yang menjalani kemoterapi: Studi kasus dan studi literatur. Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing), 8(2), 428–437.
Sun, Y.-Y., Wei, L.-M., & Qian, Y. (2025). The role of nursing in enhancing quality of life for lung cancer patients receiving targeted and immunotherapy: Challenges, opportunities, and future directions. Human Vaccines & Immunotherapeutics, 21(1), 2506302. https://doi.org/10.1080/21645515.2025.2506302
Tamsuri, A. (2022). Konsep dan penatalaksanaan nyeri. Penerbit Buku Kedokteran EGC.
Vasconcelos de Matos, L., Louro, T., Gantes Padrao, T., Debiasi, M., Sousa, B., Gouveia, H., & Cardoso, F. (2025). Impact of the implementation of an embedded palliative care model in the continuum of care for patients with metastatic breast cancer. Supportive Care in Cancer, 33, 449. https://doi.org/10.1007/s00520-025-09502-w
World Health Organization. (2020). WHO definition of palliative care. https://www.who.int/news-room/fact-sheets/detail/palliative-care
Zhu, Y., & Liu, Y. (2025). Application efficacy of nursing interventions guided by the medication-psychological-nursing-family-support (MPNFS) framework in mitigating cancer-related fatigue and enhancing pulmonary function among lung cancer patients undergoing chemotherapy. Cancer Management and Research, 17, 1777–1787. https://doi.org/10.2147/CMAR.S536068
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