Virginia Smith Room 312 Virginia Smith, 57-year-old who has elected to have a total mastectomy based on consultation with her surgeon, a total mastectomy removes all breast tissue but leaves all or most of axillary lymph nodes and chest muscles intact. She is also to receive radiation, chemotherapy, and hormone therapy post operatively. She is with her physician. She also investigating bone marrow transplantation. She has arrived in pre-op and about to have surgery this morning. Her husband and two grown children are also with her as she is prepared with gown and head cap awaiting transport to the operating room. She has IV access and has received a small dose of Valium to reduce apprehension. Temperature is 98.3, HR is 87, RR is16, BP is 121/74, PaO2 is 98%.· Educational Needs- increase · Health Change-increase · LOC- normal · Pain Level-increase · Psychological Needs-normal · Safety- increase Assigning Diagnose: · Acute pain · Impaired physical mobility · Impaired skin integrity · Knowledge deficit · Disturb body image -->Nursing interventions; 3? -->Goals (3) for each nursing intervention and expected outcomes. -->Describe Self- awareness considerations for care that is - safe, effective, efficient, equitable, timely and patient centered. What personal characteristics should be a focus: Empathy?, Self Regulation?, Social Skills?, Self Awareness, Motivation? Not required to discuss all 5.