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Introduction. Oncology nursing as a specialized field ought to develop a range of standards that will increase the quality of patient care. The indispensable ability of a nurse is to create patient-specific diagnoses that holistically describe the biopsychosocial status of the care focus. Aim. The proposal to use the ICNP® classification in the process of nursing a patient with malignant breast cancer during chemotherapy. Material and methods. The case study method was used in the paper. The research techniques used in the work include an interview, nursing observation, measurement, documentation analysis. The tools include a sheet for collecting patient data, the Acceptance of Illness Scale (AIS), Nutritional Risk Score questionnaire (NRS), scale of judgement of the occurrence of chemotherapy side effects, dyspnoea assessment, nausea assessment, fall rating as well as the Scale of nausea and vomiting judgement according to WHO criteria. Results. After the interview, the biopsychosocial status of the patient was assessed. Using the obtained empirical data, nursing diagnoses were made using the ICNP® reference terminology. The focus of care, nursing interventions, means / tools and the result of care were listed using phrases from the existing ICNP® catalogs. Conclusions. Using the International Classification of Nurses' Diagnosis ICNP® in the context of caring for a patient diagnosed with breast cancer allows to identify nursing problems such as: lymph edema, diarrhea, anxiety, exercise dyspnea, vomiting, concern about body image, risk of falling. [ABSTRACT FROM AUTHOR]

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Background: Traditionally, nursing care has been described as performing nursing tasks and often focused on nurses carrying out doctors’ orders. In many countries of the world, including Pakistan, nurses do not document care in a standardized manner. Because of this limitation many health administrators, policy makers, and consumers make inadequate assumptions about nursing work, often regarding nurses as any other ‘health care technician ’ who can be easily replaced by more economical health care workers. Purpose: To overcome this problem, standardized documentation is being introduced into the Aga Khan University School of Nursing and hospital, Aga Khan Health Services, Public Health School in Karachi, and government colleges of nursing, using the International Classification for Nursing Practice (ICNP®). The purpose of this paper is to highlight the process of introducing and developing standardized nursing care plans (NCP) using ICNP® in Pakistan. Process: The process for introducing ICNP® consists of four components, including administrative planning, development, teaching and training, and testing. Subsets of the ICNP® for (i) maternity: antenatal, postnatal and natal care; and (ii) cardiology were developed using standardized NCPs. The subsets were developed by nurse experts and introduced at the testing sites. The testing will be conducted as a pilot project. Findings from the pilot will be used to continue and expand standardized nursing documentation using the ICNP® across Pakistan. Conclusion: Through this project, nurses, midwives and lady health visitors (midwives, vaccinator and health educators) will test standardization of documentation and begin to evaluate efficiency and effectiveness of clinical practice. [ABSTRACT FROM AUTHOR]