**3. Caring for breast cancer patients during treatment**

Breast cancer patients are given treatment, i.e., surgery, radiation, and chemotherapy depending on the stage of breast cancer. Each of these treatments has side effects. Effects after chemotherapy are neutropenia, anemia, nausea, vomiting, and neuropathy [19]. Interventions to increase food intake in breast cancer patient during treatment are cook extra food, make meals a time when patient can sit together and talk, and take extra care when preparing food. These differences include physical changes such as alopecia, depression, decreased body image, emotional changes, and impaired role function and social function [19].

Breast cancer patients who have chemotherapy will experience high distress 55.3%. Symptoms of stress include physical signs, such as trouble sleeping, constant headache, high blood pressure, and other heart problems. Emotional signs may include feeling tired, unwell, and overly sensitive. Activities to reduce stress are exercise regularly, meditate to practice deep breathing, listen to music or read, talk to someone, ask others to help, try to rest and get enough sleep, eat nourishing food to give energy and keep well, and take time to care for self.

Some breast cancer treatments have side effects that affect the heart; the most common side effects are heart dysfunction, chest pain, and irregular heartbeat [20]. Heart dysfunction can occur during cancer treatment or any time up to 2 years after treatment is finished. The symptoms of heart dysfunction are difficulty keeping up level activity, a bloated feeling around the abdomen, feeling less hungry, swelling of ankles and feet, feeling dizzy when changing position, and shortness of breath, at rest or when active.

Patients need basic information about chemotherapy, side effects, and problem-solving skills during therapy. Fulfillment of chemotherapy information prevents depression and anxiety in breast cancer patients [21]. Patients undergoing radiotherapy experience various problems such as skin changes, burning scars, and edema. Patients who dissected experienced losing her breasts affected her body image. Changes in patients with radiotherapy and surgery lead to changes in self-image that affect the psychological health of the patient. After breast surgery studies show that mastectomy as surgical treatment for breast cancer may negatively affect a woman's body image and her self-image [22].

Breast cancer patients maintain a healthy life with various activities. **Table 2** describes healthy activity for the heart of breast cancer patient.

In fact, patients who receive both often have less severe symptoms, have better quality of life, and report they are more satisfied with treatment [23]. So, they needed symptom management, supportive care, or palliative care. Palliative care is given at every step of treatment process. In this part, the patients accept support from caregivers, family, and friends [24]. The other person such as volunteer, clergy, social group providing support for the patient's emotional and social needs, spiritual needs or concern and practical needs.


**Table 2.** Healthy living for breast cancer patients during treatment.

of patients to undergo therapy. Patients will follow various follow-up measures of various cancer intervention options. The nearest mentoring gives meaning to the patient so that the

Patient should care for themselves to overcome breast cancer problems. **Table 1** shows some

Caring shown in these conditions, such as empathy with women, do not blame that women who suffer from breast cancer because of the risks that exist in her. The presence of the nearest

Breast cancer patients are given treatment, i.e., surgery, radiation, and chemotherapy depending on the stage of breast cancer. Each of these treatments has side effects. Effects after chemotherapy are neutropenia, anemia, nausea, vomiting, and neuropathy [19]. Interventions to increase food intake in breast cancer patient during treatment are cook extra food, make meals a time when patient can sit together and talk, and take extra care when preparing food. These differences include physical changes such as alopecia, depression, decreased body

Breast cancer patients who have chemotherapy will experience high distress 55.3%. Symptoms of stress include physical signs, such as trouble sleeping, constant headache,

patient has hope for the success of the follow-up to be followed.

**Table 1.** Activities to take care of themselves for breast cancer patients.

**Care Activities**

208 Breast Cancer and Surgery

Make time for self Try to stay involved in activities and enjoy

Care for the body Eat healthy meals and snacks

Deal with uncertainty Put some plans on hold

Talk to family and friends Talking how you feel if feeling angry

Organize your time Prioritize your weekly tasks and activities

Ask family and friends to help

Focus on things you can control

Try not to hold in all feelings

Concentrate on one task a time

Use personal planner

Avoid multiple trips

Have more knowledge about what is happening

Ask for help from family, friends, or support services

Try to get enough rest Continue having checkups Avoid using alcohol and cigarette Exercise for 15–30 min each day

of the activities that breast cancer patients do to take care of themselves [18].

image, emotional changes, and impaired role function and social function [19].

person as the person who gives attention to the woman reinforces her.

**3. Caring for breast cancer patients during treatment**

Palliative care starts at diagnosis and continues throughout all stages of the disease. The best palliative care occurs when patients and their families work together with the healthcare team [25].

Caring for this period can occur when there is good communication between patient, family, and health teams. Caring can be achieved if the patient can show some communication skills. For patient, tips to help promote good communication patient with healthcare team are:


For the treatment of breast cancer, the physical symptoms of breast cancer patients affect the needs and fulfillment of the physical, psychological, social, and spiritual aspects [16]. The success of AI therapy depends on patients' ability to adhere to treatment recommendations [26].

The breast cancer patients need friends, which receive the shortcomings, and more attention. During therapy patients should have realistic expectations and interpersonal relationships, remain active in activities, support family and community, and improve their spirituality. The patient's condition enhances the survival abilities of patients undergoing therapy.
