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Critical Analysis of Psychological Impact of Mastectomy with Immediate DIEP Flap Reconstruction. Following is the overall structure of the essay I am aiming to get. (Essay with 2000 words.) INTRODUCTION: should include the following. - Reason for choosing this modality (the psychological impact of DIEP). - I undertake the post-operative care of this group of patients quite often and better understanding of the psychological aspect allows me to deliver better care. - breast cancer statistics - what DIEP flap is - what immediate reconstruction is LITERATURE REVIEW: should include - what psychological effects of breast cancer, breast reconstruction, immediate vs delayed can have for patients. - What studies there have been looking at this and what they say. How all this can affect patients with breast cancer. ANALYSIS: should include.. - How all of the above literature relates to the patient I looked after. - For example their expectations, why they chose immediate DIEP, were they happy with the outcome, what was the experience like for them. DISCUSSION: should include.. - What I think that could have been improved. - Eg better breast care nurse support of they didn't really know what to expect. CONCLUSION: should include... - Was the experience of my patient similar to what the literature said. If not, what was different. - Make recommendations for future practice to improve patient care. REFERENCING: - Havard (2013 Edition of Cite Them Right) Referencing Style (And Not less than 22 references).

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