ARTICLESCancer Care in Nepal: VARIABLES THAT AFFECT DIAGNOSIS, TREATMENT, AND PROGNOSIS: A CASE STUDYBraun, Christa M. RN, BSN, OCN; Itano, Joanne K. PhD, RN, OCNAuthor Information Christa M. Braun is Staff Nurse, Oncology Unit, St. Francis Medical Center, Honolulu, Hawaii. Joanne K. Itano is Associate Professor, University of Hawaii at Manoa, School of Nursing, Honolulu, Hawaii. Address correspondence and reprint requests to Christina M. Braun, RN, BSN, OCN, 1722 Makiki Street #504, Honolulu, HI 96822. Accepted for publication December 9, 2000. Cancer Nursing: April 2001 - Volume 24 - Issue 2 - p 137-142 Buy Abstract This manuscript presents a case study of a Nepalese woman experiencing breast cancer. Six themes were identified to have an impact on the diagnosis, treatment, and prognosis. They include: cultural impact on women’s roles, socioeconomic status and education, surgical oncologist-patient relationship, surgical oncologist-nurse relationship, nurses’ lack of oncology knowledge, and lack of a cancer screening and prevention program in Nepal. Cancer care is on the rise in Nepal. However, many of the variables identified above are not considered in the cancer care provided. Nepal has just opened its first national cancer center with the intent to improve cancer care throughout the country. © 2001 Lippincott Williams & Wilkins, Inc.