A Randomised Control Trial (RCT) to assess the effectiveness of Breast Cancer Self- Care Chronicle (BCSCC) among Breast Cancer patients in improving Self-Care Management and recognition of Red-Flag Symptom after Breast Cancer Surgery in Surgical Oncology Ward at AIIMS Delhi.

A randomised controlled trial will be conducted among 100 women undergoing breast conserving surgery or mastectomy with or without axillary procedure in surgical oncology ward BRAIRCH AIIMS New Delhi to evaluate the effectiveness of Breast Cancer Self Care Chronicle which is a printable nurse delivered self care chronicle used for 4 weeks postoperatively. The intervention includes daily logs for wound and drain care, arm exercises, sleep, diet, hygiene and pictorial red flag prompts to support self care management and early recognition of warning symptoms.

Primary objectives are to compare self -care management and recognition or early reporting of red flag symptoms between experiment and control groups. secondary objectives are to assess incidence of follow up or readmission due to red flag symptoms in intervention group, effects on eligible participants are women above 18 years with histologically confirmed breast cancer undergoing definitive surgery , able to understand hindi or english or local language, owning reconstruction, significant cognitive or psychiatric or communication issues without caregiver , and palliative surgery or advanced disease.

Simple randomization will allocate participants to intervention. BCSCC and usual care will be provided to intervention group while only usual care will be given to control group. Data collection tool are developed by researcher and are under expert validation.Ethical approval, informed consent, and anonymity will be ensured. Pilot study will be done on 10 patients. Data will be analyzed using descriptive and inferential statistics.