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    Discharge Planning English

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    rahmat hidayat
    The document provides discharge instructions for a patient after a mastectomy or lumpectomy surgery. It includes instructions on physical activity, fatigue, skin care during radiation, wound care, drain care, medication, edema prevention, and signs to contact the hospital or doctor. Patients are advised to start light exercise, get rest, properly care for their wound, drain, and skin, and seek medical attention if they experience symptoms like severe pain or bleeding.

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    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd

    Discharge Planning English

    Uploaded by

    rahmat hidayat
    162 views11 pages
    The document provides discharge instructions for a patient after a mastectomy or lumpectomy surgery. It includes instructions on physical activity, fatigue, skin care during radiation, wound care, drain care, medication, edema prevention, and signs to contact the hospital or doctor. Patients are advised to start light exercise, get rest, properly care for their wound, drain, and skin, and seek medical attention if they experience symptoms like severe pain or bleeding.

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    Discharge planing

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    The document provides discharge instructions for a patient after a mastectomy or lumpectomy surgery. It includes instructions on physical activity, fatigue, skin care during radiation, wound care, drain care, medication, edema prevention, and signs to contact the hospital or doctor. Patients are advised to start light exercise, get rest, properly care for their wound, drain, and skin, and seek medical attention if they experience symptoms like severe pain or bleeding.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    162 views11 pages

    Discharge Planning English

    Uploaded by

    rahmat hidayat
    The document provides discharge instructions for a patient after a mastectomy or lumpectomy surgery. It includes instructions on physical activity, fatigue, skin care during radiation, wound care, drain care, medication, edema prevention, and signs to contact the hospital or doctor. Patients are advised to start light exercise, get rest, properly care for their wound, drain, and skin, and seek medical attention if they experience symptoms like severe pain or bleeding.

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    Download as PPT, PDF, TXT or read online from Scribd
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    DISCHARGE PLANING PATIENT

    POST MASTECTOMY

    Diana Rosmeilina
    Indryani dewy
    Lina Hasriyanti
    Merry Risma
    Rahmat Hidayat
    • Mastectomy is the surgeon removes all of
    the breast tissue, in same cases of ductal
    carcinoma insitu, some of the lymph nodes
    in the under a rm area (axilary nodes) is
    removal

    • Lumpectomy is surgeon removal breast


    where only the timor and some of the
    surrounding tissue
    PHYSICAL ACTIVITY AFTER SURGERY

    @Try to start exercising as soon as possible after surgery

    @ Do not move the arm quickly, stomping, try slowly when changing
    position, open the door and others

    @ Basic training techniques after breast surgery

    - Exercise "ankle pumping" (ankle)


    - Range of motion exercises, especially in the shoulder surgery at one side all
    directions of joint movement
    - Exercises strain the joints, muscles and the arm
    - Breathing exercises and relaxation
    - Keep these exercises every day for 6 months
    2. Fatique
    * Try to move in the area around bed for
    minute. 2-3 times/ day
    * Involve the other persons to do mobilitation
    * Taking several short walk on flat surface
    * U can use stairs in moderation
    SKIN CARE WHEN RADIATION IS INDICATED

    • Use soft soap


    • Dry skin gently, do not in rub
    • The provision of lotion or powdwer
    permission doctor
    • Use the clothes loose and absorb sweat
    • Avoid direct sunlight
    WOUND CARE

    • Gauze bandage will cover the surgical wound


    and the drain
    • If bandage is dry leave it in place
    • If bandage is moist replace it with a fresh gauze
    bandage
    • After 48 - 72 hours u should remove bandage
    • use extra thin (adhesive strip) to cover the
    wound, leave this in place until peel off on they
    on in about 2 weeks
    • keep the incicision and the area where the area
    drain enter the skin dry
    DRAIN CARE

    • Teach the patient for how to empty the


    drain and record how much fluid came out
    of the wound
    • Patency the drain to cloth with safety pin
    • Hold the tube of the drain to skin with strip
    HOW TO EMPTY THE DRAIN
    • Empty your drain one a day or empty it more often if the
    drain is full
    • Follow the step
    • - washing your hand
    - strip the tube
    - lift the cap on the drain opening
    - fil in the fluid to the measuring cap
    - clean the drain opening squeze the bulb
    with your hand until colapse
    - close the cap while the bulb is colapse
    • Record amount of the fluid each time when you empty
    the drain
    • Report to the docter when u follow up.
    MEDICATION

    • If you pain not severe u may prevent with


    paracetamol
    • If you received antibiotic to prevent
    infection take all these pils as directed
    • If you feel nausea or vomited u may
    prevent with ranitidin and ondacentron
    PREVENT EDEMA AFTER LIMPO NODULE
    RESECTION
    • Early ambulation
    • Propore to skin
    • Avoid to using tight cloth
    • Dont bring heavy thing
    • Dont use jewerly at the arm where suffer
    • Avoid injury
    • Avoid extreme temperature
    • Avoid insect bite
    WHEN CONTACT THE HOSPITAL/ DOCTOR
    • Make a follow-up appointment as directed by your healt care team

    • Call your doctor right away if you have any of the following
    General
    * Severe Vomiting
    * Febris > 38C
    Incision
    * incision seem not to be healing
    * rednes, swelling, or warmth around the incision or tube
    * stiches become loose
    Drain Tube
    * tube falls out
    * fluid leaking around the tube
    * new or increased pain around tube
    Drainage
    * foul smelling discharge
    * drainagechange from light pink to dark red
    * sudden increase or decrease in the amount of drainage over 30 cc

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