Mastectomy Total Breast Surgery, Hand Washing, Wound Care Patient Education PreOp®





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Uploaded on Sep 26, 2010

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Patient Education Company
Your doctor has recommended that you have a total mastectomy. But what does that actually mean?

Total Mastectomy is the removal of the breast.

In most cases, mastectomy is required in order to remove cancerous tissue from the body.

The extent of tissue removed is determined by the amount of cancer present in your body.
Patient Education
A total mastectomy involves the removal the breast, but not the removal of lymph nodes or chest muscle that lies underneath the breast.

Your doctor has recommended that you undergo a total mastectomy because the cancer in your breast has progressed to the point that it is in danger of spreading into other parts of your body and the only way to make sure that all of the disease has been eliminated is to remove the entire breast.

This is major surgery and the procedure will permanently change the outward shape and appearance of your chest. So make sure that you ask your doctor to carefully explain the reasons behind this recommendation.

Patient Education Company * other parts of your own body, * to the family member for whom you are caring * your patient * and to any clean object that you touch.

By washing your hands correctly: * you remove germs from your hands. * Handwashing is the single most important way you can prevent infection from occurring and * prevent the spread of infection.

You must carefully wash and dry your hands: * Before and after each time you care for your family member or your patient. * Before and after you handle your patient's and your own food and drink. * Before and after you manipulate any contact lenses. * Before you apply and after you remove gloves

Patient Education Company * After you use the toilet. * After you cough, sneeze or blow your nose. * After contact with anything that could be soiled or have germs on it. * After you pick up any object from the floor * Handwashing takes a minimum of 10-15 seconds, * longer if your hands are soiled. * The longer you wash, the more germs are removed.

Patient Education Company
The first step is to remove the old dressing
Loosen the edges of the tapes and peel the tapes off the skin by pulling them towards the wound,
keeping the skin taut with the other hand
Lift the tapes and the dressing off together. Note any odor and the color of any drainage on the dressing.
Discard the dressing and tapes into the plastic bag
If the dressing sticks to the wound, pour a little cleansing solution onto the dressing and let it sit for a minute.
Gently pull the dressing off, keeping the skin taut above the wound
Look carefully at the wound. Any of the following should be reported immediately to your doctor or nurse: * redness of the wound or surrounding skin * drainage from the wound, particularly if it's yellow and smells * any bleeding * swelling of the skin around the wound * separation of the edges of a sutured wound * or maceration, a waterlogged appearance of the edges of the wound.
If your patient is able to get out of bed, help him sit at the table in a straight-backed chair so that the table top is at a comfortable height and distance so that he does not have to stretch to eat.
Before serving the food, wash and dry your hands.
Display the food conveniently and attractively and describe it to your patient.
If your patient is staying in bed, use pillows so that the patient is comfortably upright.
If you are using an overbed table, remove any objects on it and wipe it with a damp paper towel.
Before serving the food, wash and dry your hands.
Use a towel or a bib to protect clothing and bed covers.
Place a tray with the food on the overbed table and describe the food. Prepare any food, such as opening and pouring containers of fluids, buttering bread, using condiments, cutting food.
Patient Education
This program provides you with tips to help you get out of bed after abdominal or chest surgery.
For the first few days when you come home after surgery, it is always best to have a family member or friend help you to get out of bed.
Do not get out of bed directly from lying flat. Always sit up in bed for a few minutes.
Move the bedcovers well out of the way. Move nearer to the side of the bed. Pivot your body and legs so that you are sitting with your legs dangling over the side of the bed. Hold the mattress with your hands for support and keep your back straight.
Gently swing your legs back and forth, bend and stretch your ankles and twiddle your toes. If you feel faint or weak, go back to bed.
Have your helper put on your socks, and shoes or sturdy slippers with low heels and non-slip soles.
Use a footstool if the bed is too high for your feet to reach the floor without sliding off the bed.

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