Question

In: Nursing

A 45 year old woman had a double mastectomy performed a year ago for cancer. Breast...

A 45 year old woman had a double mastectomy performed a year ago for cancer. Breast augmentation is being considered.

  1. How should the nurse answer the patient’s question about the time frame of breast implants?
  2. What possible complications of breast augmentation surgery should be considered?

Consider this statement: “Women should rethink their child-rearing options in light of the recent risk factors for breast cancer involving delayed childbearing or the decision not to have children.”

  1. What do you think about this statement?
  2. How would you respond?

Imagine that while showering one day, you find a lump in your breast.

  1. What do you think would be your initial reaction?
  2. What would you do first?
  3. Why did you choose to do this action first instead of another action?

Solutions

Expert Solution

Breast augmentation is usually an outpatient procedure, though some can elect to stay overnight.

The surgery will last between one and two hours, and you will likely receive general anesthesia.

During the procedure, the surgeon will make cuts under the breast, under the arms, or around the nipples.

After they insert the implants, the surgeon will close the incision with a suture.

I personally feel that the women no need to worry too much about child bearing after breast augmentation. The details follows

Pregnancy after breast implants is extremely common and considered very safe

Getting a breast augmentation before pregnancy may help to instill greater self-confidence and happiness in one’s own skin, perhaps even impacting social situations and the different connections and relationships that develop.

Breast implants themselves are unaffected by pregnancy, but the tissue and skin of the breasts may change, regardless of whether a pregnancy patient has implants.

Following pregnancy, breasts can become larger, smaller, or they may even stay the same size.

Women with implants may notice subtle differences such as a feeling of less fullness or changes in the way the breasts rest on the chest. However, women who did not undergo breast augmentation will notice these same effects.

To minimize the effects, you should strive to maintain a healthy weight throughout your pregnancy according to your doctor’s recommendations.

Work to avoid excessive weight gain by eating well and exercising according to your OB/GYN’s orders. This can help to restrict the amount of stretching your breasts will experience, which helps to avoid or reduce breast ptosis (sagging of breasts).

Women should be able to breastfeed and retain sensation after having breast implants placed.

No known safety issues are associated with breastfeeding and breast augmentation.

Celebrities like former Playboy model and reality star Kendra Baskett and reality star Kourtney Kardashian are two high-profile examples of breastfeeding success. Both women hoped to breastfeed their infants after previous breast augmentations and found, to their surprise, breastfeeding after breast augmentation is possible.

Once you begin to breastfeed after an augmentation, you may want to closely monitor your milk supply to ensure your infant is getting enough nourishment.

Women who do face problems in breastfeeding often find it is an issue related to milk supply, like difficulty passing the milk through the breast, reduced letdown response, or low supply.

MY FIRST RESPONSE : I will perform BSE. If I found other symptoms like pain, discharge etc will approach to a relevant consultant. I followed the step, because i have under gone the examination training like intelligent breast examination course.  


Related Solutions

Jane is an 84-year-old woman diagnosed with breast cancer 2 years ago, now with metastasis to...
Jane is an 84-year-old woman diagnosed with breast cancer 2 years ago, now with metastasis to the bone and lung. She has refused any further active treatment (i.e chemotherapy and radiation) and has asked her health care representative daughter Patty to help her talk to her oncologist about her wishes. After this discussion, the patient, daughter, and physician have agreed upon a hospice evaluation.Upon evaluation and subsequent admission to hospice services, the patient’s most pressing need was adequate pain control....
Mr. Smith's mother had a right radical mastectomy due to breast cancer What are the four...
Mr. Smith's mother had a right radical mastectomy due to breast cancer What are the four mechanisms of cellular adaptation? Explain. What is the general classification of neoplasms according to their tissue of origin?
A 42-year-old woman with stage 4 breast cancer is in the radiology department for a computed...
A 42-year-old woman with stage 4 breast cancer is in the radiology department for a computed tomography (CT) scan. As the radiology technologist responsible for obtaining the scan, describe the techniques you will employ to effectively communicate with her during the process.
A 69-year-old woman is in the hospital undergoing treatment for recently diagnosed breast cancer. WBC      ...
A 69-year-old woman is in the hospital undergoing treatment for recently diagnosed breast cancer. WBC          1.0               Band neutrophils      5 RBC       2.90               Seg neutrophils    15 Hgb          9.0                Lymphs       80 Hct       27.1               Monos           MCV        93.4               Eos MCH       31.3               Basos MCHC       33.2               Metamyelocytes RDW       12.9  ...
A 46-year-old, 230lb woman with a family history of breast cancer. She is up to date...
A 46-year-old, 230lb woman with a family history of breast cancer. She is up to date on yearly mammograms. She has a history of HTN. She complains of hot flushing, night sweats, and genitourinary symptoms. She had felt well until 1 month ago and she presented to her gynecologist for her annual gyn examination and to discuss her symptoms. She has a history of ASCUS about 5 years ago on her pap, other than that, Pap smears have been normal....
Ada is in the hospital. She is a 47-year-old woman who has metastatic breast cancer and...
Ada is in the hospital. She is a 47-year-old woman who has metastatic breast cancer and does not want her family to know that she is at the end-of-life and is dying. ada has low energy, and her fatigue level now taxes her coping mechanisms, which are normally excellent; she does not feel that she can deal with her family’s grief. Ada's daughter has been discharged from the Air Force and is returning home from an overseas deployment. The family...
A 25 year old woman who was being treated for breast cancer went to her doctor...
A 25 year old woman who was being treated for breast cancer went to her doctor complaining of a sore mouth and difficulty swallowing. The doctor examines her mouth and found white patches on the inside as well as on her tongue. The white patches looked like cottage cheese or milk curds. The doctor was able to make his diagnosis based on the physical examination, but decided to take a culture and send it to the clinical laboratory for definitive...
A 65-year-old woman with breast cancer is receiving hospice care in her home. She is cur-...
A 65-year-old woman with breast cancer is receiving hospice care in her home. She is cur- rently receiving a long-acting opioid analgesic supplemented with a short-acting combination opioid and nonnarcotic medication for break- through pain. A. Explain the difference between the mecha- nisms and treatment of acute and chronic pain. B. Describe the action of opioid drugs in the treatment of pain. C. Define the terms tolerance and cross-tolerance as they refer to the use of opioids for treatment of...
Case study: Nellie Snyder is a 38-year-old woman with breast cancer who is receiving radiation and...
Case study: Nellie Snyder is a 38-year-old woman with breast cancer who is receiving radiation and chemotherapy. She is experiencing significant nausea and vomiting. Her oncologist orders ondansetron 8 mg IV to be administered 30 minutes prior to her chemotherapy and 8 to 16 mg PO every 8 hours as needed. She also receives metoclopramide 10 mg PO four times a day (30 minutes before meals and at bedtime). Ms. Snyder is concerned about the amount of medication she is...
Patient C.D. is a 55-year-old female who had a mastectomy done two days ago. Her medical...
Patient C.D. is a 55-year-old female who had a mastectomy done two days ago. Her medical history is significant for breast cancer, hypertension, and anemia. During change of shift report, you hear from the outgoing night shift nurse that yesterday, on the first day after surgery, the patient was experiencing persistent nausea. This was considered to be an unfortunate side effect of the anesthesia used during surgery. The patient ate only clear liquids yesterday morning but then her nausea improved...
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT