Question

1..is ambulation found to be a appropriate intervention for a post operative patient with a nurisng diagnose of impaired skin integrity related to incison.

2...is ambulation found to a appropriate intervention for a posy opertaive patient with a nursing diagnose of impaired mobility related to decreaed muscle strength

3..is ambulation found to be appropriate intervention for a post operative patient with a nurisng diagnose of risk for aspiration related to decrease muscle strength

4..is ambulation found to be a appropriate intervention for a post operative patient with a diagnose of ineffective airway clearance related to decrease respiratory excurison

5..is ambualtion found to be appropriate intervention for a post operative patieny with a diagnose of venous thromboembolism related to dehydration ,immobility,vascular manipulation or injury

6...what would be your suggestion for a 18 year old with hereditey breast cancer

7...what are the things to apply at home after discharge of breast cancer surgery

8...what kind of discharge training do you give to a breast cancer patient

Answer 1

1. is ambulation found to be a appropriate intervention for a post-operative patient with a nursing diagnose of impaired skin integrity related to incision.

Answer: - ambulation for patients with impaired skin integrity is encouraged as it reduces pressure on the skin due to immobility. Drinking plenty of fluids and using barrier creams on pressure points additionally helps the patient.

2. is ambulation found to a appropriate intervention for a post-operative patient with a nursing diagnose of impaired mobility related to decreased muscle strength

Answer: - ambulation for patients with decreased muscle strength is not encouraged as they fall under non good ambulation group. They can be encouraged with passive exercise and focus should be on strengthening the muscles on bed later when you see positive muscle tenderness can be encouraged towards active ambulation.

3. is ambulation found to be appropriate intervention for a post-operative patient with a nursing diagnose of risk for aspiration related to decrease muscle strength

Answer: - ambulation for risk of aspiration, under these circumstances ambulation is encouraged but extra precautions should be taken like safety belts, accompanying the patients always, maintain trunk and head postures if too weak to ambulate self.

4. is ambulation found to be a appropriate intervention for a post-operative patient with a diagnose of ineffective airway clearance related to decrease respiratory excursion

Answer: - the criteria used for this patient is apt necessary to ambulate and change position frequently also optimal positioning (sitting position), use of pillow or hand splints when coughing. use of abdominal muscles for more forceful cough. use of quad and huff techniques. use of incentive spirometry. importance of ambulation and frequent position changes.

5. is ambulation found to be appropriate intervention for a post-operative patient with a diagnose of venous thromboembolism related to dehydration, immobility, vascular manipulation, or injury

Answer: - Ambulation is the only solution to prevent venous thromboembolism but it is to be noted that dehydration is not allowed, and the patient should be encouraged with lots of fluids. Ask doctor about need for “blood thinners” or compression stockings to prevent clots, lose weight, if overweight, stay active, exercise regularly, walking is fine, avoid long periods of staying still.

6. what would be your suggestion for a 18-year-old with hereditary breast cancer

Answer: - The 18 year old with hereditary breast cancer should be made aware of the early symptoms that are seen in the disease they are nipple discharge from one breast that is clear, red, brown, or yellow, unexplained redness, swelling, skin irritation, itchiness, or rash on the breast. swelling or a lump around the collarbone or under the arm. The main suggestion that would be provided are early detection and treatment the use of Breast Self-Examination, encourage to follow a healthy life style, exercise, reduce or no alcohol consumption, eat healthy, “Limit the intake of highly saturated foods such as beef, lamb, organ meats, cheeses, cream, butter, ice cream. Decrease food containing trans fatty acids, such as commercially prepared baked goods, crackers, and margarine. Increase your intake of poultry, fish, and vegetarian proteins (legumes and lentils)”. The last option would be to get surgery done and remove the affected breast.

7. what are the things to apply at home after discharge of breast cancer surgery?

Answer: - it’s a normal healing process, wearing supportive bra’s can help in after care, eat low-fat protein diet and increase vitamin c. some patients are sent home with the drains attached either they can take help from support group for drain removal or they can visit hospital for the same. Dressing can be simple until the stiches are resolved the patient can carry basic dressing materials along with povidone iodine creams, cotton gauze, gauze rolls and some stretch bandages are useful. Antibiotics as prescribed as well as pain killers.

8. what kind of discharge training do you give to a breast cancer patient?

Answer: - self assessment is the most important thing to be carried out for prevention of any complications after breast surgery

- train to assess any raise in body temperature that may indicate infection

- train to avoid certain heavy exercise and do mild placebo exercises

- the exercises that are beneficial for after care of breast cancer are

o Wand exercise

o Elbow winging

o Shoulder blade stretch exercise

o Shoulder blade squeeze exercise

o Side bending exercises

o Chest wall stretches

o Shoulder stretches

- It is important to understand that first few days shall be very painful and in those days rest is essential

- Assessment of dizziness, headache, nausea and vomiting and any side effects of medications should be reported immediately

- Drainage should be checked and seen for bleeding or pus

- Nutrition and pain management with hydration solves and helps recovery