Most breast cancer patients after diagnosis, if earlier, the expert of choice for treatment options for patients is surgery. Of breast cancer patients received surgical treatment, the next entered the care and rehabilitation period, during which the medical staff deal with all aspects of breast cancer patients in the care, specifically as follows:
1. To enhance the psychological care of patients with breast cancer. As the breast cancer patient’s body after the impact the United States, so most of the patients is extremely low mood, showing irritability, low self-esteem, and even a lack of confidence in treatment. Nurses In addition to communication with patients should take the initiative and get the patient’s full confidence, we must also as far as possible they are most receptive to the implementation of the approach, diligence inspections, multi-conversation, introducing the necessity and importance of treatment, missionary chemotherapy and radiation side effects and its complications prevention.
2. Breast cancer patients diet care. After the patient’s diet is important, in addition to the need to increase the heat, it should also increase the protein, vitamins and inorganic salts, in order to promote tissue growth and wound healing.
3. To prevent the surgery side of limb edema and dysfunction. In the operative side up to avoid limb venous puncture, and the appropriate elevation. After 3 days began to help the patient’s upper limb, first began to extend to the shoulder the elbow. Training methods for their own meals, hair, face and fingers climbing walls activities to promote limb blood circulation.
4. Closely observed changes in condition. Patients in continuous epidural anesthesia and surgical procedure is performed under intravenous anesthesia, surgery, after completion of the wards should be given back to supine, close monitoring of blood pressure, pulse and breathing. The patient awake and vital signs were given after the semi-recumbent position to facilitate breathing and drainage, to avoid or reduce the operative side limb edema. Observation of the wound dressing is dry. Early topical negative pressure dressing to attract or chest strap, sandbags pressure to help the skin graft attachment to avoid the accumulation of subcutaneous blood effusions. Note that suction drainage is smooth and intraoperative blood supply-side extremities.
5. Assisted living care. Patients bed rest period, the decline in self-care ability and responsibility of nurses according to Orem’s self-care model should be given to fully help, some assistance to support nursing education in different ways to meet their self-care needs.
6. Breast cancer patients after discharge from hospital care guide. Discharge guidance is an important part of holistic nursing care, to help patients with breast cancer awareness and prevention of disease, to promote and restore health to play a role. In the care and treatment, the patient recovered missionary knowledge, including a balanced diet, surgery side limb functional training. Timely referral, regular chemotherapy and radiotherapy, the treatment and care programs recorded in the hospital medical records, the will urge family members pay close attention to changes in the patient’s psychological condition.
