Postoperative care issues for breast cancer

Surgical resection is one of the key measures for treating breast cancer. In addition to paying attention to the patient's physical changes in a timely manner, it is also necessary to pay attention to the patient's diet and psychology. The main purpose of diet is to supplement the body's nutrition. The following is an introduction to the nursing measures after breast cancer resection:

Postoperative care issues for breast cancer

1. Within 48 hours after tumor surgery, the shoulder joint should be in the adduction position, and the upper arm should not be abducted. The fingers can be extended or the fist can be clenched. When getting out of bed for exercise, a sling should be used to support the affected limb. When others support the affected limb, only the healthy side can be supported to prevent the axillary skin flap from sliding and affecting healing.

2. Leaders should supervise cancer patients to truly perform functional exercise. Performing functional exercise on time and correctly is the main guarantee for the recovery of upper limb function in cancer patients. During exercise, it is necessary to avoid excessive and violent movements that may affect wound healing, and to prevent movements that are too small to avoid affecting the overall therapeutic effect of the exercise. Help patients design an exercise schedule, record daily exercise conditions, and gradually add exercise movements and exercise volume. When adding movements, do not add volume, and when adding volume, do not add movements. Progress step by step, strive to restore the function of the affected upper limb as soon as possible, and ultimately meet the standard requirements of functional exercise, that is, the affected upper limb can go around the top of the fire and touch the contralateral auricle.

Early functional exercise after breast cancer surgery is beneficial to the venous return and drainage of the upper limbs after tumor surgery, and is beneficial to the disappearance of upper limb edema after surgery. By performing early functional exercise, the incidence of complications such as subcutaneous effusion, hematoma, flap necrosis, and upper limb edema can be significantly reduced. More importantly, early functional exercise reduces the occurrence of scar contracture, improves the functional recovery of the affected upper limb and the reconstruction of the self-care ability of tumor patients, strengthens the confidence of tumor patients in life, and improves the quality of life.

3. While preparing various basic patient care, patient care staff should also patiently communicate with cancer patients, timely understand the psychological dynamics of cancer patients, prepare psychological patient care for cancer patients, and give them psychological comfort. Introduce breast cancer treatment cases to cancer patients as personal experience, so that they can pay attention to the disease and rebuild their confidence in life.

4. Medical staff should set up functional exercise plans after discharge according to the different conditions of each cancer patient, and instruct cancer patients not to measure blood pressure, draw blood, perform intravenous injections, lift heavy objects, etc. on the affected limb. The weight of the affected limb should not exceed 5kg to avoid affecting the recovery of the function of the affected limb.

At present, although mastectomy technology has made great progress and can preserve the patient's breast to the greatest extent, this is not absolute. If the disease develops to the middle or even late stage, the possibility of breast preservation is very small, which has a great psychological impact on breast cancer patients. Attention should be paid to care.