4 port bow to arm hanging down. Sling arm to the left and to the right. Doisok not bend posture, coordinate 5 hands behind the neck. Move the elbow on both sides come closer together On the front, then spread out the elbow port 6 handful gradually. Lift the arm above the head to the front and then reducing the arms. Hands are shoulder level and then stretch arms and reduce arms posture standing down 7 trends for the arm, the arm surgery, and rotate in a circle by rotating clockwise and counterclockwise at 8 Pier flare arm both sides bend elbow, forearm pointed upward, and then changed to (click here)Yakhaen pointer to bottom right elbow bent at Pier 9. Reach back to touch the opposite side shoulder finger bend the elbow and the left front, opposite side shoulder tapping fingertips. Place the arms and change tha sonlap side because of the surgery, blood vessel is bound and cut drain lymph and lymph glands. The blood circulation is not very comfy in an intact blood flow around the arm surgery including after surgery, patients may be less arm movement and cause swelling and blisters to the continuing pull shoulder which Rom exercise exercise exercise is to protect the article.Or add the radar of animation (7 professional nursing House buildings Nestle with Mysore mallige surgical hospital-4 page 9: photharam) somjit. Chai ya Samut (2537 (1994)) The result has been an administration's research began to shoulder a different time in the shed, what quantity of surgical incisions and wound pain in patients after breast cancer surgery, the objective is to compare the results of shoulder surgery after the Administration began on day 1 and 8 of the breast cancer patients.The surgery had been withdrawn a root adapted to the quantity copied stuff over from the surgical wound and the pain study found that patients who start an administration with a quantity of 1 in the shoulder after that date all qualify to shed from the surgical incisions over the patients began the day after surgery management 8, there are no statistical significance. Best level of pain showed patients after shoulder surgery, the management started day 1 with painful blisters over the patients began to shoulder the Administration after that date 8 significant statistics.4. describe the subject to receive anaesthetic during surgery that the drug will cause the patient to feel all the medication by removing a gas smell and the side effects of anaesthetic after surgery are nausea, vomiting, breathing fast. Reasons to worry, fear of pain while undergoing surgery and the patient knows the side effects of anaesthetic (supani. SOE Nadi Sayid, 2547 (2004): 692 pages)5. preparation of the patient prior to surgery, to abstain from water fasting after 24.00 hrs before surgery if the patient is dry mouth, the patient rinse mouth frequently the patient defecate before surgery and urination before surgery preparing skin surgery area Shaved fur front from neck to navel level, the. From the long edge of the nipple side that did not perform surgery to shave armpit hairs on both sides and soft fur of the arm until the lower elbow 1 side of the cleaner body and chest due to prior to surgery, the patient must also prepare your body for surgery and that how to make a hole.To retreat by Government to empty the stomach anaesthetic to prevent vomiting, choked off food into the lungs while Goverment and to defecate before surgery because of the muscles around the anus relaxes hurut while goverment anaesthetic, to help prevent urination urination-while surgery and skin preparation before surgery will help reduce the growth of germs, and seed germination of transport which cause infection at the area easily (supani. SOE Nadi Sayid, 681-689 pages 2547 (2004):)6. advise the patient perform daily recurrence after surgery, from the first day after surgery so the patient is healthy and prevent shoulder and arm swelling (supani. SOE Nadi Sayid, 2547 (2004): 693 pages.)7. explain to the patients know about their condition after surgery include wound surgery right chest area or having a drain from the incision down the bottle. Radivac drain and feel pain in surgical incisions to allow the patient to accept their condition after the surgery (he loves professional nursing building 7 Mysore mallige Nestle with cosmetic surgery hospital, 3 page: photharam) Assessment.-Patients say their practices before and after the surgery.- ผู้ป่วยมีสีหน้าสดชื้นขึ้น ยิ้มแย้มมากขึ้น- ผู้ป่วยสามารถไอ หายใจ และออกกำลังกายบริหาร ตามท่าที่สอนได้บางท่าปัญหาอุปสรรคในการปฏิบัติตามแผน- ผู้ป่วยไม่สามารถวางมือบนไหล่ตรงข้าม แล้วยกข้อศอกขึ้นจนถึงระดับคางได้ เนื่องจากผู้ป่วยมีภาวะไหล่ข้างขวาติดการนำผลการประเมินมาปรับปรุง- ทำการพยาบาลที่เหมาะสมกับผู้ป่วยเพิ่มขึ้น
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