Position 4 bent arm hang down. Arm to the left and to the right. The elbow is bent posture 5 hands behind the neck. Elbow drop 2 both front and lift your elbows closer together dock at 6 handful slowly raise your arms over your head, then slowly lower the arm to the front. Hand on shoulder Then stretch your arms over your head, then lower the arm to position the 7th stand leans to the surgical arm hanging down. Then rotate the arm in a circle By rotating clockwise And turn counterclockwise position 8 outstretched arms. Bent elbow to forearm pointing upwards. Then change the forearm down to the bottom port of the 9th bent elbow to the back of the right hand finger on the opposite shoulder. Front left elbow Tap the shoulder on the opposite arm, then switch to change positions because of the surgery is to tie off blood vessels and lymphatic tract. And lymph nodes removed The blood circulation is not easy as it was a clot of blood in the surgical arm. Including postoperative patients may lower limb movements. Retraction and ulceration Which causes swelling and Shoulder exercises Rom exercise as exercise, to protect or increase the range of motion of the (Ing-Pong Jasmine Mai hospital nurses 7 Building: page 4-9) Somjitr. Chaiyayont Ocean (2537) has researched the start of the shoulder in different times the amount of secretions from the wound and pain in patients after surgery for breast cancer. Its purpose is Comparison of results from shoulder surgery on days 1 and 8 of the patients with breast cancer who underwent a root. Modifications to the amount of secretions from the wound and pain, the study found. Patients start with a shoulder after 1 volume, secretions from surgery than patients who began managing postoperative day 8 were not significant statistically. The level of pain found that patients start with a shoulder postoperative day 1 with pain than patients start with a shoulder after 8 significant statistical
4. Describe general anesthesia during surgery. The drugs, the patient insensible. Administration by inhalation of the gas and the side effects of anesthesia for postoperative nausea and vomiting, rapid breathing is reason for concern. Fear of pain during the surgery and the patient know the adverse effects of anesthesia (Supanee. Senadisai, 2547: 692)
5. Preparation of patients prior to surgery. By not drink or eat after 24:00. Before surgery, the patient if the patient's mouth, dry mouth frequent defecation patients before surgery. And urinate before entering the operating room for surgical skin shave the front of the neck to the upper level of the umbilicus. From the length of the nipple is not surgery. Shaved Armpit 2 sides and soft coat of arms from the elbow to the lower one by cleansing the body and chest. Prior to surgery, patients need to be ready and prepare the body for surgery, which used to anesthetize the anesthesia, the stomach must be empty to prevent vomiting, aspiration of food particles into the lungs when inhaled medications. And to defecate before surgery because of the anal sphincter to relax while giving anesthesia to prevent urination urination topped at surgery. And preparation of the skin prior to surgery reduces the growth of bacteria and regeneration of hair, which causes an infection that area, it was easy (Supanee. Senadisai, 2547: pages 681-689)
6. Patients were instructed to perform routine postoperative period after surgery. To keep patients healthy and prevent an increase shoulder and arm swelling (Supanee. Senadisai, 2547: 693)
7. Explain to patients about their condition after surgery, thoracic surgery, including the right or the wound to drain from the bottle Radivac drain and postoperative pain. So that patients accept their postoperative (Ing-Pong jasmine nurses 7 Building hospital Ban: page 3)
Assessment
- Patients told how to behave before and after the surgery
- patients with facial freshening up. Smiling more
- the patient is coughing and fitness exercises. According to teach some decent posture
problems in the implementation of the plan
- the patient can not lay a hand on the opposite shoulder. Then lift your elbow up to the chin. Because a patient has the right shoulder with
the process of improvement
- Treatment of choice for patients increased.
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