c What are the side effects and d Why should the patient select this procedure

C what are the side effects and d why should the

This preview shows page 4 - 6 out of 11 pages.

DIEP?; c) What are the side effects?; and d) Why should the patient select this procedure? The nurse can explain to the patient that the DIEP procedure involves donation of fatty tissue from the abdomen to the breast(s). The DIEP does not involve transfer of muscles as do some other procedures. One result of the mastectomy is that the breast(s) will be numb. The numbness will not be painful, and will become less noticeable over time. Donating tissue from the abdomen also causes the abdomen to become numb. The numbness will feel new and strange, but will generally not be noticeable after several weeks. The initial tissue donation from the abdomen will not be the final procedure. Most people undergoing the DIEP will have three surgeries with about three months between procedures: a) DIEP with abdominal tissue donation, b) breast augmentation - liposuction from the thighs to fill in the breast skin to the desired size and look, and c) re- building or tattooing the nipples and areola. The first procedure may occur simultaneously with a mastectomy, and requires a 2-3 month recovery with actual time off from work. The next procedure takes about 10 days for initial recovery with an additional two to four weeks for bruising and stitches to fade. Recovery from the third procedure varies, depending on the procedure selected. Activity/rest: Risk for activity intolerance . Before surgery, encourage patients to do as many of their favorite exercises as possible to a) improve strength for surgery, and b) enhance circulation for new tissue. Patients should do push-ups from their knees, toes, or from the wall while standing to improve upper body strength and circulation. They should work to complete sets of 5-10 push-ups, 3-5 times per day. The arms may become sore, which is normal. Push-ups will also improve strength and circulation to the upper body after surgery, so as to promote healing. By exercising preoperatively, the mind is prepared for physical pain as a result of some suffering during the preoperative period. Lifting weights and swimming are also excellent activities to build upper body strength and circulation in preparation for the DIEP procedure. Sleeping 6-8 hours per night before surgery as often as possible
Image of page 4
Research is needed to explore the impact of taking vitamins... before surgery. is imperative so that the cells are rested. The nurse can also discuss with a patient how to promote adequate, quality sleep. Food/fluid: Readiness for enhanced nutrition . Encourage patients to eat a balanced diet with some carbohydrates, protein, fruits, and vegetables, and to reduce sweets every day for several weeks before surgery to put the body in the best condition for post-operative healing. Research is needed to explore the impact of taking vitamins (e.g., vitamin C, vitamin D, and fish oil) before surgery.
Image of page 5
Image of page 6

You've reached the end of your free preview.

Want to read all 11 pages?

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

Stuck? We have tutors online 24/7 who can help you get unstuck.
A+ icon
Ask Expert Tutors You can ask You can ask You can ask (will expire )
Answers in as fast as 15 minutes