For example fish oil has been used to treat inflammation Organic Facts 2018

For example fish oil has been used to treat

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For example, fish oil has been used to treat inflammation ( Organic Facts, 2018 ) which would clearly benefit patients having surgery, though it should be stopped a few days prior to surgery due to the effect of increased bleeding time ( Hazard Vallerand, Sanoski, HopferDeglin, & Mansell, 2017 ). Adequate hydration before surgery also puts the body in a better position to heal. Ego integrity: Disturbed body image . Having breast reconstruction for any reason puts the patient in a position of a body image change. The RN does not have to engage the patient in counseling, but could ask whether the patient is accessing counseling to address body image, sexuality, and family processes. For the patient diagnosed with breast cancer, there may be free counseling services available. The nurse could prepare a handout of resources for these patients. Preparing patients for surgery provides them with a sense of engagement, control, and connectedness to the body, as well as physical confidence. Pre-operative nurses have an opportunity to review these interventions and others ( Table 2 ) to better prepare patients for surgery. Immediately after Surgery The DIEP procedure is an involved, complex procedure transferring a thin layer of tissue and skin from the abdomen to the breasts. It requires a long abdominal incision stretching from hip to hip. The blood vessels are microscopic and require rest and time to heal. After a DIEP procedure, there are several areas of concern that require nursing attention, such as safety, activity, and pain. Safety: Impaired tissue integrity . After a long surgery, the body may be so dehydrated that the eyes are not lubricated enough to open. Nurses should be prepared for this problem, in case prevention measures were not used, and interventions need to be developed. Possible interventions include warm compresses to the eye, a saline rinse, and an eye patch to the affected eye. Encourage patients to keep their eyes closed if there is any problem. Reassure them that you will work to moisten the eyes so that they open as soon as possible. Collaboration with an ophthalmologist may be necessary for the best outcome. Chest . The surgeons have worked very hard to build new breasts, attaching tiny blood vessels to provide circulation to the chest. What the chest needs is rest. Instruct the patient to allow the chest to heal by using the arms minimally at first and reclining at about a 45-degree angle to facilitate drainage of fluid away from the chest. The skin removal and incision across the abdomen will cause tightness, and prevent reclining flat for several weeks. Abdomen . The doctors have removed tissue from the abdomen so the patient has a long incision across the lower abdomen. This area of the body needs rest and ice. Ice packs are a primary source of treatment for inflammation ( Venes, 2017 ). Prepare to provide the patient with an ice pack as soon as she gets to an inpatient room. The nurse can place the ice pack on areas of the abdomen or lay the ice pack on the bed next to the abdomen. Instruct the patient to use the ice pack as much as possible on the abdomen for two to four weeks after surgery. However, do not place an ice pack on the chest/breasts. Ice to the chest will constrict the blood vessels, possibly killing the new
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