| First
Day |
|
Introduction to the facilities : |
| |
| Introduce
the intensive care unit to the family or major caretaker, and
settle them in the lounge area afterwards. |
|
|
Changing clothes : |
| |
| The
gown used for the operation will be removed and changed to a
fresh one for either plastic surgery or orthopedics. |
|
| Positioning
the patient: |
|
You
will be helped changing your position every two hours by a nurse who
will also assist you in other needs. |
| Bedside
monitoring and equipments: |
|
Your
nurse will closely monitor your condition. Initially after surgery,
your blood pressure, pulse and temperature will be taken frequently,
and bedside-monitoring equipments such as pulse oximeter will be situated
to allow easy access and viewing. Oxygen saturation, respiratory frequency,
blood pressure and heart rate, and conscious level are routine postoperative
observations on patients undergoing major surgeries.
If the patients haven't regained fully consciousness, the doctor will
recommend a breather to be used to facilitate regular breathing.
|
|
Tubes care : |
|
The
drainage used in the operation unit will be replaced by intravenous
for antibiotics. |
|
Monitoring flaps : |
|
Monitor
blood circulation in the reconstructed areas hourly or when needed. |
| Input
and output amount recording |
| |
| Second
Day |
| Regular
Nursing |
| Changing
clothes and body care: |
| |
Help
in bed bathing and changing into fresh clothes. |
| Engaging
medical equipments: |
| |
Bedside-monitoring
equipments will closely observe your vital signs, blood oxygen density,
heart rate and respiratory frequency.
If you haven't regained fully consciousness, the doctor will recommend
a breather to be used to facilitate regular breathing.
|
| Monitoring
flaps : |
| |
Monitor
the blood circulation in the reconstructed areas hourly or when needed.
|
| Inflow
and outflow amount recording |
| |
| Third
Day |
| Regular
Nursing |
| Changing
clothes and body care: |
| |
Help
in bed bathing and changing into fresh clothes. |
| Engaging
medical equipments: |
| |
Bedside
monitoring equipments will closely observe the patient's vital signs,
blood oxygen density, heart rate and respiratory frequency.
If the patients haven't regained fully consciousness, the doctor will
recommend a breather to be used to facilitate regular breathing.
|
| Monitoring
flaps : |
| |
Monitor
the blood circulation in the reconstructed areas hourly or when needed
Inflow and outflow amount recording
|
| |
| Fourth
Day |
| Regular
Nursing |
| Changing
clothes and body care : |
| |
Help
in bed bathing and changing into fresh clothes. |
|
Engaging medical equipment : |
| |
Bedside
monitoring equipments will closely observe the patient's vital signs,
blood oxygen density, heart rate and respiratory frequency.
If the patients haven't regained fully consciousness, the doctor will
recommend a breather to be used to facilitate regular breathing.
|
| Monitoring
flaps: |
| |
Monitor
the blood circulation in the reconstructed areas hourly or when needed.
|
| Inflow
and outflow amount recording |
| Changing
postures: |
| |
Adjust
the bed's head height according to doctor's instruction. |
| |
| Fifth
Day |
| Regular
Nursing |
| Changing
clothes and body care: |
| |
Help
in bed bathing and changing into fresh clothes. |
| Engaging
medical equipments: |
| |
Bedside
monitoring equipments will closely observe the patient's vital signs,
blood oxygen density, heart rate and respiratory frequency.
If the patients haven't regained fully consciousness, the doctor will
recommend a breather to be used to facilitate regular breathing.
|
| Monitoring
flaps: |
| |
Monitor
the blood circulation in the reconstructed areas hourly or when needed. |
| Inflow
and outflow amount recording may be stopped according to doctor's
instruction. |
| Changing
postures : |
| |
Adjust
the bed's head height according to doctor's instruction. |
| Deciding
date for transferring out from ICU into a ward according to doctor's
instruction. |
| |
In
addition to general, mental and social care support is also provided
by our nursing division or from the cooperating psychiatrists and
social workers, to address the immediate needs of the patients and
their family such as the occurrence of cosmesis changes after surgery.
For those who had reconstruction surgeries in the areas above the
neck, our nursing staff will offer health education pre and post surgery
as well as helping to familiarize the care units and to reduce the
possibility of anxiety.
|
| |
| Average
Days Staying in Intensive Care Unit: 1-5 Days |
| Facilities |
| |
Beside
Vital Signs Monitor : one for each bed
Intravenous Dripping Controller : 25
Doppler: 2
Electric Thermometer: 4
Ear Thermometer for body temperature: 3
Digital blood pressure meters: 2
Defibrillators: 1
Multi-channel Electrocardiogram Meter : 1
Laser Doppler : 1
|
| Points
to Observe after Breast Reconstruction |
| |
Reconstruction
of a breast that has been excised due to cancer or other diseases
is one of the most rewarding surgical procedures available today.
This information will give you a basic understanding of the post surgery
procedure.
| A |
You
will suffer the most discomfort during the period of 24-48 hours
after surgery, and then it will lessen over time. Most of your
discomfort can be controlled by medication prescribed by your
doctor. |
| B |
You
can have some liquid food such as milk, juice, and fish soup
48 hours after surgery. |
| C |
No
smoking and avoid second-hand smoking as nicotine is a vasoconstrictor. |
| D |
Reconstructed
breast will slightly swell and bruise after surgery; the condition
will lessen after one week. |
| E |
Surgical
drains will be removed four days after the surgery. This procedure
will be delayed only if the quantity of liquid drained amount
to more than 30 C.C. a day.
Every day before the drainage is finally removed, you need to
record the quantity of the liquid before pour it out, the doctor
at the OPD facility will afterwards remove the drains.
|
| F |
The
sutured wounds will be sealed with breathable 3M Durapore Surgical
Tape. These tapes do not need to be replaced, even though they
might cause some itchiness. You need to care for and apply some
ointment on the wounds on the navel twice a day. The stitches
on the navel will be taken out at the OPD about three weeks
after surgery. |
| G |
You
can take a shower about one week after surgery. As to walking,
it is suggested to stoop with bending knees until the tighten
feeling in the abdomen is gone. When sleeping, place 2-3 pillows
under the knees to keep a comfortable position. |
| H |
Within
two weeks after surgery do not do any strenuous exercise with
your operated shoulder. This is especially true for flexing
movements like 90 degrees outward stretching and tightly bending
inward to 0 degrees. |
| I |
After
surgery, when the bandage is removed, you can wear full-cup
bras with steel frames. |
For Any questions, please contact us:
Monday: 02-2713-5211 ex. 3504
Tuesday: 03-328-1200
Wednesday, Thursday, Friday: 03-3281200 ext. 2170 Miss Lien
Monday to Friday: 03-328-1200 ext. 2990 Wen-Wen Chen
|
| |
