Breast Reduction

  1. Tomorrow I go to Outpatient and get to watch a breast reduction... What all teaching measures do I need to go over with this patient prior to discharge??

    THanks for any help..
  2. Visit Ortho_RN profile page

    About Ortho_RN

    Joined: Nov '01; Posts: 1,616; Likes: 37
    New RN Grad... Just passed NCLEX.. Working on a Ortho floor


  3. by   Rav_810
    Good luck with the watching bit. I'm a nursing student 1st year, haven't seen an operation yet would love to see one.
    Anyway good luck.
    Tell us what it was like.
    Thank you.
  4. by   Ortho_RN
    Rav.. Hey.. Well when I got their that surgery had gotten postponed.. But a classmate of mine got to watch it the following week.. The lady was a EEE!!! She was going down to a D cup and the Dr. said he was removing almost 5lbs from each breast.. That is all I know Thats for replying
  5. by   LLH
    As a surgical tech prior to becoming a nurse, maybe I can help with this delimma. Make sure you tell the patient to take the pain medication as directed. Not when she feels pain. If you can get her to understand to take the medicine prior to the pain, it will help her more, than if she waits for the pain to come. That means if you are to take the meds 4-6 hrs prn pain, be sure to take them at least every 4 hrs. If she waits the full 6 hrs or longer, then it will take the medication longer to relieve her pain. Also, teach her to leave her binder on, if the surgeon uses one. This will help with swelling and hopefully some of the pain. Some surgeons tell them to use ice packs on top of the binder. Check with the MD on this one. Tell her that it is going to hurt to breath some, but she must work on deep breathing. Also, get out of bed asap. Right now that is all I can think of. If I think of anything else regarding this subject, I will be sure to let you know. These are only a few important things that the patient should know. Oh, make sure she understands to call her MD if there are any problems, ie. bleeding excessively. Let me know if this helps.

  6. by   chartleypj
    Does this outpatient center have pre-written standard post-op instructions for it's patients? This would be a great place to start.
    To add to Lolita's suggestions, I would also discuss drain/wound care. Our patients have flat silicone drains to reservoirs (JP's) for a few days post op. I would also mention the possiblity (if the anesthesia care provider hasn't) of a sore throat from the ET tube. Our patients are also cauntioned against driving in the early (7-14 days) post-op period.
    Enjoy the surgery!