This pathway is a guide to what generally occurs for patients with your same diagnosis. Your doctor and the staff caring for you may alter this plan to meet your specific needs.
Pre-Admission Testing
Diagnostic Tests:
- You may have blood drawn and other medical testing if your physician determines the need.
- You and your doctor will review the list of current medications you are taking. This includes vitamins and herbal supplements.
Diet:
- Follow your normal diet
- On the day of surgery, do not eat or drink anything after midnight the night before. This includes gum and cough drops and you cannot smoke.
Education:
You will learn what to expect on the day of your surgery:
- You may have an IV and possibly a drain
- You will have an incision on your breast (the extent and details of this incision will be explained to you prior to the procedure)
- There may be swelling and bruising at the incision site
- You may experience some pain with arm movement after surgery
- Numbness, tingling, phantom breast sensation may occur after surgery. These sensations are normal after this type of procedure
Preparation:
- Make your life easier and safer after surgery by planning and arranging the reduction of household activities prior to surgery.
- Arrange for assistance for household chores and meal preparation when you first get home.
- Arrange for transportation to and from the hospital as well as to your physician's office for your after surgery check-up.
Following Surgery
Diet:
- You may follow your normal diet as long as you are not experiencing any nausea
Medications and IV's:
- Pain medication will be given to you as needed
Special Consults:
- If you have a mastectomy or a surgery involving your lymph nodes, a Reach To Recovery referral will be initiated
Activity:
- You will practice your arm and shoulder exercises with the nurse or physical therapist
Education:
- You will learn to empty your drain if you have one.
Post-Op Day One
Education:
You will learn the signs and symptoms that may indicate wound infection.
You will practice emptying your drain if you have one.
You will receive information regarding:
- Activity instruction
- Incision care
You will also be instructed on breast self-exam techniques.
Day of Discharge
Education:
You will be given information about a cancer support group
You will be given the 800.4.CANCER (Cancer Information Service) phone number
If you have a mastectomy:
- You will learn about stores near your home where you can purchase post-mastectomy products
- You will be provided with a temporary prosthesis
Discharge Planning:
- It is very important to keep your follow-up medical appointments