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1. Sutures on the face are removed within five days.(Plastic surgery Department or General Surgery Department)
2. Sutures on the scalp are removed within seven days.(Neurosurgery Department or General Surgery Department)
3. General types of lacerations (limbs or torso) are removed within seven days.(General Surgery Department)
4. If the wounds are quite near, please keep and get the joints straight to prevent the stitches to split and blood loss. Please come back to hospital if you keep bleeding from the wound or the suture splits.
5. Hyperpigmentation can be prevented from stopping using for iodine.
6. Please raise and ice the wound within 12-24 hour to speed your recovery andreduce swelling and pain.
7. Please keep the wound clean and dry and please do not soak the wound in water while taking a shower.
8. Please watch out within 3-4 dayfor if there is any increase in redness, swelling, heat, pain, abnormal secretion, or fever. Please come back to hospital and this will reduce your risk of developing an infection
9. Please take more vitamin C, protein food like orange, kiwi, fish, eggs, and milk...etc.
10. Simple Wound Dressings:
(1) Please clean your hands before touching the dressing.
(2) Please use normal saline to clean and disinfect the wound and please avoid rubbing back and forth over the same area.
(3) Never cough, blow, or talk on the wound during dressing.
(4) Antibiotics are used to smear on the mound and prevent it from getting worse orspreading. This may also help the wound to heal.
(5) Use the gauze and paper tape to carefully protect the wound dry and change the clean gauze if needed.
(6) Wounds can become infected with harmful germs so please properly store your medication.
I. Please take one oral emmenagogue pill every day
II. Please call the Hospital Reproductive Medical Center to inform the first day of your period and getting the blood drawn during the first 3 days.
III. Get an injection for ovulation induction and the dose will be raised according to different situation.
IV. Get a vaginal ultrasound examination and also the blood drawn before Ovum Pick-Up (OPU)
V. Notices of Ovum Pick-Up (OPU):
(1) Treatment with Cetrotide should be carried out by a doctor who has experience in this type of fertility treatment. Treatment uses for ovarian stimulation, and is continued throughout the ovarian stimulation period, until the evening before or the morning of the day when the induction of ovulation is planned.
(2) The patient needs to refrain from eating or drinking the night before the next day for egg retrieval.
(3) Please come to the Reproductive Medical Center for embryo transfer. The husband of the patient may come there to get the cup for semen collection. We recommend you go straight home and relax for the rest of the day with a responsible adult by your side after the treatment (Please avoid riding a motorcycle).
(4) Go home and please have some digestible foods. You may take medicine after you do not feel nauseated 30 minutes later.
VI. Notices of Embryo implantation:
(1)Please sign the r agreements for using disposition of frozen embryos when you register at the 3F Reproductive Medical Center for embryo transfer.
(2)The patient is not allowed to empty her bladder during the embryo transfer process and it’s no need to anesthetize.
(3) It’s important to follow your doctor's directions when taking medicine. Please avoid eating papaya, coix seed, Chinese medicine, sesame oil, spicy hot food and drinking wine during pregnancy.
(4) Please try some mild exercises that do not jar the body excessively. Do not swim, run, play ball games, do yoga. Please have more rest and avoid lifting heavy objects and constipation during the treatment.
(5) Completely prohibit patients from having intercourse during the entire treatment. Please try to stay in a good mood and you do not need to be put on bed rest during the treatment.
(6) The few 14 days after the embryo transfer, waiting for this first outcome report and come back to hospital to have a blood pregnancy test.
(7) Please come back to hospital if you have these kinds of signs and symptoms such as abdominal distension, dyspnea, nausea, vomit and dysuria. Reproductive Medical Center TEL: 08-7368686 # 4331 / 4332
The recovery time for an appendectomy is variable and depends on the type of the procedure, type of anesthesia, and any complications that may have developed. Each patient recovers at a different pace.
1.If the patient do not feel any faint and muscle weakness, normal activities can resume in 2 days after the surgery. However, full recovery may take more time during which time strenuous activity should be avoided. For the first 2 months after the surgery, please avoid strenuous activities, such as going mountain climbing and weight lifting. For the first 6-12 weeks after the surgery, please avoid lifting anything heavy objects.
2. There are some temporary lack of normal bowel contractions can occur with any type of abdominal surgery. Symptoms include nausea, vomiting and abdominal distention. The patient may try bland and low-fat foods like rice porridge and cakes after passing gas after the surgery. Then the patient can eat your normal diet.
3. Dull pain near the navel or the upper abdomen that becomes sharp as it moves to the lower right abdomen. To reduce pain, support your abdomen with a pillow or other soft object when you cough, laugh, sneeze, or make any other abdominal movements. If you have any of the mentioned symptoms, seek medical attention immediately.
4. The clinical improvement by using abdominal drainage in patients undergoing open appendectomy for complicated appendicitis. To prevent the accumulation of fluid. The time to remove drains after appendectomy surgery will depend on the amount of fluid, fluid color and patient’s body temperature.
5. The stitches of child patient may be removed 5-6 days after the surgery and the stitches of adult patient may be also removed 1 week after the surgery. Please avoid baths until the stitches are removed. The patient may shower after surgery and allow clean. With proper care, the wound turns into a scar. Scar taping assists in the softening of scar tissue and reducing adhesions and pitting.
1.You may have gauze packing inserted during and after the surgery and a gauze dressing over the packing. Please seek medical attention immediately if the gauze becomes wet or falls off from the wound.
2. The nurse will explain to the patient that when the patient can resume his or her regular diet with an emphasis on fiber-rich foods according to the kind of anesthesia type and the doctor's advice.
3. The nurse will inform the patient when he or she can walk normally after surgery. Please avoid excessive exercise in order to prevent bleeding.
4. Please inform the nurse if you can’t urinate after surgery.
5. Please seek medical attention immediately when the patient’s wounds are painful. The nurse will estimate that whether an analgesic can be used to relieve the symptoms of pain.
6. Please prepare a wash basin for hot water bath. Most disinfectants can cause irritation to skin so do not put any disinfectants inside. Please take a warm bath 3-4 times a day, warm water for about 10-15 minutes. Using warm water to reduce swelling.
7. Drinking plenty of water can speed up the wound healing process. Please eat more high-fiber foods like fruits and vegetables. Please avoid pepper, coffee, spicy foods, fried and fatty foods.
8. If the patient wants to improve blood flow, it is important to do proper exercise. Distension of the rectum reflexly relaxes the internal anal sphincter and contracts the external anal sphincter. Making an effort to improve blood flow to your skin and your wound may heal faster.
9. The blood and secretion of fluids is part of a normal wound healing process.
10. Please come back to hospital if you have below symptoms.
11. Blood that won't stop coming out of the wound.
12. The symptom of obstructive defecation is feeling more stool remains in your rectum after attempting to pass stool.
13. Constipation that lasts for more than two days.
14. There are sutures fall out before your scheduled time for suture removal.
15. Nurses are available 24 hours a day, seven days a week. They can help the patient with his or her health concerns and give general health tips during your hospital stay.
Inguinal hernia is the most common surgical problem of childhood. It results from a small sac that comes through the inguinal ring that is normally open during fetal life and closes around the time of birth. This sac then makes a pathway for abdominal organs to come through the inguinal ring into the groin. If the hernia cannot be pushed back (reduced) into the abdominal cavity, your child will need immediate surgery.
Postoperative care and considerations:
(I) Diet
1. The patient will be able to drink liquids after surgery. The patient can basically go back and eat whatever he or she would normally want to eat without vomiting, coughing and choking if the patient is hungry.
2. The patient can’t eat or drink anything if he or she still vomits, coughs or chokes.
3. Please have high-fiber foods like fruits and vegetables and drink plenty of water. It’s also important to have a normal bowel habit for the patient. On the other hand, please avoid straining when defecating, as this can weaken the sphincter muscles in order to cause hernia. Prolonged pressure to pass stool or sitting for long periods on the toilet may cause a swollen rectal blood vessel.
(II) Wound care
1. The patient will be able to drink liquids after surgery. The patient can basically go back and eat whatever he or she would normally want to eat without vomiting, coughing and choking if the patient is hungry.
2. The patient can’t eat or drink anything if he or she still vomits, coughs or chokes.
3. Please have high-fiber foods like fruits and vegetables and drink plenty of water. It’s also important to have a normal bowel habit for the patient. On the other hand, please avoid straining when defecating, as this can weaken the sphincter muscles in order to cause hernia. Prolonged pressure to pass stool or sitting for long periods on the toilet may cause a swollen rectal blood vessel.
(III) Considerations for Wound Healing
1. It’s not necessary to change the wound dressing if it’s normal and fine. Please come back to hospital if it becomes redness and swelling around the wound, the patient has a fever and vomits after discharge from hospital.
2. Please come back to hospital 1 week after the surgery according to the doctor's advice.
(Ⅰ)Precautions after c-section delivery
1.After your Cesarean section (c-section) operation, due to the regional anesthesia, you need to lie down for 8 hours. While lying down, do not use a pillow nor raise the head of the bed; changing position is allowed. Change positions the earlier the merrier. After 8 hours of lying down, gradually getting off the bed which can encourage flatulence. Inform the nursing personnel if there is any abdominal bloating.
2.The body is weak after giving birth and requires the company of family when getting off the bed for the first time to avoid injury caused by passing out. Sitting by the bedside for 5-10 minutes until no dizziness before standing up is recommended.
3.Keep the wound dry and fix the binder on top of the wound. If there is any wound pain, please inform the nursing personnel to inject painkiller for you as prescribed. Change medicine every two days during admission, we will also change medicine for you the day you are discharged. The doctor will make an appointment with you on the 7th day after being discharged to take out the stitches and do not dampen the wound before taking out the stitches.
4.Birth certificate application: please bring the National Identification Cards and the Household Register of you and your spouse’s to the cashier of emergency department on the 1st floor (if you give birth during Monday to Thursday, you are able to receive the birth certificate the next day after 9am; but if you give birth from Friday to Sunday, you will have to wait until the next Monday after 1pm). Generally, we give out 3 copies of the birth certificate, please inquire the counter if you need more of the copies.
(Ⅱ).Precautions for uterine contraction
1.Afterpains caused by contractions of your uterus and finding uterine hard as lump near the navel are both normal. Those who have given birth to two or more babies are more likely to experience terrible cramps. Afterpains caused by uterine contraction will last for about 7 to 10 days, the third day after giving birth is usually the most painful.
2.The surgeon will remove the area where the endometrial cells have grown during the surgery, so there will be less postpartum bleeding after a c-section. Because of the wound to the low abdomen, uterine massage is not necessary for most cases unless there is a tendency of massive bleeding.
3.After the second day of c-section surgery, fundal height shrinks around 2cm every day and will get to the normal fundal height after 10 days.
(Ⅲ)Postpartum bleeding
1.There will be postpartum bleeding about the same amount of period after giving birth which last for about 2 to 3 days, the color of the blood will turn lighter from the third day to the tenth day, and will turn into light yellow or white vaginal discharge. Please pay attention to the amount and color of bleeding during the recovery period.
2.If there is abnormal uterine bleeding, clot, or odor during admission, please inform the nursing personnel.
3.After the removal of Foley catheter, perineal douche is required every time after going to the toilet. Use the flusher filled with lukewarm drinking water to rinse from front to back until the postpartum bleeding is completely clean.
(Ⅳ)Diet
1.Eating is prohibited during the first 8 hours lying down after the delivery; drinking a small amount of water after 8 hours is allowed. If there is no vomiting or any discomfort, you can start to take soft food such as congee; adding salt, seaweed, or pork floss is allowed. Small frequent meals are encouraged. If there is no flatulence yet, do not eat greasy soup and other gas-producing food to avoid abdominal distention and diarrhea (i.e. beans, fish, eggs, milk, sweet potatoes, soybean milk, etc.)
2.After the 7th day postpartum with nicely healed wound and no infection, you can begin to take sesame oil, Chujoto, ginseng, and Shenghua soup. Shenghua soup helps with uterus recovery and lochial discharges. You can eat Shenghua soup a dose a day for 5 to 7 consecutive days, the 7th day is the limit. Making appointment with Chinese Medicine doctor to adjust the medicine according to individual constitution. Also, please observe the amount of postpartum bleeding, you can start a diet that contains alcohol and Chinese medicine only after postpartum bleeding is completely cleared.
(Ⅴ)Breastfeeding
1.Our hospital, in order to protect the maternal-infant rights and interests, encourage the rooming in for infant and mother to improve the relationship within the family. Early initiation of breastfeeding is helpful for successful breastfeeding in the future. 4 hours after the infant’s birth with stable health condition, we will send it to you to breastfeed.
2.Breast starts to leak since late pregnancy, therefore you are able to breastfeed before your breast swell. The baby suckle helps with the secretion of breast milk, and can prevent mastitis, blocked ducts, and breast engorgement in the future. It is normal to feel more uterine contraction while breastfeeding.
3.We will not provide feeding bottles and pacifiers for babies, in case they might confuse them for nipples.
4.Your body temperature might rise when the breast swells, that this situation is totally normal, you can continue to breastfeed without worrying about it. For any inquiries, feel free to come back to the clinic or call 08-7368686 Ext 4420~4421.
*Breastfeeding Helpline: 08-7378149
(Ⅰ)Precautions after delivery
1.The body is weak after giving birth and requires the company of family when getting off the bed for the first time to avoid injury due to passing out. Sitting by the bedside for 5-10 minutes until no dizziness before standing up is recommended. For those who doesn’t feel strong enough getting up shouldn’t force their bodies and just stay on the bed using bedpan.
2.Eat normally, and if there is any constipation, you should eat more vegetables, fruits, and drink water. After the 7th day postpartum with nicely healed wound and no infection, you can begin to eat sesame oil, Chujoto, ginseng, and Shenghua soup. Shenghua soup helps with uterus recovery and lochial discharges. You can take Shenghua soup a dose a day for 5 to 7 consecutive days, the 7th day is the limit. Make appointment with Chinese Medicine doctor to adjust the medicine according to individual constitution. Also, please observe the amount of postpartum bleeding, you can start a diet that contains alcohol and Chinese medicine only after postpartum bleeding is completely cleared.
3.Birth certificate application: please bring the National Identification Cards and the Household Register of you and your spouse’s to the cashier of emergency department on the 1st floor (if you give birth during Monday to Thursday, you are able to receive the birth certificate the next day after 9am; but if you give birth from Friday to Sunday, you will have to wait until the next Monday after 1pm). Generally, we give out 3 copies of the birth certificate, please inquire the counter if you need more of the copies.
(Ⅱ)Precautions for uterine contraction
1.Afterpains caused by contractions of your uterus and finding uterine hard as lump near the navel are both normal. Those who have given birth to two or more babies are more likely to experience terrible cramps. Afterpains caused by uterine contraction will last for about 7 to 10 days, the third day after giving birth is usually the most painful.
2.Massage the uterus in route of a ring with the palm of the hand attached to the navel can help with uterine contraction, massage frequently the first few days right after delivery and keeping the uterus hard can help to prevent postpartum hemorrhage.
3.Not to affect uterus contraction, it is better if you can go to the toilet by yourself 6 to 8 hours after delivery. If you encounter any problems to urinate by yourself, please inform the nurses.
4.After the second day of c-section surgery, fundal height shrinks around 2cm every day and will get to the normal fundal height after 10 days.
(Ⅲ)Postpartum bleeding
1.There will be postpartum bleeding about the same amount of period after giving birth which last for about 2 to 3 days, the color of the blood will turn lighter from the third day to the tenth day, and will turn into light yellow or white vaginal discharge. Please pay attention to the amount and color of bleeding during the recovery period.
2.If there is abnormal uterine bleeding, clot, odor, or if the maternity bed mat is completely wet within one hour, please inform the nursing personnel.
(Ⅳ)Perineal douche
1.Use the flusher filled with lukewarm drinking water to rinse from front to back, until the postpartum bleeding is completely clean.
2.No need to change medicine for episiotomy wound, just keep it clean. To reduce wound pain when standing up and sitting down, the valley cushions are available to lend at nursing center.
3.If the wound swells or hemorrhoids occurs, and the pain doesn’t reduce after sitz bath 24 hours postpartum; when hematoma occurs at episiotomy wound and the pain becomes severe, please inform the nurses.
4.Shower (temperature at 41-43°C) is allowed right after delivery, bathing in a tub is prohibited for it may cause infection to the wound. Hair washing is also allowed but should dry as soon as possible, and be aware to keep yourself warm.
(Ⅴ)Breastfeeding
1.Our hospital, in order to protect maternal-infant rights and interests, encourage the rooming in for infant and mother to improve the relationship within the family. Early initiation of breastfeeding is helpful for successful breastfeeding in the future. 4 hours after the infant’s birth with stable health condition, we will send it to you to breastfeed.
2.Breast starts to leak since late pregnancy, therefore you are able to breastfeed before your breast swell. The baby suckle helps with the secretion of breast milk, and can prevent mastitis, blocked ducts, and breast engorgement in the future. It is normal to feel more uterine contraction while breastfeeding.
3.We will not provide feeding bottles and pacifiers for babies, in case they might confuse them for nipples.
4.Your body temperature might rise when the breast swells, that this situation is totally normal, you can continue to breastfeed without worrying about it. For any inquiries, feel free to come back to the clinic or call 08-7368686 Ext 4420~4421.
*Breastfeeding Helpline: 08-7378149
(Ⅰ)Method
1.According to the position of the cancer lesion, commonly seen surgery types are: right hemicolectomy, left hemicolectomy, subtotal colectomy, total proctocolectomy, high anterior resection, low anterior resection, abdomino-perineal resection, and partial colectomy etc.
2.Decide whether it is necessary for an enterostomy; a surgical procedure to create a durable opening (called a stoma) through the abdominal wall into an intestine. The decision is usually based on the position of the tumor and how bad the invasion is. Usually if the lesion is above the rectum about 7 or 8 cm, it is less likely for the need of enterostomy. Additionally, sometimes it is needed to operate an enterostomy in advance due to the infection in your in your abdominal cavity or when there is too much pressure in the intestines.
(Ⅱ).What will the nursing personnel do for you pre-surgery?
1.After the doctor’s explanation regarding the surgery, nurses will help to fill out some forms such as: surgical and anesthesia consent form and anesthesia instructions.
2.The night before surgery, nurses working the night shift will tell you the time you should start fasting in order to clear the intestine (you shouldn’t eat anything including water, gums, and betel nuts). 3.Nurses will assist you to practice deep breathing and coughing, for you can cough up sputum post-surgery.
4.Before getting into the operating room, nurses will double check your surgical site, patient wristband, fasting time and see if you have changed into operation gown, take off all your accessories, cosmetic makeup (including manicure), dentures, contact lenses. After everything’s ready, nurses will hang an IV drip as prescribed.
(Ⅲ)What will the nursing personnel do for you post-surgery?
1.There could be some drain on your body post-surgery such as: IV drip, NG tube, Foley catheter, or drain in the wound; paying extra attention to stabilize the tubes and making sure that they function well is extremely important.
2.To reduce pain, it is recommended to be in semi fowler’s position while lying in bed to relax muscles; cover the wound with palm of the hands or pillows when coughing. Try to do deep breathing and coughing exercises. Use steam inhalation or tap on the back to cough up sputum.
3.If the wound hurts, please inform nurses immediately and must not endure the pain which can affect the wound to heal and blood circulation.
4.Turn over the body at least once every two hours in order to prevent pressure ulcer on the buttock, it can also encourage bowel movement which helps with flatulence. If there is no dizziness and the patient is physically ready, it is encouraged to get off the bed and walk around.
5.Whenever there is exudation (leaking of pus) from the wound, please inform nurses to look after it.
(Ⅳ)Precautions after the surgery
1.After confirmation of flatulence by nursing personnel, you can start to drink a little amount of water and eat some soft food (i.e. congee, cake, etc), then gradually get back to ordinary diet.
2.If you have done an enterostomy, you need to learn about how to take care of the wound and precautions before being discharged.
*For inquiries: 08-7368686
(Ⅰ)Pre-surgery reminders
1.The doctor may order blood tests, x-rays, electrocardiogram, urinalysis and stool exam.
2.In order to prevent infections, please clean the surgical site in advance.
3.To prevent vomit and discomfort during or after surgery, according to the doctor’s order (we will ask you to start fasting at midnight), you are not allowed to eat anything including water, gums, and betel nuts.
4.Nurses will assist you to practice deep breathing (according to doctor’s order), this will help with pulmonary function recovery post-surgery.
(Ⅱ)In the morning before surgery
1.Please dress into the surgical gowns and pants.
2.For your own safety, please remove any makeup and accessories including nail polish, watches, dentures etc, this will help to activate blood circulation during the surgery.
3.Please empty your bladder before heading to the operating room.
4.The nursing staff will inject IV drip to keep your hydrated.
5.Transporting staff will escort you to the operating room.
(Ⅲ)Things to take notes post-surgery
1.After surgery, because of anesthesia, we will need to monitor you in the recovery room for a while. If your condition is stabilized, we will bring you back to your room.
2.You must remind yourself to do deep breathing and coughing, this can help you with the recovery of pulmonary function.
3.If you were given spinal anesthesia, then you’ll have to lay down for about 6 to 8 hours post-surgery to prevent bleeding. We will assist you with your daily life.
4.To prevent vomiting caused by anesthesia, we will limit your diet and keep you hydrated with IV drip. You then can gradually eat and drink water only a little amount if the doctor allows.
5.To improve oral hygiene and reduce bacteria, please brush your teeth and gargle as often as possible.
6.Post-surgery exercise boosts the recover. The nursing staff will teach you exercises that suit different types of surgery.
7.To reduce pain, it is encouraged to do some deep breathing and coughing when you feel fine. We will give you painkiller if needed, please inform the nursing staff.
8.Please come back to the clinic and see the doctor on schedule.
*For inquiries: 08-7368686
(Ⅰ)Pre-surgery
1.Instruct patients to perform deep breathing and coughing for the purpose of preventing patients from not performing deep breathing and coughing after surgery due to fear of pain, which can occur post-surgery complication (i.e. pneumonia or fever after surgery)
2.Deep breathing exercises: inhale through your nose, and let your belly push out; breathe out through pursed lips as if you were whistling and let the air out from your belly, hold your breath for 3 seconds.
3.Coughing exercise: sit straight and slightly lean your body forward, press on the wound with both hands, breathe in slowly, then hold your breath for 3 seconds and cough 2 times in a row.
4.Instruct you to use chamber pot and bedpan on the bed.
5.Prepare the intestinal tract as prescribed (i.e. glycerin ball enema or cleansing enema)
6.As the doctor’s order, fasting should start the night before surgery, you can not drink or eat anything including water, gums, and betel nuts, to prevent aspiration pneumonia occurs if the patient vomit during anesthesia.
(Ⅱ)Post-surgery
1.Deep breathing and coughing exercises 5 to 10 times every hour, this allows the lungs to expand as much as possible.
2.Rest in semi fowler’s position with a tranquil environment as the doctor’s instructions.
3.Injecting muscle painkiller can help to reduce pain caused by the wound after surgery, it usually takes around 4 to 6 hours between two injections to prevent side effects like respiratory depression; or you can request for medicine to control vein pain at your own expense (doctor’s order is required).
4.NG tube drainage: its purpose is to drain stomach juices, prevent bloating, nausea, and vomiting. The doctor will perform assessment on your daily report on drainage amount and bowel movement to decide when to extubate. Inform the nurses if you do not feel well.
5.Wound drainage: its purpose is to drain fluid that collect inside your body in the surgical area in order to prevent wound suppuration and inflammation. The doctor will perform assessment on your daily report on the drainage amount, proper, and color to decide when to remove the tube. Be careful when turning over the body and do not oppress or bend the tube, we have securing clips to stabilize the drainage tubes.
6.Foley catheter: during the time that catheter is being attached, nurses will operate catheter care and maintenance every day to reduce possibilities for urinary tract infection to occur. Removal of the Foley catheter will be operated after doctor’s assessment if the patient’s condition is stable.
7.It is very important to keep the wound dry after surgery, please inform nurses to change the gauze if it gets wet to prevent it from infection.
8.Diet: do not drink or eat anything after surgery if there’s no flatulence yet or else it may cause damage to abdominal wound and bloating. If you are thirsty, please use cotton swabs dipping into water and moist lips. The doctor will instruct you on what you can eat after flatulence.
9.If there is no symptoms such as dizziness or excessive fatigue, getting off the bed to move around is encouraged, this can help to encourage bowel movements and improve blood circulation.
(Ⅲ)Recovery at home after surgery
1.“Dumping syndrome” is very common after surgery, when the food eaten hasn’t digest nicely, it will rapidly get to jejunum and occur stomach spasms, fullness, nausea, vomit, and other discomforts. Precautions for diet:
(1)Gradually eat from light to heavy taste food; Generally from liquid → soft→ regular food.
(2)Eat little and often (small frequent meals).
(3)Do not drink too much water (including soup), only drink water between two meals.
(4)Avoid food that might irritate your bladder (i.e. spicy food). Eat food that is low residue, small, easy to digest, high protein, adequate amount of fat, less sugar, and bland (e.g. steamed egg, fish soup).
(5)Avoid milk and other dairy products.
(6) Sit up when you are eating, always chew and eat slowly.
(7) Lie down 30 minutes after eating.
2.Observe daily on the wound to see if any symptoms such as redness, swelling, burning, pain occurs. Clean and disinfect the wound every day, also please keep the wound dry.
3.Plan a routine lifestyle and keep a positive mind.
4.Take medicine treatment as the doctor’s order and regularly come back for follow up at the hospital. Come to see the doctor immediately if there is any discomfort.
(Ⅰ)Pre-surgery reminders
1.8 hours of fasting (you shouldn’t eat anything including water, gums, and betel nuts).
2.Insert nasogastric (NG) tube.
3.Abdominal X-ray examination.
4.Blood test examination.
5.Electrolyte test and replenishment.
6.Inject antibiotic.
7.Abdominal examination.
(Ⅱ)Things to take notes post-surgery
1.Assessment on vital sign, consciousness state, and bowel sound check every 2~4 hours.
2.Fix the binder on top of the wound post-surgery, it can help to reduce pain from wound dehiscence when moving or coughing. Use your hands to cover and stabilize the wound when practicing deep breathing and coughing exercises in order to reduce pain caused by dehiscence.
3.Monitor NG tube to check the position of the tube and the export amount, color, proper of the drainage tube.
4.Maintain a comfortable position, raise the head of the bed to the fowler’s position, and reduce pressure on diaphragm caused by flatulence.
5.Fast for 3 to 5 days after surgery as the doctor’s order, and brush your teeth and gargle as often as possible to improve oral hygiene and reduce bacteria.
6.After the bowel movement is back to normal, the doctor will perform assessment to see if you can start drinking water. If there is no bloating or vomiting, start with liquid diet (juice, soft drinks), and low residue diet (rice milk, soy milk) after the next day.
(Ⅲ)Reminders for caregivers
1.If the patient appears to have abdominal pain, bloating, nausea, or constipation, please go to the doctor immediately.
2.Encourage the patient to eat more high-fiber foods, exercise and drink at least 2000c.c. of fluid every day to prevent ileus from occurring again. Take laxatives and high-fiber pills as prescribed with 240c.c. lukewarm water for the purpose of defecation.
*For inquiries: 08-7368686