Liposuction Aftercare

S.P. should be up out of bed post-op day 1 and wearing TED hose continuously, as well as wearing SCDs overnight in bed. Constipation prevention should e achieved by administering scheduled doses of Colace. Proper nutrition should be encouraged to include plenty of protein to ensure proper wound healing and avoid development of pressure ulcers (Lewis, Dirksen, Heitkemper, Bucher, & Camera, 2011). S.P. should practice coughing and deep breathing throughout her hospital stay to avoid lung congestion and occurrence of pneumonia infection, educating the patient about smoking cessation assistance can be helpful as well.

The first 10-14 days after surgery is focusing on keeping the wound dry and clean, being able to straighten the knee, and being in control of the quadriceps. The knee is also iced often to keep swelling and pain down. During physical therapy the focus is on keeping the kneecap mobile, regaining full range of motion, getting strength back to the quads and hamstrings, and regaining balance. Mobility stretching can include; knee extension and flexion which is just bending and straightening the knee, hamstring stretching, that is extending the leg and reaching for toes, and groin stretches, extend both legs as far as you can and lean forward. Strengthening exercises are lunges, squats, leg presses, step ups, calf raises which is going on your toes, hamstring curls lay on your stomach and bend the knee, hip adduction use a resistive band and pull the leg across the body, for hip abduction just pull the leg across the body again against the resistance while keeping the knee

On the day of surgery, avoid eating or drinking anything six to 12 hours before the operation. Just take a small sip of water to ingest any medication you are asked to take. Go to the hospital early so you will arrive on time for your surgery.

Move around gently for short periods or take short walks as directed by your health care provider.

Enhanced recovery after surgery (ERAS) are a relatively new set of protocols arising in the 1990’s which have since been coined the gold standard in surgical patient care. They have been increasing adopted in because overall research has shown them to be a safe and cost effective way of reducing length of hospital stay and positive patient outcomes. ERAS protocols are threaded throughout the perioperative care, including pre, intra and post-operative phases. I will analysis two research papers which highlight the use of ERAS protocols and define a variety of protocols and focus on four ERAS protocols which are commonly used in surgical nursing.

• Do not eat or drink anything for at least 8 hours before the procedure.

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Following pacemaker surgery, help the senior to keep their incision clean. Depending on what was used to close the incision, showers may be allowed right away or not for several days. No lotions or ointments should to the surgical site. Check the incision to make sure that no redness, swelling or drainage have occurred. If you are concerned with how the incision looks, don't hesitate to contact the senior's doctor.

Directly following surgery, patients receive a non-weight bearing splint. This splint is designed to protect the patients’ incisions and bones. Although patients will receive pain medication, elevating the foot to reduce inflammation also helps decrease pain; therefore, patients should keep their foot elevated as much as possible.

• If you go home right after the procedure, plan to have someone with you for 24 hours.

• Do not drink alcohol before your procedure or as directed by your health care provider.

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Follow Pre-Surgery Instructions: As your surgery date approaches, you will receive detailed instructions from your podiatrist on how to prepare for your specific surgical procedure. This may include avoiding aspirin and other painkillers, stopping smoking, and fasting before anesthesia.

Sitting or standing for longer than 20-30 minutes should be kept to a minimum after the procedure for approximately 3-4 days.

This is ridiculous because that is not a good reason to get surgery. These procedures have not been monitored properly for protecting one’s safety. Time for a reality check, is this procedure really worth the risk? “The risk of death from liposuction is one fatality per 47,415 procedures.” (CQR, 5). Cosmetic surgery can result in death and many other negative effects. Popular side effects include: necrosis (death of tissue), hematoma (a collection of blood), infections, and death. Risks are much higher if the person is a smoker (Ten Plastic Surgery Risks You Need to Know, 2). Plastic surgeon Edward Melmed stated “Of 500 patients whose silicone implants he removed between 1992 and 2004, half had suffered a rupture within ten years of getting the implants, and 94 percent had ruptured within 20 years.” (CQR, 2). Not only is the procedure dangerous for a person’s body but it is also dangerous psychologically. One needs to understand and be informed that surgery will not reverse the aging process. A person cannot expect to receive eternal life from multiple surgeries to keep skin looking young. Wrinkles will always come back, which means more surgeries and prolonged healing. One must not have high standards going into a surgery expecting to come out beautiful right away. Cosmetic surgery will not make problems in life disappear. Surgery is not an instantaneous solution to