Discharge And Home Healthcare Guidelines

CARE OF THE PUNCTURE SITE. Leave the Band-Aid in place for 24 hours; report any pain, warmth, severe ecchymosis, or drainage. Emphasize to patient that it is not uncommon for more cysts to form.

CARE OF INCISION. Leave the dressing in place until the sutures are removed; clean the site gently with soap and water once sutures are removed; teach the patient how to empty the drains if any are present.

MEDICATIONS. Explain the purpose, action, dosage, desired effects, and side effects of all medications that have been prescribed by the physician.

352 Fibrocystic Breast Condition

FOLLOW-UP VISITS. Women with gross cysts or solid masses in the breast are often seen every 6 months for repeat physical examinations.

EARLY DETECTION PROCEDURES. Assess the patient's knowledge and performance of breast self-examination (BSE); reinforce and teach BSE technique as indicated. Explain the importance of adhering to the follow-up visit schedule as recommended by the physician and to the American Cancer Society's recommendations for screening mammography: first screening by age 40; mammography repeated every 1 to 2 years from age 40 to 49; mammography repeated every year over age 50.

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