疝气 - 食道裂孔疝修复手术 - 洗手 - 下床 - PREOP的®患者教育

Hernia - Hiatal Open Repair Surgery - Handwashing - Getting out of Bed - PreOp® Patient Education

Patient Education Company
Your doctor has recommended that you undergo surgery to repair a hiatal hernia. But what does that actually mean?

Your diaphragm is a muscle that separates your chest from your abdomen and helps you to breathe.

Normally, the diaphragm has an opening for the esophagus to pass through where it connects with the stomach.

A hiatal hernia occurs when part of the stomach pushes upward through this small opening.
Patient Education
Your hiatal hernia may be causing considerable discomfort, with symptoms like heartburn, difficulty swallowing, chest pain and belching. The reasons why hiatal hernias form are not known, but they are quite common.

A hernia is dangerous only if it becomes strangulated. That means that the portion of the stomach that is pushed up into the chest may become pinched - preventing blood from reaching it.

If this happens, you may require emergency surgery to restore blood flow and to repair the hernia.
Patient Education
Luckily, the vast majority of hernias are not considered to be emergencies. However, if you should ever feel a sudden onset of severe pain in your chest or stomach, you should seek medical attention immediately.

So make sure that you ask your doctor to carefully explain the reasons behind this recommendation.

Patient Education Company

HandWashing

Germs are present always on your hands and they can be transferred to: * other parts of your own body, * to the family member for whom you are caring * your patient * and to any clean object that you touch.

By washing your hands correctly: * you remove germs from your hands. * Handwashing is the single most important way you can prevent infection from occurring and * prevent the spread of infection.

You must carefully wash and dry your hands: * Before and after each time you care for your family member or your patient. * Before and after you handle your patient's and your own food and drink. * Before and after you manipulate any contact lenses. * Before you apply and after you remove gloves * After you use the toilet. * After you cough, sneeze or blow your nose. * After contact with anything that could be soiled or have germs on it. * After you pick up any object from the floor * Handwashing takes a minimum of 10-15 seconds, * longer if your hands are soiled. * The longer you wash, the more germs are removed. * The friction generated by rubbing your hands together removes the germs from your skin and * running water can then wash them away * Every time you wash your hands, take your time and don't rush. * Do the handwashing carefully and thoroughly.

Patient Education Getting Out of Bed After Abdominal or Chest Surgery

This program provides you with tips to help you get out of bed after abdominal or chest surgery.
For the first few days when you come home after surgery, it is always best to have a family member or friend help you to get out of bed.
Do not get out of bed directly from lying flat. Always sit up in bed for a few minutes.
Move the bedcovers well out of the way. Move nearer to the side of the bed. Pivot your body and legs so that you are sitting with your legs dangling over the side of the bed. Hold the mattress with your hands for support and keep your back straight.
Gently swing your legs back and forth, bend and stretch your ankles and twiddle your toes. If you feel faint or weak, go back to bed.
Have your helper put on your socks, and shoes or sturdy slippers with low heels and non-slip soles.
Use a footstool if the bed is too high for your feet to reach the floor without sliding off the bed.
Stand still on the floor with your feet slightly apart for a few seconds.
Have your helper put on and fasten your robe.
For the first few times out of bed, when you feel strong enough, walk a few steps to a bedside chair with arms.
When you reach the chair, turn round so that your calves are touching the front of the chair.
Bend your knees, grasp both arms of the chair firmly and lower yourself backward into the chair. Reverse the process to get out of the chair.
At any time,