Teaching Learning Guide

Topic: Post Mastectomy Exercise Date: December 14, 2010

Level of Student: NCM501204 Reporter: Morado,
Jaylend S.
Venue: Liceo de Cagayan University Pepito, Romeca
Katherine

General Objectives: At the end of 15 minutes, we will be able to demonstrate the Post Mastectomy Exercise

Teaching Learning
Specific Time Evaluati
Content Activities References
Objectives Allotment on
Teacher Student

At the end of 15
minutes
discussion we will
be able to:
- Definition
- Give the -Purposes 3 minutes Discussion Listen Quiz Liceo de Cagayan
Definition of Post Attentively University NCM501204
Mastectomy And Active Procedure Checklist.
Exercise and its Participation
Purposes -Principles 2 minutes Smelzer, Suzanne C.
and Bare, et. al.
-Give the (2004), Brunner
Principles in -Equipments &Suddarth’s Textbook
doing the of Medical Surgical
Exercise Nursing Vol. 2.
- Step by Step 10 Lippincott Williams &
-Show the Procedure minutes Wilkins, Philadelphia.
Equipment’s -Rationale Pp. 1472-1473
used

-Demonstrate
how to do the
Post Mastectomy
Exercise with
Rationale
 Post Mastectomy Exercise

Definition:

These are exercise done by patients who underwent mastectomy or the

surgical removal of one or both breasts.

Purposes:

1. To increase blood circulation

2. To increase muscular strength

3. Prevents joint stiffness and contractures

4. To restore full range of motion of the arms and shoulder

Principles:

1. Check the Doctor’s order

2. To be performed three times a day for 20 minutes at a time

3. Administer analgesic 30 minutes prior to exercise

Equipment:

• Rod or Broom Stick (1.5-2 meters long)

• Rope (1.5-2 meters long)

Rationale:

1. To be ensure that the exercise is not contraindicated to the patient

2. To gain patient’s cooperation and also give the time for her to prepare

3. Allow the patient full range of motion

4. This does not strain the patient whiles preparing her for more strenuous
exercise

5. This increase circulation and muscular strength, prevent elbow and shoulder
joints stiffness and contracture, and restore full range of motion of the
shoulder and arms

6. This will prevent shoulder joint stiffness that may result to frozen shoulder as
a result of the surgery

7. To restore arms and shoulder joint full range of motion and muscle strength,
prevent stiffness as well as increase blood circulation.

8. To restore arms and shoulder joints full range of motion restore elbow
strength
 9. To restore the abduction and adduction range of motion of the shoulder joints
to prevent the frozen shoulder syndrome

10.To support muscle in the affected side during chest expansion

11.Allowing patient to rest for the next session of post mastectomy exercise

12.Records allow nurse and therapies to adjust to patient’s capability

Reference:

Smelzer, Suzanne C. and Bare, et. al. (2004), Brunner &Suddarth’s Textbook of
Medical Surgical Nursing Vol. 2. Lippincott Williams & Wilkins, Philadelphia. Pp.
1472-1473

Post Mastectomy Exercise

1. Check the doctor’s order and identify the patient.

2. Explain the procedure to the patient.

3. Assume/place the patient in a standing/sitting position.

4. Ball squeezing. A rubber ball or a crumpled newspaper squeeze in the

hand of the involved side.

5. Wall climbing. The women sit/stand facing the wall, with her toes next

to the wall. Place both hand on the wall with involved arm followed by

the involved arm

6. Pendulum or arm swinging. The points bend at the waist and swing her

arms from side to side without bending elbows.

7. Fitting clasped hands. The patient clasps her hands and lifts them

slowly over head, keeping the elbows straight.

8. Elbow spread. The patient interlocks her hands behind her neck and

raises her elbows to the chin level. Then gradually bring the elbows

together.

9. Pulley or rope pulling. The patient pulls the string down and the

opposite arm is raised.

10. Deep breathing. The patient is placed on sitting position, her

hand over the involved portion of her chest and takes a deep breath

through the nose, feeling her chest expands as the breath is inhaled,

as she exhaled, the chest and shoulder sags and reflex.

11. Make patient comfortable

12. Chart the procedure done, time and reaction of the patient.