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Teaching Learning Guide

Topic: Post Mastectomy Exercise


Level of Student
Venue: Lic

Date:
Reporter:

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

Content

Time
Allotment

Teaching Learning
Activities
Teacher
Student

Evaluati
on

References

At the end of 15
minutes
discussion we will
be able to:
- Give the
Definition of Post
Mastectomy
Exercise and its
Purposes
-Give the
Principles in
doing the
Exercise
-Show the
Equipments
used
-Demonstrate
how to do the
Post Mastectomy

- Definition
-Purposes

3 minutes

-Principles

2 minutes

-Equipments
- Step by Step
Procedure
-Rationale

10
minutes

Discussion

Listen
Attentively
And Active
Participation

Quiz

Liceo de Cagayan
University NCM501204
Procedure Checklist.
Smelzer, Suzanne C.
and Bare, et. al.
(2004), Brunner
&Suddarths Textbook
of Medical Surgical
Nursing Vol. 2.
Lippincott Williams &
Wilkins, Philadelphia.
Pp. 1472-1473

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.
2.
3.
4.

To increase blood circulation


To increase muscular strength
Prevents joint stiffness and contractures
To restore full range of motion of the arms and shoulder

Principles:
1. Check the Doctors 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.
2.
3.
4.

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


To gain patients cooperation and also give the time for her to prepare
Allow the patient full range of motion
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 patients capability
Reference:
Smelzer, Suzanne C. and Bare, et. al. (2004), Brunner &Suddarths Textbook of
Medical Surgical Nursing Vol. 2. Lippincott Williams & Wilkins, Philadelphia. Pp.
1472-1473

Post Mastectomy Exercise

1.
2.
3.
4.

Check the doctors order and identify the patient.


Explain the procedure to the patient.
Assume/place the patient in a standing/sitting position.
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.