Plastic surgical nursing : official journal of the American Society of Plastic and Reconstructive Surgical Nurses
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"You have breast cancer" may be some of the most devastating words a woman may hear. Breast cancer is the most common cancer among women and the second leading cause of cancer death in women behind lung cancer in the United States (). ⋯ S. women will be diagnosed with breast cancer in 2008 and more than 40,000 will die from this disease. Although the incidence of breast cancer has increased, death rates are on the decline due to early detection and improved treatments ().
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Anesthesia awareness can cause adverse psychological symptoms in patients after surgery. Although rare, posttraumatic stress disorder (PTSD) has been documented in surgical patients who have a history of previous trauma or maladaptive coping patterns. Plastic surgical nurses should assess all patients for anesthesia awareness postoperatively, recognize the diagnostic criteria of PTSD, and offer support of psychiatric referrals if indicated.
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Approximately 5% to 10% of breast and ovarian cancers are related to an inherited gene mutation. Of these cases, 84% of hereditary breast cancer and more than 90% of hereditary ovarian cancer are caused by mutations in the BRCA1 or BRCA2 genes. Family histories of cancer are an essential tool in identifying features of and individuals at risk for hereditary breast-ovarian cancer syndrome. ⋯ Genetic testing for the BRCA gene mutations is offered in accordance with American Society of Clinical Oncology guidelines. In accordance with guidelines, patients are informed of the risks, benefits, and limitations of testing prior to electing to undergo the testing process. Upon receipt of results, healthcare providers offer the patient with appropriate medical management recommendations.
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In my practice as a recovery room nurse, I had observed anesthesiologists and nurse anesthetists wave an opened alcohol preparation pad under a patient's nose when he or she complained of nausea. When asked, "Why?'' the response often was, "Because it works.'' The following article describes the use of inhalation of isopropyl alcohol as a treatment for postoperative nausea and vomiting. Because alcohol swabs are so readily available, and certainly less expensive than some of the newer antiemetics on the market, this simple nursing intervention was worth investigating.