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Recovering your health - an action plan

This action plan covers patients who have had radiation treatment. We are still working on incorporating chemotherapy into this. This is one person's helpful list . We hope it is useful for you but you may find not all the suggestions are things you want or are able to do.
1st week

 

In hospital

  • Get up and start walking the day after the operation. Take care to hold up your drain to avoid tearing.
  • Do a little more each day
  • Do eat regularly
  • Take painkillers if you need them. Often after the first or second day it is best to have painkillers only at night so you can sleep.
  • You may be able to go home after 2-3 days if you don't have a drain or feel up to it and your doctor agrees to an early discharge. If you still have a drain you will need to come in to see the surgeon to have it removed.
  • Your drain will be removed when the fluid level is low enough. It may hurt a lot, so consider a pain killer first.
  • Take a nap or two each day
  • Take time straight after the operation to recover. Use the time to prepare for treatment and catch up on things.
Weeks 2-3

Back from hospital

  • Try to walk each day, for longer each time
  • Have a warm bath after any exercise
  • Do some gentle stretching
  • If swimming, avoid freestyle
  • Exercise your arm gently using the instructions
  • Do not lift heavy objects or do anything too strenuous
  • Don't drive yet
  • You can start light housework
  • Massage your scar gently and moisturise it
  • Rest each day to regain your strength
  • Eat healthy meals with good protein and fruit, vegetables and grains.
  • Book into your first radiation therapy appointment
  • Consider booking into the lymphoedema therapist for an initial checkup if you have had lymph nodes removed
Weeks 4-8

Start radiation treatment during this time

  • You could go back to work. Take it easy and work 9-5 or part time if you can especially if you are having radiotherapy.
  • Take 1 or 2 weeks off at the end of radiation treatment
  • If at home you can resume most normal
  • Don't drive until the end of the 6th week and/or advise by your doctor. Take care even after this when parking not to wrench your arm
  • Keep up the arm exercises and increase the intensity each day. By the end of week 6-8 you should have most of your reach back.
  • Try to protect your arm if you have lymphoedema
  • Continue to moisturise your scar
  • You could start more physical exercise and perhaps light weights. Take care not to use heavy weights or lift too much.
  • Try yoga, focussing on your legs. Take it easy on exercise where you hold your own body weight.
  • Have a nap in the early evening if you are having radiation treatment

 

2-6 months

Your full recovery

  • You should be back to work by now
  • If at home you should be back to a normal life
  • You can get back to most normal exercise. Ask your doctor about more physical sports such as tennis, especially if your affected arm is the one you use
  • You should have close to or 100% of your reach back. Keep up the exercises until a month after this happens
  • You may feel tired for some time, especially if you had radiation and even more so if you worked through and have not had a break
Throughout your recovery

Some things to remember

  • Rub vitamin E cream and aloe vera gel into the scar. Keep it moisturised
  • Start regular gentle exercise such as walking and build up over time. Take it easy and don't overdo it.
  • Persistent pain from the operation is not normal but sometimes happens where a nerve is cut etc. See your doctor to help to deal with this pain.
  • Ensure you do the exercises recommended by the surgeon or breast nurse to get full movement back in your arm as soon as possible (see get your arm mobile)
  • Do build up to your normal exercise program
  • Take as long as you need to get back into things
  • Let people help you. You will be tired for a while
  • It may take a while before you can wear a new bra. (Wear an old, stretched and comfortable one, preferably without underwire)

 


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