Table 1
Subsystem | Session 1 | Session 2 | Session 3 | Session 4 |
|---|---|---|---|---|
Restorative | 1- Coughing and deep breathing training 2- Proper sleep training 3- Correct walking training | 1- Coughing and deep breathing training 2- Proper sleep training 3- Correct walking training 4- The importance of chest physiotherapy 5- Teaching relaxation techniques and expressing emotions 6- Teaching the use of incentive spirometry | Telephone follow up on previous cares and emphasizing their implementation. | Telephone follow up on previous cares and emphasizing their implementation. |
Ingestive | 1- The importance of consuming fluids and adequate and appropriate diet 2- Methods of increasing appetite 3- The ability to tolerate food 4- Proper diet training | 1- The importance of adequate and proper fluid intake and diet 2- Methods of increasing appetite 3- The ability to tolerate food 4- The importance of daily weighing 5- Providing drug information and drug precautions 6- Proper diet training 7- Teaching active and passive movements in the range of joints 8- Pain control 9- Giving information about recommended sports and rest | Telephone follow up on previous cares and emphasizing their implementation. | Telephone follow up on previous cares and emphasizing their implementation. |
Achievement | 1- Importance of compliance with diet, medication, and exercise | 1- Importance of compliance with diet, medication, and exercise 2- Getting feedback from the patient regarding training related to diet, medication and exercise 3- Teaching how to check blood sugar and blood pressure and get feedback 4- Teaching the correct use of varicose socks 5- Explaining the stress associated with surgery and teaching how to deal with it 6- Giving the patient a chance to freely express their feelings and concerns 7- The correct way of praying | Telephone follow up on previous cares and emphasizing their implementation. | Telephone follow up on previous cares and emphasizing their implementation. |
Eliminative | 1- Controlling the absorption and excretion of liquids and electrolytes 2- Asking about defecation problems and teaching how to prevent constipation | 1- Controlling the absorption and excretion of fluids and electrolytes 2- Asking about defecation problems and teaching how to prevent constipation 3- Fever control 4- Giving the patients the ability to express feelings and motivating them to do simple tasks 5- Requesting the patient’s family to support them for the purpose of treatment | Telephone follow up on previous cares and emphasizing their implementation. | Telephone follow up on previous cares and emphasizing their implementation. |
Affiliative | 1- Emphasizing minimum family visits at first and increasing them over time | 1- Emphasis on minimum family visits at first and increasing them over time 2- Giving the patient the ability to communicate with family and friends and encouraging them to express their concerns with family members 3- Emphasizing the importance of daily changing of clothes | Telephone follow up on previous cares and emphasizing their implementation. | Telephone follow up on previous cares and emphasizing their implementation. |
Dependency | 1- Emphasizing the importance of changing activities upon exhaustion 2- Training on the correct way of bathing and emphasizing its brevity, not using body brushes, and using lukewarm water | 1- Emphasizing the importance of changing activities upon exhaustion 2- Telling the patient to avoid heavy work and stressing that in the first days after discharge, the activities allowed should be like at hospital 3- Emphasizing the necessity of a doctor’s order to resume work, drive, and travel 4- Correct bathing 5- Providing emotional support to the patient and stating that the feeling of depression is fleeting 6- Emphasizing the importance of having a plan to perform appropriate activities in the first days after discharge 7- Feeling the need for religious activity and encouraging the patient to express religious beliefs, pray, and supplicating | Telephone follow up on previous cares and emphasizing their implementation | Telephone follow up on previous cares and emphasizing their implementation. |
Protective | 1- Maintaining skin hygiene and the importance of having a dry skin surface and checking body areas under pressure 2- Maintaining the level of mobility and activity 3- Emphasizing the importance of changing position 4- Checking pulse and blood pressure to prevent possible bleeding 5- Chest tube control 6- Emphasizing the importance of wearing appropriate clothes and shoes to prevent falls 7- Keeping feet shoulder width apart while walking | 1- Maintaining skin hygiene and the importance of having a dry skin surface 2- Maintaining the level of mobility and activity 3- The importance of changing position 4- Checking pulse and blood pressure to prevent possible bleeding 5- Teaching the correct use of walking aids 6- The correct way to walk to avoid falling 7- Teaching what medicines cause blood pressure drop and the related precautions 8- Encouraging the patient to enjoy music 9- Emphasizing the importance of controlling mental emotions and listening to the patient’s problems and strengthening healthy changes 10- Encouraging the patient to do their favorite hobby | ||
Sexual | 1- Sexual activity should be after 2–4 weeks after the operation depending on the patient’s ability | 1- Avoiding eating heavy food before intercourse 2- Stopping sexual activity upon exhaustion 3- Avoiding putting pressure on the ribs 4- Emphasizing the importance of doing sexual activity in the morning and after a night’s rest | Telephone follow-up and care re-education | Telephone follow-up and care re-education |