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Friday 24 June 2016

Behavior Modification after Heart Surgery

After surgery, the relief of living and having fixed hearts is not enough for many patients. Instead, many patients are bombarded by difficult thoughts relative to pain, complications and ultimately, a challenged recovery. That said, these thoughts can manifest in emotional and behavioral changes after heart surgery.

In my own research, I learned that 30%-75% of patients report feeling anxious or depressed after heart surgery. That’s a pretty significant number. Personally, I experienced both emotional and behavioral changes following my valve replacements. I was moody. I was irritable. I was fatigued. I was tired of the pain.

Most recovery times range from one to three weeks for laparoscopic gastric bypass surgery and two to six weeks after gastric bypass surgery. There are many different habits after surgery that the patient will have to modify. Diet The patient cannot eat normally after the surgery and will have to take protein supplements and multivitamins to avoid nutritional deficiencies. Immediately after surgery, the patient will be on a liquid diet. This diet may include tea, broth, or electrolyte beverages such as Gatorade. Patients also have to avoid drinking from a straw or a bottle and should gingerly sip from a cup. Using this method will help the patient to avoid swallowing too much air and avoiding extreme discomfort. Carbonated beverages are also to be avoided. If they aren�t, the carbonation can expand the newly-formed pouch in the stomach. Staying hydrated is essential. However, a patient can not drink and eat at the same time as the liquid will expand the stomach and not enough food will be eaten and absorbed since the patient will feel too full to eat the correct amount of food to stay healthy. Examples of pureed foods that are accepted for the post-operative diet are: Protein shakes Broth only Blended poultry Low-fat yogurt or milk Mashed bananas After a couple of months, patients can move on towards a more solid diet of pureed substances. Most patients at this point can tolerate approximately 16 to 24 ounces a day. Dumping Syndrome If a patient strays from the correct diet and neglects to follow the modifications in his or her diet, then a symptom know as �dumping� can occur. If the patient eats foods that are too sugary or high in fat, or too much artificial sweetener, he or she can experience numerous maladies: Nausea Chest pain Vomiting Diarrhea Sweating Drinking Alcohol It is recommended that patients not drink alcohol for at least six months after surgery because it is high in calories, sugar, and low in nutritional value. Not only that, alcohol will actually deplete the body of nutrients. Pregnancy Doctors do not recommend that female patients get pregnant within a year after surgery because of injury that may be suffered to the mother and thereby injuring the fetus. This means that sexually active females should use some form of birth control for at least one year after surgery. Pain Medication Patients will have to avoid medication like NSAIDs (including aspirin and ibuprofen). Instead, patients are safe to take acetaminophen. The doctor should be consulted if the patient is not sure if a pain medication is safe. Exercise It is very important to maintain an exercise regimen after surgery to maintain a healthy weight and decrease weight gain. This exercise begins one to two days after surgery, which may seem odd, but movement of the legs helps to decrease the chances of acquiring deep vein thrombosis (a blood clot in the legs). Specific exercise plans will be drawn up by the doctor, which will begin with a low-impact program that will increase over time to more physical challenging exercises. Lifetime Diet It will always be important to maintain a very, low-fat and sugar free diet for the rest of a patient�s life. Good foods that doctors recommend are: Lean meat (chicken, turkey, pork) Fish Low-fat cottage cheese Tofu Whole grains Cheese Soft pasta Bariatric surgery requires extreme dedication from the patient undergoing the surgery to be diligent about the pre- and post-surgery instructions. By not following these directions, the person can suffer malnutrition, gain back weight, or worse, suffer

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