Preadmission
Physical therapist
• Explained study
• Obtained informed consent
• Assessed patient
• Had patient complete baseline assessment of pain
• Had patient complete transverse rectus abdominis myocutaneous (TRAM)
flap information sheet.
Day 1 After Surgery
Physical therapist
• Assisted patient with transfers out of bed and into chair
• Reviewed activity instructions.
Prior to Hospital Discharge
Clinical nurse specialist
• Provided education on pain management, activities, and resources.
Four Weeks After Surgery
Physical therapist
• Had patient complete the assessment of recovery post-TRAM flap breast
surgery questionnaire.
Eight Weeks After Surgery
Physical therapist
• Repeated patient assessment
• Readministered assessment of recovery post-TRAM flap breast surgery
questionnaire