Mastectomy Fitter Course Mastectomy Products Mastectomy Fitter Course

Mastectomy Fitter Course Mastectomy Products Mastectomy Fitter Course

Objectives 1. Define medical terminology as it relates to mastectomy. 2. Describe the various mastectomy products available including prosthetic breast forms, care, maintenance and warranty. Mastectomy Fitter Course

Products • Bras • Breast Forms – Silicone – Non-Silicone – Partial/Lumpectomy – Custom • Accessories – Swimwear – Head Covers – Cleansers/Lotions Mastectomy Fitter Course

Companies American Breast Care Jodee Classique Nearly Me Amoena Trulife Mastectomy Fitter Course

THE BRAS Mastectomy Fitter Course

The Brassiere v Women have been wearing breast supportive undergarments since as long ago as the Grecian Era, (pictured right). They were called Mastodesmos meaning “breastband”. Mastectomy Fitter Course v The French term “brassiere” was first introduced in the late 1800’s and shortened to “bra” in the 1930’s. v The first U. S. patent for a brassiere was issued to Mary Phelps Jacob in 1914.

Bra Components Mastectomy bras hold the breast form in a “pocket. ” Mastectomy Fitter Course

Bra Types and Styles • Post-Operative/Gentle Compression • Fashion/Modern/Everyday • Exercise/Active Mastectomy Fitter Course

Bra Terminology and Options • Each company will have their own vernacular and trademark names • Front Closure vs. Back Closure • Racerback • Underwire vs. Wireless Mastectomy Fitter Course

Recovery Care- Post-Op • Lightweight • Seamless • Gentle compression • Wireless • Easy to Don/Doff • Comfortable – Patient may wish to sleep in Mastectomy Fitter Course

Post-Operative Bras American Breast Care Style 119 Velcro Front Compression, fits average profile. American Breast Care Style 519 Compression Bra, zipper front, Velcro straps, fits average profile. Mastectomy Fitter Course Amoena 2128 wire-free bra, high cotton content. Amoena Compression Belt 2776 N for reconstructions to hold implants in place. Suggested use with Patricia 2863 compression bra.

Post-Operative Bras, continued Contour Compression Vest Style 6, zipper front. Nearly Me #520 After-Surgery Camisole, hidden drainage pouch. Mastectomy Fitter Course Wear Ease Dawn Breast Surgery Camisole with removable drain pouches. JUZO 800 NS 06 Compression Bra 15 to 20 mm. Hg of compression.

Post-Operative/Lightweight Breast Forms Amoena Priform extremely soft fiberfill, can adjust fullness by adding or removing fiberfill. Trulife Featherweight 615, teardrop shape, non-weighted foam. Mastectomy Fitter Course American Breast Forms First Form 916, memory foam, seamless and non -irritating. American Breast Care Triangle Puff Form 910, fiber fill, adjustable.

Post-Operative/Lightweight Breast Forms, continued Amoena Pur. Fit Adjustable Enhancer made for tissue expansion process during reconstruction. Amoena Pur. Fit Shell, provides extra cover for washing/hygiene. Mastectomy Fitter Course Nearly. Me #410 Non-Weighted Foam Classic, lightest weight foam, full profile with “security tab. ”

Fashion/Modern/Everyday Bras Mastectomy bras have come a long way from the perception that they look like “medical bras. ” • Fashionable/variety of styles • Designed to hold the weight of breast prostheses Mastectomy Fitter Course

Amoena Examples Janina Floral Print, comes in underwire or wireless or camisole. Jasmin wire-free bra soft cup. Mastectomy Fitter Course Karla elegant lace, comes in underwire or wireless. Mona underwire bra. Link to Source of Information

American Breast Care Examples 508 Lace Enchantment Bra with cami insert. 525 Massage Bra, unique fabric gently massages body, soft padded straps. Mastectomy Fitter Course 112 Seamless Strapless Bra, straps are included. 118 Basic M Frame, full-figured design. Link to Source of Information

Trulife Examples Sydney 4004 US, fits shallow to average bust, microfiber soft cup. Elizabeth 422, fits average to full bust, floral satin fabric, padded rigid straps, reduces bounce. Mastectomy Fitter Course Emily 4007 US, fits average to full bust, seamless camisole T-Shirt soft cup. Chelsea 98, lace longline soft cup, fits average to full bust. Link to Source of Information

Jodee Examples Heavenly Pink Bra, molded and seamless for under T -Shirts. Comfort Plus Bra, super cushioned strap for full and heavy breasts. Mastectomy Fitter Course Soft N’ Lacy Lounge Bra, front closure, lightweight. Soft & Smooth Bra, molded, seamless, microfiber fabric. Link to Source of Information

Nearly Me Examples #690 Zebra Soft Cup, wide underarm panels for increased support. #510 Molded Cup, average to full bust with seamless molded cup. #610 Lace Wide Band Bra, full coverage, underwire, comfortable supportive elastic band under bust. #650 Front & Back Closure Bra, great for limited range of motion Link to Source of Information Mastectomy Fitter Course

Exercise/Active Bras • Designed for Maximum Support • Usually Moisture Wicking • Designed to Look Like “Sports Bras” Mastectomy Fitter Course

Exercise/Active Bras, continued Jodee Cool Cotton Bra, cool max material, back hooks. Amoena Jennifer Sports bra, net panels for breathability. Mastectomy Fitter Course Trulife Activity Softcup, cotton/lycra material with cool max pockets. Amoena Tank Top 13, integrated pocketed bra, absorbs, stores, and releases heat for temperature control.

Leisure Wear • Most companies now also offer “leisure wear” or “lounge wear” • Gives the comfort of camisoles, pajamas, etc. with built-in pocketed bras Link to Source of Information Mastectomy Fitter Course

THE BREAST FORMS Mastectomy Fitter Course

Breast Forms The many factors of choosing breast forms: • Silicone • Non-Silicone/Foam/Fiber Fill • Custom • Weighted vs. Non-Weighted • Various Shapes • Partials/Shapers/Lumpectomy • Pocketed or Adhesive Back • Skin Tone Mastectomy Fitter Course

Breast Form Shapes Each company will call the different shapes differently. Liberator Medical categorizes breast forms into the following shapes: • Symmetrical, can be worn left or right, suits most recent modified radical surgical techniques • Symmetrical teardrop, suits surgeries that remove some tissue from the under arm, can be angled for best fit • Symmetrical, fills the cup without unnecessary bulk • Asymmetrical, reaches under the arm, suits more radical surgical techniques Mastectomy Fitter Course

Breast forms (and bras) can also be categorized based on the fullness of the breast Shallow Average Full Mastectomy Fitter Course

Silicone Forms • Weighted, not recommended until patient is well healed • Made to have the look, feel and texture of natural breasts • Can be pocketed or “adhesive” or contact directly against skin • Many now have cooling channels, gel, or even massage features to make them cooler and more comfortable than in the past Mastectomy Fitter Course

Silicone Forms- American Breast Care Gel backed forms, ideal for irregular chest walls. Massage Form, channels designed to keep you cool and reduce perspiration. Ultra Lightweight Silicone, 45% lighter than standard silicone. Lightweight Silicone, a lighter weight option for those desiring silicone instead of foam or fiber fill. Link to Source of Information Mastectomy Fitter Course

Silicone Forms- Amoena Contact, adheres to chest wall, gentle on skin, temperature equalizing technology. Energy, ultimate temperature regulating technology with air flow channels and a more natural feeling silicone. Mastectomy Fitter Course Individual, designed for uneven chest wall or newer surgery sites, molds gently to chest wall with body movement. Essential Deluxe is Amoena’s lighter weight silicone, extra gentle on scar tissue. Link to Source of Information

Silicone Forms- Trulife Bodicool Triangle, advanced cooling technology, raised contact points to promote airflow. Silk Xtend Plus, conformable back for customized fit, tapered extension for missing tissue underarm or upper chest. Mastectomy Fitter Course A Supreme Traditional, asymmetrical shape, concave back to accommodate excess tissue. Bodicool Wave Triangle, full coverage, removable Coolmax breast form cover, lightweight silicone. Link to Source of Information

Silicone Forms- Nearly Me Standard weight with nipple, symmetrical, slightly concave back. Extra Lightweight Butterfly with Flowable Back, 35% lighter, gel back fits uneven chest wall, symmetrical. Mastectomy Fitter Course Lightweight Tapered Oval, 25% lighter, symmetrical. Ultra Light Weight Semi Full Triangle, 40% lighter, great for back pain or chest sensitivity. Link to Source of Information

Silicone Forms- Jodee Adjusts to you, gel back for uneven chest walls, adjusts to body temperature, comes with a fitted cover. Cool Comfort, lightweight silicone, dual gel promotes cooling effect, wave design promotes air flow. Ultra Light Silicone, comes with a Cool. Max cover, triangular shape. Caress, triangular shape with rounded base for bi-lateral and modified radical surgeries as it moderately fills in upper chest wall. Link To Source of Information Mastectomy Fitter Course

Lumpectomy Partials/Shapers • Provide symmetry and balance after lumpectomies and other breast-conserving surgeries. • These types of surgeries are becoming more common and therefore this type of prosthesis will be more common as well. Mastectomy Fitter Course

Lumpectomy Partials/Shapers Examples Delta Oval Amoena’s Line of partial shapers: Link to Amoena’s website Mastectomy Fitter Course Varia

Lumpectomy Partials/Shapers- ABC offers a “fit kit. ” Triangle Shaper, allows tissue to extend to base and complete “curvature. ” Elliptical Shaper, lightweight silicone, hollow with seamless transition. Mastectomy Fitter Course

Lumpectomy Partials/Shapers, continued Trulife Teardrop Partial. Trulife Impressions Shell. Trulife Triangle Plus Partial. Mastectomy Fitter Course

Swim Forms Most companies also make swim forms, designed to be worn in water and not bothered by salt or chlorine. Regular forms of all kinds are not recommended to be worn in water unless otherwise specified. Jodee Swim Form. American Breast Care Swim Form Triangle. Nearly Me Freestyle. Trulife Aquaflow. Trulife Mastectomy Fitter Course

Custom A woman may choose a custom for a variety of reasons, for example, their chest wall or scar tissue may require a custom fit to avoid skin irritation and conform more appropriately. An impression of the patient is taken and a breast form is created to specifically fit the unique contours of the patient and match the contralateral side. Link to Source of Information Mastectomy Fitter Course

Custom Image Capture- Scan Images courtesy of Radiant Impressions Link to Radiant Impressions website Mastectomy Fitter Course

Custom Image Capture- Cast • Takes approximately 2 hours, 2 casts • One casting over the properly fitted bra and prosthesis • One casting of bare chest wall • Can be considered messy and too intimate for some Mastectomy Fitter Course

Custom Breast Forms For more information regarding custom breast forms, feel free to peruse the different manufacturers: • Radiant Impressions (a Trulife Company) – Link to Radiant Impressions website • Contour. Med – Link to Contour. Med website Mastectomy Fitter Course

Accessories • • • Cleansers Bra Extenders Adhesives Scarves Strap Cushions Breast Form Covers Mastectomy Fitter Course

CARE AND MAINTENANCE Mastectomy Fitter Course

Care and Maintenance • Each breast form will have its own care instructions; you should include this with your patient education materials upon delivery. • Generally, wash in lukewarm water with mild soap, rinse thoroughly, and air dry in its container to maintain shape. • Adhesive back forms may require special cleansers. • Do not twist, ring out, or put in the dryer. Mastectomy Fitter Course

WARRANTY Mastectomy Fitter Course

Warranties • Most warranties are for two years. • Most companies have a warranty card you must fill out at the time of delivery. • Swim Forms generally have a shorter warranty due to pool chemical exposure. • Be sure to contact and comply with each manufacturer’s warranty policy and procedures! Mastectomy Fitter Course

Summary Please feel free to review this Power. Point and its references as many times as you feel necessary. Please take the quiz related to this portion of the course and then continue on with the next presentation. Mastectomy Fitter Course

References 1. Netter, F. H. Atlas of Human Anatomy. 5 th Edition. Saunders/Elsevier. 2011. 2. Mayo Clinic. Mastectomy. 2011. Retrieved from website on December 17 th 2013. Link to Mayo Clinic website. 3. National Breast Cancer Foundation, Inc. Link to National Breast Cancer website. 4. Breast Cancer. org Link to Breast Cancer website. 5. Trulife. Link to Truelife website. 6. Amoena. Link to Amoena website. 7. American Breast Care. Link to American Breast Care website. 8. The American Board for Certification in Orthotics, Prosthetics & Pedorthics. Link to ABC website. 9. Medline. Plus. U. S. National Library of Medicine. Breast Cancer. Retrieved from website on December 18 th 2013. Link to Medline. Plus website. 10. Centers for Disease Control and Prevention. Breast Cancer. Retrieved from website on December 18 th 2013. Link to CDC website. 11. American Cancer Society. Link to American Cancer Society. 12. National Library of Medicine. ADAM Medical Encyclopedia. 2013. Retrieved from website on January 2 nd 2014. Link to National Library of Medicine website.

References, 2 13. Pictures of Mastectomy. Dr. Oz. Retrieved from website on January 10 th, 2014. Link to Dr. Oz website. 14. Breast Cancer Surgical Treatment Complications and Lymphedema. Women’s Health and Education Center. Retrieved from website on January 11 th, 2014. Link to Women’s Health and Education Center. 15. Prevalence and Psychosocial Factors of Anxiety and Depression in Breast Cancer Patients. 2007. Retrieved from website January 3 rd, 2014. Link to National Center for Biotechnology Information (NCBI) website. 16. Psychological and Sexual Disorders in Long-Term Breast Cancer Survivors. Retrieved from website on January 17 th, 2014. Link to Dove Press website. 17. External Breast Prostheses: Misinformation and False Beliefs. Retrieved from Website on January 17 th, 2014. Link to Medscape website. 18. Body Posture of Women After breast Cancer Treatment. 2010. Retrieved from Website on January 17 th, 2014. Link to NCBI website. 19. Body Image After Prophylactic Bilateral Mastectomy: An Integrative Literature Review. 2006. Link to NCBI website. 20. Sex After Surgery: Intimacy After Mastectomy. 2008. Retrieved from website on January 17 th 2014. Link to Health Central website. 21. Post-Mastectomy FAQs. Link to Oand. PCare website. 22. BOC Board of Certification/Accreditation. Link to BOC USA.

Mastectomy Products This workforce product was funded by a grant awarded by the U. S. Department of Labor’s Employment and Training Administration. The product was created by the grantee and does not necessarily reflect the official position of the U. S. Department of Labor. The U. S. Department of Labor makes no guarantees, warranties, or assurances of any kind, express or implied, with respect to such information, including any information on linked sites and including, but not limited to, accuracy of the information or its completeness, timeliness, usefulness, adequacy, continued availability, or ownership. Produced 2016. HOPE Careers Consortium is a partnership of five institutions of higher education that is building exciting new programs that will provide valuable career education and training in the Orthotics, Prosthetics, and Pedorthics (O&P) sector. The five institutions are: Baker College—Flint, Michigan; Century College—White Bear Lake, Minnesota; Oklahoma State University Institute of Technology—Okmulgee, Oklahoma; Spokane Falls Community College—Spokane, Washington; and St. Petersburg College—St. Petersburg, Florida. Although the authoring institution of this educational resource has made every effort to ensure that the information presented is correct, the institution assumes no liability to any party for any loss, damage, or disruption caused by errors or omissions. Except where otherwise noted, this work by St. Petersburg College is licensed under the Creative Commons Attribution 4. 0 International License. To view a copy of this license, click on the following link: Creative Commons Licenses 4. 0.