Oedematous arm

The following routine is used to promote drainage of the upper arm into the axillary nodes:

Elevate the arm to around 30°-45° or over - this is usually done with the client sitting on a chair, with the arm supported on a pillow on the elevated end of a plinth. Allow half to one hour for drainage. Make sure that the axillary nodes are neither stretched nor compressed.

Begin just below the axilla. Circle the arm with the hand - left hand underneath with fingers pointing medially, right hand over the top with fingers pointing laterally. Squeeze the tissues with inward and upward pressure. As the tissues soften, move the hands distally and overlap slightly. Repeat the squeezing down to the elbow.

Figure 8.2

position of client with arm in elevation.

Follow this with circular kneading over triceps and biceps. Place one hand on the triceps and the other on the biceps, then knead using small circles from the proximal to the distal end.

Effleurage the upper arm: begin proximally, push to axilla, return a hand width further down and push up again to axilla. Continue in this way until the hands reach the elbow.

For drainage of the forearm, repeat the procedure, covering the area from the elbow to the wrist.

5 I Effleurage to the entire arm.

Essentials of Human Physiology

Essentials of Human Physiology

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