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Physdis OT (edema)


EDEMA Control Use AROM full and firm Repetitive isotonic contractions Elevation/ hand on pillow/ above heart ( avoid slings- prevents movement and decreases BP) Compression ( gloves/ coban) Massage ( move fluid up the arm to heart-MEM) Contrast baths and ICE
EDEMA Collection of fluid in the interstitial space causing swelling
Types of edema pitting edema- caused by circulatory conditions/ leaves a mark Brawny edema- has been there for a long time and turned hard/ more difficult to work with
Reasons for edema Circulatory conditions Kidney failure Inflamation after surgery or after masectomy ( kymph was removed) Malnutrition Burns or trauma Diagnosis with rom limitations ( arthritis,, fractures)
what does edema cause Decrease rom Flat hand Lack of mobility= disuse= further atrophy
Measuring EDEMA For baseline of treatment See if better or worse based on activity and hand positioning Compare measurments of unaffected limb to affected limb Compare limb to itself at different times of day
Ways to measure Volume measurment (ml)( not appropriate for open hand wound, external fixated device, plaster of paris cast Circumferential measurement using tape measure or ring sizer ( don't do it too tight, make sure on same spot, use cloth not metal)
Created by: natkat