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Extra resources for [Article] Robust modeling in screening studies estimation of sensitivity and preclinical sojourn time distribution
7° C] or lower) Active and passive exercise (avoid excessive exercise, which can cause reinflammation of tissue) Loose elastic glove; loose elastic stockinette; cotton finger wrap bandages; Coban Pneumatic pump to soften lymph (set at 40 mm Hg maximum) Chip bags (see Fig. 3-7, A and B, on CD) CLINICAL Pearl Starting proximal at the trunk is the key to lymphatic decongestion; this is the first technique that must be done so that the other edema reduction techniques are effective. 25 As a result of the long-term entrapment of plasma proteins in the interstitium, the tissue becomes fibrotic.
The capillary refill test can be used to check vascular status (see Chapter 5). , changes in tissue color) or sensory changes must be reported immediately to the physician. Procedures such as tenolysis and flexor tendon repair involve minimal or no immobilization in a bulky dressing. However, even with these diagnoses, limited motion can increase edema, therefore early motion must be balanced with rest to prevent this. 6 This finding has not yet been replicated in human subjects. 8 Ideally, the involved extremity is elevated in a plus 45-degree “ski hill” position; this means that pillows are placed such that the elbow is above the shoulder, and the hand is above the elbow and wrist.
3-6, B, on CD) These are often used when a client’s hand is so edematous that it does not fit into an elastic glove. Low-stretch finger wraps are not used to squeeze the edema out, because that would collapse the delicate lymphatic structures. The distal-to-proximal spiral pattern in which the wraps are applied, the neutral warmth maintained by the finger bandages, and the effect of finger movement all soften the indurated tissue, improving lymphatic flow and edema reduction. Chip Bags Chip bags vary in size, depending on the area they are to cover.
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