Question

Which intervention will NOT help a patient with edema?

1) Raising the patient's extremity above the heart
2) Massaging the extremity with lotion to stimulate blood flow
3) Using an ice pack or cold pack to reduce swelling
4) Encouraging the patient to complete range of motion (ROM) exercises

Answer 1

Massaging the extremity with lotion is not a recommended intervention for edema and could worsen the condition. Elevation of the limb, use of cold packs, and range of motion exercises, as well as addressing the underlying cause, are more appropriate therapies for edema.

Step-by-step explanation:

Among the interventions listed to help a patient with edema, massaging the extremity with lotion to stimulate blood flow (option 2) is generally not recommended, as it can potentially cause more harm than good, especially if the edema is due to underlying conditions such as heart failure, kidney damage, or deep vein thrombosis. Instead, therapy for edema focuses on activities such as:

• Elevation of the affected part to assist with fluid drainage
• Use of an ice pack or cold pack to reduce swelling
• Encouraging range of motion (ROM) exercises to keep blood and lymph flowing

It's also important to address the underlying cause of edema and consider the use of medications like diuretics if prescribed by a doctor. Lastly, a decrease in salt intake is commonly advised to decrease sodium and water retention, which can exacerbate edema.