Communication
- Ask client to take deep belly breaths throughout
- Double check with client before you undrape their abdomen or touch their abdomen
Positioning
- Two pillows under knee, one pillow under head
- Tuck towel into shoulders and undrape linen to below the ASIS
Specific Treatment
- Instruct client to do deep breaths as you slowly place hands on abdomen
- Begin with circular effleurage , state 20 – 40 strokes, going close
- Clear off any lotion
- Muscles to treat:
- Rectus Abdominis:
- Ribs 5-7, xiphoid to pubic bone
- Fascial work, state they may feel a burning sensation
- Direct fascial, indirect spreading, skin rolling, S/C-bowing
- External Oblique:
- Lateral aspect of body to iliac crest
- Direct fascial, indirect spread, skin rolling, S/C-bowing, myofascial stretch from iliac and out/away at ribs (state this will happen for 30 seconds )
- Internal Oblique:
- Slowly into diaphragm area, lateral into ribs
- Commnicate deep breaths and sink in when they exhale
- Drag up at iliac crest
- Myofascial stretch (push up and down at ribs and iliac crest for 30 seconds ), direct fascial, indirect spread, skin rolling, S/C-bowing
- Circule effleurage for 30 – 40 strokes
Constipation Treatment
- Start on left side with broad vibrations
- State you are starting at the sigmoid
- Push down and work up in clock-wise motion
- Fine vibrations over “gurgly” areas
- Circule effleurage for 20 – 40 strokes
- C-Scoop
- Circular effleurage for 20 – 40 strokes
Cold Wash Communicatino
- Purpose: to bring blood flow to client’s G.I track and help with bowel movement
- Benefits: to bring relief from constipation and decrease pain
- It will be very cold, so have an extra blanket or sweater for client and put a blanket over top of towel
- Let client know, their body heat will warm towel up within 5 minutes, but keep it there for 15-20 minutes
- If the client doesn’t gain any relief from it, let them know they can stop
- Ask if they have any questions
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