Oedema management: activity participation/mobilisation
Activity participation/mobilisation is one way that oedema can be managed. See below for the regime, how to implement this intervention and an indication of when this treatment is not suitable.
How:
- Encouraging movement and muscle pump activity to assist the lymphatic and vascular system pump excess fluid back into peripheral circulation.
- Consider what activities/games will motivate and encourage the child to move the desired joint.
- Discuss with physiotherapist as required
- Formulate play regime to build this activity into daily routine.
- Can be used in conjunction with compression bandaging/splinting/elevation.
Regime:
- Commence from time of burn injury
- Timing will depend on depth of burn and quality of movement achieved by child
- Incorporate into meaningful daily tasks - feeding, eating, play, sleep positions.
Check for any movement precautions from medical team prior to intervention.
For example - movement may not be suitable immediately after grafting due to immobilisation required.