25. BANDAGES OF THE UPPER AND LOWER EXTREMITIES

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When bandaging the limbs the rule should be followed – the first moves should be applied to the lower part of the limb; further bandaging is carried out in the upward direction. This way of dressing avoids the accumulation of venous blood in the loose, unbandaged parts of the limb. The shoulder and hip joints are usually bandaged with a columellar dressing. The first passages are usually placed on the shoulder or the hip. Then, the spike-like moves are bandaged in the direction of the joint. In the area of the joint with circular strokes, the bandage passes to the chest when the shoulder joint is bandaged and to the abdomen when the hip joint is bandaged. These bandages are finished on the chest when the shoulder joint is bandaged and on the abdomen when the hip joint is bandaged.

The shoulder, forearm, thigh, and lower leg are covered with spiral bandages or stronger coloshaped bandages.

The elbow and knee joints are bandaged in figure eights, and the bandages should be crossed in the joint fossae, namely on the elbow in the elbow fossa and on the knee in the knee fossa. So-called “thimble” bandages are applied to the fingers; they are started by placing a folded bandage body over the finger; then the bandage is reinforced on the finger with further strokes. The finger can also be bandaged in the manner of a normal spiral bandage, using a narrow bandage. When bandaging all fingers of the hand the so-called glove is applied.

When bandaging the fingers of the hand, auxiliary passages are always applied from the back, not the palm of the hand. The palm should be free, except when the palm itself is wounded.



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