NBCOT Occupational Therapy Certification Practice Exam

The initial treatment to reduce swelling in a patient with lymphedema, particularly after radiation therapy for breast cancer, involves the fitting of compression garments. Compression therapy is a cornerstone intervention for managing lymphedema since it helps to promote lymphatic drainage by applying external pressure to the affected area. This pressure aids in preventing the accumulation of lymph fluid, thus effectively reducing the swelling and improving overall limb function.

Compression garments are designed specifically to exert a controlled amount of pressure, helping to maintain tissue integrity while encouraging fluid movement back toward the central lymphatic system. They serve as a preventative measure against further fluid buildup and can alleviate discomfort associated with lymphedema.

Other approaches, such as change of dominance training, exercises involving isometric contractions, or the use of heat modalities, may have their places in comprehensive care for lymphedema but are not typically the first-line treatment. Isometric exercises might help in strengthening the arm, but they do not target the swelling effectively. Similarly, using heat could risk increasing swelling as it causes blood vessels to dilate, potentially leading to further fluid leakage from the vessels into the tissues. Therefore, fitting the patient with appropriate compression garments is recognized as the most direct and effective initial intervention for managing