S: Rt treatment started in the clinic at 10am, 01/23/2023.

She said her

week has been okay so far, yet she has been experiencing some
more discomfort in her left upper arm the past few days due to
swelling.----------------------------------------------------------------------------------
Client gave consent verbally for session.—------------------------------------

O: Tx was held at plinth in clinic,vitals were taken beforehand to

ensure their safety during treatment, as well as to be able to compare
how the whole session went.-------------------------------------------------------
Rt vitals were stable HR 80, BP 115/65, client skin around the left arm
appeared to be quite swollen but less sore today.—-------------------------
Treatments for session today included lotion application of left upper
extremity, a manual lymph drainage massage of the left upper
extremity, main movements included stimulation of the lymph nodes in
armpit first in a circular motion, then moving to the shoulder down to
their hand in bigger scooping motions, 1 second per stroke and 5-7
motions before moving down to the next portion of the arm.—------------
Rt had a 5 minute break.—-----------------------------------------------------
Bandages were applied covering the full arm and hand of the left
upper extremity.—---------------------------------------------------------------------
Rt had a 5 minute break.—-----------------------------------------------------
Exercises included, breathing through the stomach to warm up 5 reps
1 set, left shoulder abduction 10 reps 1 set, left shoulder flexion 10
reps 1 set and shoulder shrugs 5 reps 1set.—------------------------------

A:Rt has made some improvements in their ROM during their

exercises since our last session.—----------------------------------------------
P: Follow up with PT. Next session with Rt will be 01/30/2023
Alana Foshay OTA/PTA student.—-------------------------------------------------