A nurse is utilizing effleurage as part of non-pharmacological pain management for a patient in labor. Which describes the techniques of effleurage? Select all that apply.

 

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Correct

- The nurse applies gentle pressure that slightly tickles the skin

- The client uses the palms of the hands and the wrists to apply effleurage

- The process is distracting from the pain of labor for the client

- The nurse lightly massages the abdomen or back

- The process promotes relaxation and pain relief

Rationale

-"The process is distracting from the pain of labor for the client", "The nurse lightly massages the abdomen or back" and "The process promotes relaxation and pain relief" are correct. Effleurage is a form of gentle massage to the abdomen or back that can be used during labor to distract the client and help her relax. It is done by applying pressure with the fingertips so that the laboring woman derives the comfort and benefits of touch. The client directs how firm or light the pressure will be.
-"The nurse applies gentle pressure that slightly tickles the skin" is incorrect because the purpose of effleurage is to relax the client, not create tension. The touch should be firm enough that it does not tickle the client.
-"The client uses the palms of the hands and the wrists to apply effleurage" because this type of pain intervention is done using the fingers, not the palms or wrists.

References:
Stillerman, E. (2007). A Midwife's Touch. Midwifery Today, (84). Retrieved June 19, 2018, from https://midwiferytoday.com/mt-articles/a-midwifes-touch/

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