Symmetry (is the node the same on both sides of the person’s body?) Node delimitation (what are the limits or the boundaries of the node in terms of whether it is an individual node or a cluster of nodes matted together?) Node movability (can you move it around when you palpate it?) Node consistency, e.g., rubbery, hard, soft (what is the consistency of the node?) Node size (what is the size of the node?) Node location (where is the node located?) Presence of pain/tenderness (is the node painful or tender?) Skin changes over the node (what is the skin colour and temperature?) Presence of observable swelling (is the node swollen and observable upon inspection?) See Table 2 for what to note when assessing lymph nodes and abnormal characteristics. Conclude by asking the client if they had any pain or tenderness.Typically, you palpate bilaterally at the same time and compare the right side to the left side.This should be done about two to three times in each area. After you palpate in one spot, shift your fingers to a new spot within the same area, because there are strands of lymph nodes in each area.Use a light touch with gentle pressure so that you don’t forcefully push the node inwards.Use the finger pads of two to three fingers and move them in a circular motion. Prior to palpation, say to the client “let me know if you have any pain or tenderness when I touch you.”. Use the following techniques to palpate the lymph nodes: Although some of the axilla lymph nodes are associated with the breast, other lymph nodes associated with the breast will be explored in another chapter.
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