Learning Needs You will learn to notice and report (even if small) any signs of infection. They are as follows:

• redness or warmth
• red streaks going up or down the limb
• pain or soreness that is in one area or that came on suddenly
• swelling in your hand/arm or foot/leg (on the side where you had surgery)

Prevention Getting back to normal use of your arm or leg is important after lymph node surgery.

• Gentle exercises that stretch your limb are important, as is strengthening your arm with small weights. Exercises should be done gently and gradually to allow the body to develop new pathways to drain the lymph fluid without creating more trauma. Once the muscles and tissues feel stretched and movable again, you should plan daily exercises. Staying in shape is the best advice, as it keeps joints and muscles in good working order. Please review your exercise sheet with your nurse to develop an exercise plan for you.
• In addition to daily stretching exercises, avoid heavy lifting on the side on which you had surgery (suitcases, heavy grocery bags).
• Skin: Keep skin moisturized and free of cuts and cracks.
• Report any signs of infection (redness, warmth, red streaks, inflamed areas) to your healthcare provider.
• Report any changes in your hand/arm or foot/leg (such as tightness of clothing or rings, numbness, pain, etc.)