Should you massage the calves of a client with CHF?

For a client with congestive heart failure (CHF), massaging the calves is not recommended due to potential complications. Clients with CHF often experience fluid retention and impaired circulation, which can lead to increased strain on the heart during activities that stimulate circulation, like massage.

Massaging the calves can lead to venous thromboembolism or exacerbate existing heart failure symptoms by increasing venous return and placing additional workload on the heart. Therefore, prioritizing the safety and well-being of the client by avoiding calf massage is essential. Understanding the underlying condition of CHF allows healthcare providers to make informed decisions that minimize risks and avoid interventions that could lead to adverse outcomes.