This is applied in nearly the same way as the three-quarter pack, but
includes also the arms, breast and neck.
[Illustration: No. 9]
In this case the blanket must reach to above the ears. On top of the
moist spread a towel is laid, which is first drawn around the abdomen.
The patient's arms must be somewhat bent, so that they will not oppress
the breast when packed with it. Otherwise the arms may be treated just
like the legs, so that the moist spread touches them everywhere. When it
is impossible to fasten the blanket at the neck with safety pins, it can
be tucked firmly under both shoulders. The blanket must be drawn tightly
over the shoulders and the ends tucked under the opposite shoulder. It
must exceed the length of the patient by 18 inches. In case one blanket
is not large enough, two must be used, one of which may be drawn down 6
inches below the other.
[Illustration: No. 10]
Additional blankets, pillows and comforters may be used in case of high
fever.
The advice already given in regard to the differences in packs,
depending on their various purposes of cooling, diverting, calming or
dissolving, must also determine in this case as to the extra amount of
covering. The access of cold air at the neck and legs, however, must
always be carefully guarded against.
An ablution or bath must follow each whole pack.
If properly applied, the "whole pack" will be of the greatest benefit in
all febrile and chronic cases.
Inflammations require partial packs, while at the same time dissolving
or diverting packs of longer duration are applied to the parts of the
body which are not affected.