As was I, but this nurse also learned upper shoulder. It requires a 'from behind' approach, which is useful for some members of longterm care facilities who are already up in wheelchairs and wearing sweaters. It is an easy approach. But, it has apparently been negated as a site, because it is no longer mentioned. I did find it in a procedure manual from about 20 years ago. So they must have found some evidence-based reason to stop the practice.