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Lymphodema

Assessing and managing lower limb oedema: a clinical review

It is crucial to determine the cause of oedema because this will guide the management plan (Figure 1). Lymphoedema can be classified into primary and secondary forms. Table 1 describes the...

Feasibility of implementing a remote system for lymphoedema conservative therapy: a case study

The case study illustrates how a remote system was used to provide conservative lymphoedema therapy that included patient education and self-management. The specialist was a certified lymphoedema...

Lymphoedema specialists embedded into community nurse and wound services: impacts and outcomes

Using routinely collected assessment and follow-up data, the aim of this evaluation was to explore the clinical benefit, impact, outcomes and cost-efficiencies of embedding the OGEP model in five...

A multidisciplinary approach to managing lymphorroea in primary lymphoedema: a case study

The patient presented at the lymphoedema outpatient clinic. On initial examination, moderately severe lymphoedema was noted – Stage II according to the International Society of Lymphology consensus...

Challenges involved in collecting and analysing the reported experiences of patients with lymphoedema

An initial challenge for LW was identifying a suitable PREM. Several reviews caution the interpretation of PREMs, discussing the influence of preconceived expectations, a lack of robust validation...

Venous and lymphovenous lower limb wound outcomes in specialist UK wound and lymphoedema clinics

‘Damage to or alteration of the free flow of lymph through local or regional lymphatic vessels in the area of a chronic wound contributes to pathological changes to the lymphatic system and...

Supporting patients and raising staff awareness of lymphoedema

In 2017, I had been working as a tissue viability nurse for several years in another trust. I shared an office with a lymphoedema team and found that the subject piqued my interest. When a lymphoedema...

Is there a ‘best way’ to access compression garments?

More recently, Lymphoedema Wales Clinical Network published an economic evaluation in collaboration with medicine management personnel of the local health board pharmacy department (Thomas et al,...

Real-time image-sharing to educate a patient with lymphoedema on self-care: a case study

The study protocol was approved by the medical ethics committee of the University of Tokyo (#2020287NI) and the authors gained written consent from the patient..

Case study: night compression use in a patient with Milroy's disease

All interventions occurred upon removal of the patient's standard compression garments (20-30 mmHg). Because this was her daily routine, it was agreed to use this schedule. In a previous study that...

Running a weight-management programme with a psychological focus within a lymphoedema service

Initially, the author's lymphoedema service ran two pilot groups, with no specific inclusion criteria—eight patients joined the first group and nine joined the second. The groups ran consecutively....

Lymphoedema and cancer: an overview

Lymphoedema is a chronic swelling that is caused by the lymph fluid not being able to drain properly. The result is leakage into the surrounding tissue and accumulation of the lymph fluid and fat in...

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