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Lymphoedema and chronic oedema

Promoting self-management in lymphoedema: the role of the community nurse

While not all nurses are lymphoedema specialists, they can still play a part in helping patients understand the complexities associated with lymphoedema by accessing up-to-date training and resources,...

An overview of manual lymphatic drainage

The lymphatic system is a network of vessels, tissues and organs that work together as part of the immune system to remove cellular waste and toxins. The lymphatic system helps to maintain body fluid...

Reducing the burden: managing lymphoedema and its complications

It is a complicated system that drains out fluid from the body's tissues and returns it back into the circulator system. It is a passive system, relying on the body's own movements to drive it and to...

Manual lymphatic drainage: the evidence behind the efficacy

Most studies on the efficacy of MLD have shown mixed results; although some report improvement in the metric in question, it is often not statistically significant, and results vary between studies....

Community nurses can empower people living with lymphoedema

While there has been a half-hearted shift in recent years towards more patient education, self-care and patient empowerment, we still operate within a system that teaches patients to give themselves...

Timescaled monitoring to manage venous leg ulcers and chronic oedema

Unlike acute wounds, chronic wounds do not follow a straightforward trajectory along predicted timescales but remain in the inflammatory phase. This results in harmful inflammation, excess exudate and...

Treating oedema: a case study

Mrs W went to the GP with pain around the knees and swollen legs and was sent for an X-ray and other investigations, and was then advised that she required a Doppler assessment. Mrs W tried to arrange...

Night-time compression: a valuable addition to the lymphoedema management toolkit

The recommended treatment of lymphoedema is based on a decongestive lymphoedema therapy (DLT), which is composed of two phases: an intensive phase, combining manual lymphatic drainage, multilayer...

The management of acute cellulitis in individuals with lymphoedema: a case study

A 36-year-old female (permission granted by patient to use them for this case study) with long-standing right leg lymphoedema (possibly secondary to joint injections performed in hospital, when she...

Skin care protocol: suggesting a routine

When discussing the importance of skin care for patients with lymphoedema, it is essential to remind ourselves what the skin does and how it relates to the lymphatics. Many diagrams of the skin do not...

Lipoedema: a neglected area of women's health

There are currently no specific diagnostic investigations or tools for identifying lipoedema, and clinical diagnosis relies on taking a previous medical history along with a family history, physical...

Lymphoedema in the community

The first-line of treatment involves using compression of some kind. This may be compression hosiery (which the patient must be appropriately measured for), to complex massage (a drainage technique...

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