LYMPHOEDEMA GCS VICKIE MATHIAS LYMPHOEDEMA WHAT IS IT

LYMPHOEDEMA GCS VICKIE MATHIAS

LYMPHOEDEMA • WHAT IS IT? • WHERE CAN YOU GET IT? • HOW MANY CLASSES OF LYMPHOEDEMA ARE THERE?

PRIMARY LYMHOEDEMA

SECONDARY LYMPHOEDEMA

LIPOEDEMA (PAINFUL FAT SYNDROME)

OBESITY RELATED

DEPENDENCY

SKIN CHANGES • THICKNESS OF THE SKIN INCREASES • BUILD UP OF HORNY SCALES ON THE SURFACE • SKIN CREASES DEEPEN • WARTY APPEARANCE, OVER TIME • STEMMER’S SIGN POSITIVE- CAN BE ABSENT IN EARLY STAGES • PITTING/NON PITTING • FIBROSIS

STEMMER’S SIGN

LYMPHANGIOMA

PAPILLOMATOSIS

PEAU D’ORANGE

MALIGNANT DISEASE

TREATMENTS INVOLVED MAINTENANCE; • SKIN CARE • EXERCISE AND USE OF THE LIMB • COMPRESSION GARMENTS • SIMPLE LYMPHATIC DRAINAGE MASSAGE • POSTURE • HEALTHY EATING ADVICE • SIGN POSTING TO LYMPHOEDEMA SUPPORT NETWORK

TREATMENTS INVOLVED INTENSIVE • COBAN BANDAGING • MEDICAL/MANUAL LYMPHATIC DRAINAGE MASSAGE • KINESIOLOGY TAPING • COMPRESSION GARMENTS • SELF LYMPHATIC DRAINAGE MASSAGE • INTERMITTENT PNEUMATIC COMPRESSION THERAPY I. E. . LYMPHASSIST • LOW LEVEL LIGHT THERAPY • NEW TREATMENTS; LV ANASTOMOSIS, LIPOSUCTION, LYMPH NODE TRANSPLANT

KINESIOLOGY TAPING

THE LYMPHOEDEMA TEAM CONSISTS OF; VICKIE MATHIAS – MANAGER KIM WILCOX – LYMPHOEDEMA PRACTITIONER SHELLEY ELLIS – LYMPHOEDEMA PRACTITIONER (O/T) ALI O’CONNOR – LYMPHOEDEMA PRACTITIONER JANE SPIERS – HCA PAT LIPSCOME – HCA JANE HUTTON – CLERICAL OFFICER

HOW TO REFER • ON THE INTRANET • STANDARD REFERRAL FORM (BMI, ? IF HOUSEBOUND, ? D. N’S INVOLVED) • ONLY ACCEPT MEDICAL REFERRALS • YOU CAN ALWAYS RING FOR ADVICE IF NOT SURE • 0300 4228750

CONCLUSION IT IS OFTEN DEVASTATING, DEBILITATING, STRESSFUL AND PAINFUL WITH FREQUENT FEELING OF ISOLATION. TOO OFTEN , BECAUSE OF PROFESSIONAL IGNORANCE, APPROPRIATE TREATMENT IS DENIED TO THESE PATIENTS. IT IS OUR ROLE, OF ALL HEALTHCARE PROFESSIONALS, TO UNDERSTAND PROVIDE THE CARE THAT IS ESSENTIALLY NEEDED.