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A Revised Method for Inducing Secondary Lymphedema in the Hindlimb of Mice
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Published on: November 2, 2019

Collaborative lymphoedema management: developing a clinical protocol.

Mary Thomson1, Jackie Walker

  • 1Nurse Maude Hospice Palliative Care Service, Christchurch, New Zeland. maryt@nursemaude.org.nz

International Journal of Palliative Nursing
|June 8, 2011
PubMed
Summary
This summary is machine-generated.

This study improved lymphoedema management in palliative care by developing new tools and a collaborative protocol. It enhanced service delivery and patient access to essential treatments like complete decongestive therapy (CDT).

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Area of Science:

  • Palliative Care Medicine
  • Oncology
  • Physical Therapy

Background:

  • Lymphoedema is a distressing chronic condition frequently seen in metastatic cancer patients.
  • Current conservative management in palliative care includes complete/complex decongestive therapy (CDT), manual lymphatic drainage (MLD), compression, skincare, and exercises.

Purpose of the Study:

  • To assess current lymphoedema management practices within a hospice palliative care setting.
  • To develop novel patient assessment tools and a collaborative clinical protocol.
  • To enhance patient access to effective lymphoedema management services in hospice care.

Main Methods:

  • Conducted two audits to gather evidence on patient demographics, assessment methods, and treatment outcomes.
  • Implemented a collaborative clinical protocol involving hospice services and specialist lymphoedema physiotherapists.
  • Focused on adapting complete decongestive therapy (CDT) to individual patient needs.

Main Results:

  • Gained new insights into patient profiles, assessment strategies, and treatment results for both cancer-related and non-cancer-related lymphoedema.
  • Demonstrated a quality improvement in the delivery of lymphoedema management services.
  • Established an effective partnership between district nursing services and specialist lymphoedema physiotherapy.

Conclusions:

  • The service development project successfully improved lymphoedema management within the hospice palliative care setting.
  • A collaborative, protocol-driven approach enhances service delivery and patient outcomes.
  • Partnerships are crucial for optimizing access to specialized care like lymphoedema management.