Engaging with patients to make exercise and movement more meaningful: a case report

Movement is one of the four cornerstones of care (alongside hygiene and skin care, compression therapy and lymphatic massage), but patients often find it difficult to incorporate activity/exercise in their care regimen. Finding activity that the patient is comfortable building into their routine is vital and can have a positive effect on their physical and mental health. If the movement links into a patient's hobby, it does not feel like exercise and the benefits increase further. This article describes a case in which the author, a community lymphoedema therapist, encouraged and helped a man with lymphoedema find ways in which to incorporate exercise in his care regimen. This case was quite complex, and the patient had many comorbidites that limited his mobility. Using clear explanations and small, achievable and fun goals improved compliance and, therefore, patient outcomes.