Guidelines for managing people with lymphoedema remotely: a post-COVID-19 response document

Area of Science:

• Healthcare Management
• Public Health
• Clinical Practice

Background:

• The COVID-19 pandemic disrupted traditional face-to-face lymphoedema services due to infection risks, patient shielding, and movement restrictions.
• These disruptions necessitated rapid adaptations in service delivery to maintain effective and efficient patient care.
• The pandemic highlighted the need for flexible and resilient models for managing chronic conditions like lymphoedema.

Purpose of the Study:

• To provide a pragmatic guide for lymphoedema services adapting to pandemic-related challenges.
• To share best practices and offer specific guidance for lymphoedema management during and after the COVID-19 pandemic.
• To support the restoration and resetting of lymphoedema services in a safe and acceptable manner.

Main Methods:

• Analysis of the national response of Lymphoedema Network Wales during the initial months of the COVID-19 pandemic.
• Incorporation of contemporary advice and best practices in lymphoedema management.
• Development of standardized guidelines for implementation across NHS Wales.

Main Results:

• The pandemic accelerated the adoption of telehealth and remote consultations for lymphoedema patients.
• Standardized guidelines were implemented across NHS Wales, ensuring a consistent approach to care.
• Face-to-face appointments were recognized as necessary in some cases, but telehealth proved effective for many patients.

Conclusions:

• Telehealth consultations are a viable and effective method for supporting many lymphoedema patients, complementing necessary face-to-face appointments.
• The developed guidelines provide a framework for lymphoedema services to safely and effectively manage patients amidst ongoing pandemic-related challenges.
• Adapting service delivery models is crucial for ensuring continued and resilient care for individuals with lymphoedema.