Clinical innovation: compression garments for managing lymphoedema

Robyn Scheer. Wounds International 2017 | Vol 8 Issue 2

Click to read the abstract

Clinical innovation: compression garments for managing lymphoedema

Robyn Scheer. Wounds International 2017 | Vol 8 Issue 2

Abstract

Lymphoedema is a chronic condition due to a compromised lymphatic system and results in the accumulation of oedema. It can affect patients who have undergone cancer treatments that involve removal of lymph nodes and radiotherapy. It can also present from a congenital defect of the lymphatic system and as a complication of a venous disorder or filarial infection. The author has over 20 years’ experience working with lymphoedema patients and has a particular interest in compression garments. In this article, best practice and the author’s accumulated clinical knowledge are shared. Australia experiences some unique challenges, but many of the difficulties discussed are shared internationally.

Main findings

This article provides an excellent overview of compression garments for lymphoedema. It is particularly useful for newly trained practitioners.

Topics include:

  • types of fabrics,
  • issues to consider when prescribing compression garments including:
    • obesity
    • mobility
    • reduced ROM
    • hand dexterity
    • occupation
    • caring responsibilities
    • comorbidities
    • pain
    • age
    • cognitive impairment
    • personal preference
    • finance
    • geography
  • An excellent lymphoedema compression garment tree

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