Assessment, treatment goals and interventions for oedema/lymphoedema in palliative care

Cobbe, Sinead; Real, Shirley; Slattery, Sinead

dc.contributor.author	Cobbe, Sinead
dc.contributor.author	Real, Shirley
dc.contributor.author	Slattery, Sinead
dc.date.accessioned	2017-06-20T15:02:54Z
dc.date.available	2017-06-20T15:02:54Z
dc.date.issued	2017-03-16
dc.identifier.citation	Assessment, treatment goals and interventions for oedema/lymphoedema in palliative care 2017, 23 (3):111 International Journal of Palliative Nursing	en
dc.identifier.issn	1357-6321
dc.identifier.issn	2052-286X
dc.identifier.doi	10.12968/ijpn.2017.23.3.111
dc.identifier.uri	http://hdl.handle.net/10147/621464
dc.description	BACKGROUND: Little is known about the treatment of oedema in palliative care patients. AIM: To outline the assessment, goals, and interventions for patients with oedema. METHOD: A 6-month chart review of a specialist physiotherapy-led oedema service was carried out. RESULTS: Of the sample group (n=63), 28.6% of patients had lymphoedema, 15.9% had non-lymphatic oedema, 46% had mixed oedema and 9.8% had lymphorrhoea; 58 patients (92%) had cancer. The most common interventions were providing education (100%, n=63), using compression garments (58%, n=37), bandaging (51%, n=32), exercise (38%, n=24), lymphatic massage and kinesio-taping (35%, n=22 each). Treatment regime differed depending on the type of oedema present. Treatment goals were pragmatic: the most common were to maintain skin quality (54%, n=34), reduce limb volume (52%, n=32), and improve quality of life (48%, n=30). CONCLUSION: Palliative care oedema can be treated using manual methods, including compression and massage. Goals differ from other oedema populations. Research is hampered by lack of suitable measures to record skin changes and quality of life.	en
dc.language.iso	en	en
dc.relation.url	http://www.magonlinelibrary.com/doi/10.12968/ijpn.2017.23.3.111	en
dc.rights	Archived with thanks to International Journal of Palliative Nursing	en
dc.rights.uri	http://creativecommons.org/licenses/by-nc-nd/4.0/	*
dc.subject	PALLIATIVE CARE	en
dc.subject	Lymphoedema	en
dc.subject	PHYSIOTHERAPY	en
dc.subject	oedema	en
dc.title	Assessment, treatment goals and interventions for oedema/lymphoedema in palliative care	en
dc.type	Article	en
dc.contributor.department	Milford Care Centre, Limerick	en
dc.identifier.journal	International Journal of Palliative Nursing	en
dc.contributor.institution	Senior Physiotherapist, at Milford Care Centre, Limerick, Ireland
dc.contributor.institution	Physiotherapy Manager, at Milford Care Centre, Limerick, Ireland
dc.contributor.institution	Senior Physiotherapist, at Milford Care Centre, Limerick, Ireland
refterms.dateFOA	2018-08-27T22:35:16Z