Evaluation of a pilot nurse-led, community-based treatment programme for lymphoedema

Howell, Doris; Watson, Marcia Weidenmier

doi:10.12968/ijpn.2005.11.2.17671

Cited by 7 publications

(18 citation statements)

References 24 publications

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“…Four care programs were found in Australia [31], [32], [33], [34]. Three were found in Canada [35], [36], [37]. Two care programs were developed in the United States [38], [39].…”

Section: Resultsmentioning

confidence: 99%

“…Patients in these reviewed care programs were with several common cancer diagnoses. Seven care programs served patients with single diagnosis, including breast cancer [24], [35], prostate cancer [19], [20], [34], colorectal cancer [21], [22], [32], and lung cancer [26]. Four care programs were designed for patients with cancers in the same specialty, including two programs for hematological malignancies [31], [36], two programs for head and neck cancer ( [25], [30], and one program for gynecological cancers [39].…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Nurse-led cancer care: A scope review of the past years (2003-2016)

Lai

Ching

Wong

2017

International Journal of Nursing Sciences

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“…Four care programs were found in Australia [31], [32], [33], [34]. Three were found in Canada [35], [36], [37]. Two care programs were developed in the United States [38], [39].…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Nurse-led cancer care: A scope review of the past years (2003-2016)

Lai

Ching

Wong

2017

International Journal of Nursing Sciences

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“…Four (40%) studies were found in the LILACS database, five (50%) were found in PubMed, and one (10%) was found in CINAHL. Regarding the journals, one (10%) article was published in Revista Latino-Americana de Enfermagem, one (10%) was published in Escola Enfermagem Anna Nery, one (10%) was published in Revista Brasileira Ginecologia e Obstetrícia, one (10%) was published in Acta Paulista de Enfermagem, one (10%) was published in the Indian Journal of Cancer, one (10%) was published in The Breast, one (10%) was published in the Journal of Clinical Oncology, and one (10%) was Regarding the methodological design of the studies, one (10%) was a randomized controlled clinical trial [14]; one (10%) was a non-controlled randomized clinical trial [15]; two (20%) were cohort studies [16,17], and six (60%) were case-control studies [2,5,[18][19][20][21].…”

Section: Resultsmentioning

confidence: 99%

“…One study classified the grade of lymphedema as stages II and III [20], one (10%) study described it as grades I and II [15], and eight (80%) studies classified lymphedema as mild, moderate, or severe [2,5,14,16-19 21]. ,…”

Section: Resultsmentioning

confidence: 99%

Lymphedema in the Mastectomy Postoperative Period: An Integrative Literature Review

Fernandes¹,

Vidal²,

Moreira³

et al. 2013

ABCR

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Aims and Objectives:To analyze the evidence available in the literature on the stages during which upper limb lymphedema after mastectomy occurs. Background: Among the adverse effects of breast cancer treatment, lymphedema is the most prevalent. Design: Integrative literature review. Methods: The Latin American and Caribbean Literature on Health Sciences (Literatura Latino-Americana e do Caribe em Ciências da Saúde-LILACS), PubMed, and Cumulative Index to Nursing and Allied Health Literature (CINAHL) databases were used to select the pertinent studies. The identification data for these studies were summarized, and their methodological features and results were extracted. Results: Regarding the time elapsed since surgery, the highest prevalence of lymphedema corresponded to the late postoperative period, and regarding its severity, mild lymphedema was the most prevalent form. The prevalence was also the highest among the women who were subjected to radical mastectomy and radiotherapy. Conclusions: Many women who are undergoing treatment for breast cancer use strategies for the prevention and control of lymphedema of the upper limb following mastectomy. Relevance to Clinical Practice: The findings of the present study might inform future studies aiming to assess strategies that can be started in the immediate and late postoperative stages to detect lymphedema early and prevent the increase of its prevalence during the late postoperative period after mastectomy.

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“…It was unknown if her quality of life would have improved if her lymphoedema did not drastically reduce. Weiss and Spray (2002) found that the quality of life of patients with lymphoedema improves significantly after Complete Decongestive Therapy, irrespective of the limb volume decrease, but Howell and Watson (2005) found the exact opposite. These authors (Howell & Watson 2005) report that despite a limb volume reduction, the quality of life of most women in their study worsened as they realised that their lymphoedema would require lifelong management and would therefore serve as a reminder of their breast cancer experience.…”

Section: Discussionmentioning

confidence: 99%

Yes, breast cancer related lymphoedema can be managed

Maree

2011

Health SA Gesondheid

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The purpose of the study was to demonstrate that breast cancer related lymphoedema can be managed by means of Complete Decompression Therapy and consequently improve quality of life. An instrumental case study design was used. The target population was all women with breast cancer related lymphoedema living in Tshwane, the context of the study. The patient with the most severe breast cancer related lymphoedema treated by the researcher is presented. Mixed methods were used to gather data. The expected 60% limb volume reduction could not be achieved after 4 weeks of induction therapy. After 8.5 weeks of treatment, the limb volume reduced from the initial 3841 mL to 1639 mL, a 57.2% reduction. Patient compliance to compression therapy was a challenge and led to relapse extending the induction phase of treatment. Despite the prolonged treatment, the limb volume reduction improved the patient’s quality of life. The study demonstrated and confirmed that despite a degree of noncompliance, breast cancer related lymphoedema can be managed with Complete Decongestive Therapy which, in turn, improves the quality of life of women living with breast cancer.OpsommingDie doelstelling van die studie was om te demonstreer dat borskanker-verwante limfedeem deur middel van Volledige Dekompressie Terapie beheer kan word wat gevolglik die pasiënt se lewenskwaliteit verbeter. ‘n Instrumentele gevallestudie-ontwerp is gevolg. Die populasie waaruit die geval gekies is, het uit alle vroue met borskanker-verwante limfedeem in Tshwane, die konteks van die studie, bestaan. Die pasiënt met die ergste limfedeem wat die navorser behandel het, word voorgedra. Gekombineerde metode is ingespan om data in te samel. Die verwagte 60% vermindering in die armedeem binne 4 weke van induksie behandeling is nie bereik nie. Na 8.5 weke van behandeling het die edeem van die oorspronklike 3841 mL tot 1639 mL verminder wat ‘n 57.2% reduksie verteenwoordig. Die pasiënt het nie die voorskrifte ten opsigte van dekompressie terapie noukeurig nagekom nie, wat terugvalling en ‘n verlengde induksie-fase tot gevolg gehad het. Die vermindering van die armedeem het die pasiënt se lewenskwaliteit nogtans positief beïnvloed. Die studie het aangetoon dat, ten spyte van pasiënt afvalligheid, dit moontlik was om borskanker-verwante limfedeem deur middel van Volledige Dekompressie Terapie te verminder en lewenskwaliteit te verbeter.

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Evaluation of a pilot nurse-led, community-based treatment programme for lymphoedema

Abstract: lymphoedema treatment programmes must ensure that the multidimensional impact of this symptom on women's lives is recognized and addressed as part of the treatment process.

Cited by 7 publications

References 24 publications

Nurse-led cancer care: A scope review of the past years (2003-2016)

Nurse-led cancer care: A scope review of the past years (2003-2016)

Lymphedema in the Mastectomy Postoperative Period: An Integrative Literature Review

Yes, breast cancer related lymphoedema can be managed

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