Abstract:Lymphoedema is an incurable, progressive condition causing pain, psychological distress and mobility difficulties. Excessive swelling, worsening skin breakdown and leakage of lymph adversely affect the patient's quality of life while also placing increasing demands on district nursing resources. This article reviews the prevalence of non-cancer-related lower limb lymphoedema, the patient experience, management of the condition and district nurses' knowledge in this area.
“…During recent years, several investigators have recognised that lymphoedema is a complex problem that can strongly influence health‐related quality of life (HRQoL) . Lymphoedema may cause various physical symptoms such as pain and discomfort, and impaired physical and social functioning, as well as emotional effects .…”
This study indicates that about 20% of the patients with lymphoedema had major impact on their HRQoL. More effort and research is needed to identify, understand and support groups of patients with severe lymphoedema-related problems.
“…During recent years, several investigators have recognised that lymphoedema is a complex problem that can strongly influence health‐related quality of life (HRQoL) . Lymphoedema may cause various physical symptoms such as pain and discomfort, and impaired physical and social functioning, as well as emotional effects .…”
This study indicates that about 20% of the patients with lymphoedema had major impact on their HRQoL. More effort and research is needed to identify, understand and support groups of patients with severe lymphoedema-related problems.
“…There are many other causes of secondary lymphoedema, which include obesity, immobility, limb dependency and trauma. As such, it is sometimes described as acquired lymphoedema (Keen 2008;Shingale, 2007).…”
Compression garments have been widely used in the management of lymphoedema and form part of the maintenance phase of treatment. Maintenance therapy usually consists of skincare, exercise, self lymphatic drainage
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