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Managing chronic oedema and wet legs in the community: a service evaluation

Published on Nov 8, 2017in Nursing Standard
路 DOI :10.7748/ns.2017.e10951
Melanie J Thomas3
Estimated H-index: 3
,
Karen Morgan3
Estimated H-index: 3
+ 2 AuthorsLinda Jenkins1
Estimated H-index: 1
Abstract
  • References (14)
  • Citations (6)
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References14
Newest
#1Christine J. Moffatt (RMIT: RMIT University)H-Index: 30
#2Vaughan Keeley (University of Nottingham)H-Index: 1
Last. Lorraine Pinnington (University of Nottingham)H-Index: 12
view all 5 authors...
Chronic oedema (CO) is a major clinical problem worldwide, which has many important secondary consequences for health, activity and participation. Effective treatment planning and organisation of services is dependent on an understanding of the condition and its epidemiology. This cross-sectional study was designed to estimate the point prevalence of CO within the health services of one UK urban population and to determine the proportions that have concurrent leg ulceration. Patients with CO in ...
21 CitationsSource
Lymphoedema Network Wales was developed in 2011, after receiving a 拢1 million recurring investment from the Welsh Government to implement its Lymphoedema Strategy. This article describes the creation of the network and the importance of capturing performance data. It will also provide information on the three programmes of work, covering service development, education and research, and innovations and technology. Within Wales, the focus of lymphoedema service delivery is on 鈥榩rudent health care鈥...
3 CitationsSource
2 CitationsSource
#1Julian F. Guest (NU: Northwood University)H-Index: 19
#2Nadia Ayoub (NU: Northwood University)H-Index: 1
Last. Peter Vowden (University of Bradford)H-Index: 25
view all 8 authors...
The aim of this study was to estimate the patterns of care and annual levels of health care resource use attributable to the management of different wound types by the UK's National Health Service (NHS) in 2012/2013 and the annual costs incurred by the NHS in managing them. This was a retrospective cohort analysis of the records of 2000 patients in The Health Improvement Network (THIN) Database. Patients' characteristics, wound-related health outcomes and all health care resource use were quanti...
81 CitationsSource
#1Tessa Watts (Swansea University)H-Index: 9
#2Ruth Davies (Swansea University)H-Index: 9
Aim The aim of this study was to explore people's experiences of living with lymphoedema and to assess the impact of access to local lymphoedema clinics on their condition and thus their lives. Background A chronic condition caused by reduced lymphatic function, lymphoedema leads to swelling, pain and mobility problems and can adversely affect quality-of-life. It is of international concern as its prevalence is rising. Yet lymphoedema awareness is limited, diagnostic delay common and access to s...
10 CitationsSource
#1Sally Barlow (University of Bradford)H-Index: 8
#2Rachael Dixey (LBU: Leeds Beckett University)H-Index: 12
Last. Rob Newell (University of Bradford)H-Index: 18
view all 6 authors...
Background: Lymphoedema secondary to cancer is a relatively neglected and under-researched condition. Few studies report people's experiences of care and treatment provision when living with the condition. Current practice focuses on the physical treatment yet psychosocial needs often remain unmet. A previous study examining the patient perspective identified the theme of being 鈥榓bandoned by medicine鈥. Perceived lack of support may result in a delayed adaptation and acceptance of this long-term ...
7 CitationsSource
The lymphatic system is fundamentally important to cardiovascular disease, infection and immunity, cancer, and probably obesity 鈥 the four major challenges in healthcare in the 21st century. This Review will consider the manner in which new knowledge of lymphatic genes and molecular mechanisms has demonstrated that lymphatic dysfunction should no longer be considered a passive bystander in disease but rather an active player in many pathological processes and, therefore, a genuine target for fut...
110 CitationsSource
Chronic oedema of all causes is thought to be more prevalent than studies have shown. The impact of this chronic condition encompasses many physical, psychological and social domains, many of which are not acknowledged nor addressed. Successful management relies on three factors. The first is early detection and commencement of treatment to prevent complications occurring. The second is an holistic multidimensional approach to address all the associated physical, psychological and social sequell...
21 CitationsSource
#1Owen DoodyH-Index: 13
#2Eamonn SlevinH-Index: 13
Last. Laurence TaggartH-Index: 18
view all 3 authors...
Focus groups are used by researchers in the social and behavioural sciences to explore phenomena and are accepted as a legitimate qualitative methodology. The primary goal of focus groups is to use interaction data resulting from discussion among participants to increase the depth of the enquiry and reveal aspects of the phenomenon assumed to be otherwise less accessible. This article, the first of three articles on focus groups, examines the nature of focus groups, issues regarding planning foc...
61 CitationsSource
#1Rhian DaviesH-Index: 1
#2Bridie FitzpatrickH-Index: 15
Last. Margaret SneddonH-Index: 4
view all 4 authors...
Background: Poor knowledge of lymphoedema among clinicians can delay its management, increasing the burden on affected individuals, carers, and services. Aims: To determine the nature of, and means to address, lymphoedema education needs of clinicians within the context of their working lives. Methods: Electronic surveys of lymphoedema specialists and generalist clinicians in Scotland, followed by focus group discussions. Results: Gaps in knowledge and constraints imposed by referral criteria to...
3 Citations
Cited By6
Newest
#1Melanie J Thomas (National Health Service)H-Index: 3
#1Melanie J. ThomasH-Index: 1
Last. Rhian Noble-JonesH-Index: 2
view all 5 authors...
Abstract Purpose Lymphoedema is a chronic condition, a cancer consequence and causes physical, psychological, and social implications. A new super-micro surgical treatment Lymphatic Venous Anastomosis (LVA) may improve the symptoms of lymphoedema. This study aims to explore the impact of lymphoedema on individuals and if LVA Surgery changes perceptions on quality of life. Method Semi-structured interviews were conducted with sixteen individual's pre-LVA surgery and repeated six months later post...
1 CitationsSource
Ioan Humphreys, Research Assistant, College of Human and Health Sciences, Swansea University (i.humphreys@swansea.ac.uk), describes his involvement in evaluating some exciting initiatives to improve care
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2 CitationsSource
2 CitationsSource
This article reflects on the history of the NHS in Wales and how this has led to its current structure. How this structure supports integrated working across primary, community and secondary care and how further integration with social care is moving forward and its direct effects on district nursing are explored. This article describes how district nursing is meeting these challenges. Support for district nurses as part of integrated multiprofessional teams is being developed to promote appropr...
Source
#1Diane JehuH-Index: 1
#2Linda JenkinsH-Index: 1
Last. Melanie J ThomasH-Index: 3
view all 4 authors...
This case study demonstrates the benefits of early intervention and a proactive approach for a patient with chronic oedema living in the community. These benefited the patient and also supported value-based healthcare in the NHS. The patient's health and wellbeing significantly improved with an assessment of his chronic oedema and a management plan consisting of skincare, an exercise and movement programme and the introduction of a class 1 British standard compression garment.
Source
Chronic oedema and leaking lymphorrhoea can be distressing and challenging for patients to live with. This article introduces the Chronic Oedema 鈥榃et Leg鈥 Pathway, which became an output from the Lymphoedema Network Wales 鈥極n the Ground Education Project鈥 (Thomas et al, 2017). The evidence-based pathway provides nurses and therapists with clear guidelines to support prompt, efficient and effective management of all patients with chronic oedema and wet legs. This article presents the evidence and...
3 CitationsSource