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
  • References (14)
  • Citations (6)
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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 ...
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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...
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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.
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...
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