The Community Challenge is a simulated community event for pre-registration nursing students across all four fields. Through the provision of real-time simulation, the Community Challenge has combined a deeper learning for both nursing students and the drama students who were involved in making the scenarios real and interactive. The event was run over 5 days, with positive evaluations from students and staff. Furthermore, Community Challenge has been found to be successful in expanding opportunities for students that align with national drivers, curriculum planning and interprofessional learning. The event has allowed students to engage in learning with other fields, enhancing their own practice. The Community Challenge has been found to enhance the link between theory and practice within primary care, promoting the relevance and importance of community care within nursing.

Compression therapy is the main method used in treating lymphoedema and chronic oedema. When combined with exercise, the authors found that patients in their practice had improved outcomes; making it vital for health professionals to keep up-to-date with this practice Compression therapy is the main method used in the treatment and management of lymphoedema and chronic oedema. The increasing prevalence of the condition, which has multiple causes, such as genetic factors, age and external factors, require the effective management of the condition, and to enhance the management methods used to contain the condition. The use of exercise alongside the mainstay method of treatment (compression therapy) has been an underutilised area. The application of a structured exercise programme in conjunction with multi-layer lymphoedema bandaging combined with an adjustable velcro wrap-based systems led to a decrease in limb volume in one case study. The results of the programme indicate that the approach is beneficial and requires embedding further in Walsall lymphoedema service, due to improved patient outcomes, and cost effectiveness in terms of resources.

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Compression therapy is the main method used within the treatment and management of lymphoedema and chronic oedema. The increasing prevalence of the condition, which has multiple causes, such as genetic factors, age and external factors, require the effective management of the condition, and to enhance the management methods used to contain the condition. The use of exercise alongside the mainstay method of treatment (compression therapy) has been an underutilised area. The application of a structured exercise programme in conjunction with multi-layer lymphoedema bandaging combined with an adjustable velcro wrap based systems led to a decrease in limb volume in one case study. The results of the programme indicate that the approach is beneficial and requires embedding further within Walsall lymphoedema service, due to improved patient outcomes, and cost effectiveness in terms of resources.

Learning Points - Chronic oedema is a long term condition that can manifest as result of ageing and existing co-morbidities.  The impact of chronic oedema upon quality of life is a factor in achieving the goal of patient self-management within the older population.  The ageing process can affect the existing systems (vascular) that maintain homeostasis, and can create challenges in the treatment/management options.  Patient outcomes can be improved through careful consideration of the impact the ageing process in the devising of care plans. AbstractChronic and Lymphoedema (CO) are long term conditions (LO) that can become more complicated due to the ageing process, or have a relationship in the development of CO/LO. The ageing process can lead to alterations in the structures that support the normal function of the lymphatic system, or put it at greater risk of damage. The main three components (skin care, exercise and compression therapy) within the management of CO/LO can become more challenging. This is due to reduced healing rates, decreased cardio vascular capacity or deterioration in vascular/arterial structures as examples of ageing. The impact of ageing and how this can affect patient/treatment outcomes requires careful consideration.