ReferencesAiraksinen D, Kolari P, Herve R, Holopainen R 1988 Treatment of post-traumatic oedema in lower legs using intermittent pneumatic compression. Scandinavian Journal of Rehabilitation Medicine 20: 25-28 Airaksinen D, Kolari P, Airaksinen K 1990 Relationship between post-traumatic oedema reduction and pain relief. In: Nishi M, Uchino S, Yubuki S (eds) Progress in lymphology, Vol. XII, pp. 481-484. Elsevier, Amsterdam Airaksinen D, Kolari PJ, Ahonen E 1991a Edema and lower leg perfusion in patients with post-traumatic dysfunction. Acupuncture and Electro-theraputics Research International Journal 1 6 7-11 Intermittent pneumatic compression therapy in post-traumatic lower limb edema: Computer tomography and clinical measurements. Archives of Physical Medicine and Rehabilitation 72: 667-670 propagation speed in arthritic synovial tissue. Ultrasound in Medicine and Biology 2 0 975-979 Examination and diagnosis, 3rd edn. Churchill Livingstone, New York effect of mechanical compression on chronic hand oedema after burn injury: A preliminary report. Joumal of Bum Care Rehabilitation 15: 29-33 Airaksinen D, Partanen R, Kolari P, Soimakallio S 1991b Alaasarela EM, Alaasarela EL, Rasanen 0 1994 Ultrasound American Society for Surgery of the Hand 1995 The hand: Ause-Ellias KL, Richard R. Miller SF, Finley RK 1994 The Physiother Theory Pract Downloaded from informahealthcare.com by QUT Queensland University of Tech on 11/21/14 For personal use only.PHSIOTHEWY THEORY AND PRACTICE Barnes MD, Mani R, Barrett DF, White JE 1992 How to measure changes in oedema in patients with chronic venous ulcers. Phlebology 7: 31-35 Battistini N, Brambilla P, Virgili J, Simone P, Bedogoni C , Morini P, Chiumello G 1992 The prediction of total body water from body impedance in young obese subjects. International Journal of Obesity 16: 207-212 Issues in reliability and validity. Physical Therapy 69: 10251033 Belcaro G, Christopoulos A, Nicholaides AN 1990 Diabetic microangiopathy treated with elastic compression: A microcirculatory evaluation using laser-Doppler flowmetry transcutaneous pOz/pCOz and capillary permeability measurements. Vasa 19: 247-251 Bennett P 1993 Systems to measure underfoot pressure. In: Miskewitch V, Bennett P (eds) Clinical analysis of plantar foot pressure, pp. 121-149. Queensland University of Technology Press, Brisbane Boscheinen-Morrin J, Davey V, Conolly WB 1985 The hand: Fundamentals of therapy. Butterworth, London Brand PW 1985 Clinical mechanics of the hand. C.V. Mosby, St Louis, MO Brown JR, Brown AM 1992 Office diagnosis of lower extremity venous insufficiency and treatment with the use of nonprescription support hose. Journal of the American Osteopathy Association 92: 459-471 Case TC, Witte CL, Witte MG, Unger EC, Williams WH 1992 Magnetic resonance imaging in human lymphedema: Comparison with lymphoscintigraphy. Magnetic Resonance Imaging 10: 549-558 Colditl JC 1995 Therapist's management of the stiff hand. In: HunterJM, Mackin EJ, Callahan AD (eds) Rehabilitation of the hand: Surgery and therapy, 3rd ed...

Background:  People with serious mental illness in Queensland who require extended rehabilitation may be treated in extended inpatient mental health services. Two of these extended inpatient services, hospital and community‐based ‘Extended Treatment and Rehabilitation Units (ETRUs) and Community Care Units (CCUs)’, are described, including the aims, objectives, philosophy and service delivery. Methods:  A quality project involving occupational therapists working in these settings, as well as a consumer and carer, provides different perspectives concerning these relatively new health services in Queensland. Results:  Two main occupational therapy roles were identified: case management and occupational therapy‐specific roles (including assessment and intervention). The consumer and carer perspective is also presented. Conclusion:  These services provide a positive option for people with high levels of functional disability as a result of mental illness and also for their carers. They provide environments with many exciting opportunities and challenges for occupational therapists working in mental health.

As prior knowledge of the distribution of the body fluids is essential to understanding the pathological processes of oedema, the physiology of body fluids is first highlighted in this paper. The pathology of oedema is then explored with post-traumatic oedema and oedema from central paralysis illustrated. The paper then interrelates the physiological principles of body fluid, primary and secondary oedema as a foundation for further discussion of treatment of oedema. The treatment options frequently used in the management of oedema of the hand are further expounded. While the physiological basis of body fluids are integrated with oedema treatment modalities used, no attempt is made of discuss evaluation approaches used in oedema measurement as fluid volume reduction does not always equal oedema reduction.

As prior knowledge of the distribution of body fluids is essential to understanding the pathological processes of oedema, the physiology of body fluids is first highlighted in this paper. The pathology of oedema is then explored with post-traumatic oedema and oedema from central paralysis illustrated. The paper then interrelates the physiological principles of body fluid, primary and secondary oedema as a foundation for further discussion of treatment of oedema. The treatment options frequently used in the management of oedema of the hand are further expounded. While the physiological basis of body fluids are integrated with oedema treatment modalities used, no attempt is made to discuss evaluative approaches used in oedema measurement as fluid volume reduction does not always equal oedema reduction.