Clinical audit of a lymphoedema bandaging system: a foam roll and cohesive short stretch bandages

Abstract

late stage lymphoedema; inelastic bandages; excess limb volume; clinical audit; compression therapy j. whitaker, 1 msc, rn, director, northern lymphology limited/ senior lecturer; a. williams, 2 phd, rn, msc, rdn, rnt, lymphoedema nurse consultant; d. Pope, 3 rn, lymphoedema nurse, previously northern lymphology; r. elwell, 4 rn, msc, macmillan lymphoedema nurse specialist; M. Thomas, 5 mBe, mcsp Bsc (hons) physiotherapy, national clinical lead for lymphoedema in Wales, H. charles, 6 phd, rn independent tissue viability consultant; j. Muldoon, 7 rn, msc, head of clinical research;

Comparison of the effectiveness of complex decongestive therapy and compression bandaging as a method of treatment of lymphedema in the elderly

“…Multi-layer compression bandaging (MCB) uses bandages of varying degree of compression, additional materials, and support materials, eg, cotton-wool bandages. 8 – 11 The second phase, consisting of self-administered lymphatic massage, daily use of compression garments, and self-directed continuation of the exercises, should be implemented only after the completion of the first phase. 9 , 10 CDT is a costly treatment which may only be carried out in specialized centers.…”

Ist Conference of the Lymphological Section of the Polish Phlebological Society. Wroclaw 22–23.04.2016. Lymphedema — pathophysiology, diagnosis and treatment

“…The ability to compensate changes resulting from intense exertion depends on numerous factors, with blood flow regulation in microcirculation being the main factor. The continuous capillary exchange in the venous, arterial and lymphatic systems allows maintaining adequate tissue nutrition and restoration of post-exercise balance [1,4,7,9,12]. The function of the lymphatic system, playing a role in adaptation to effort and elimination of post-exercise muscle fatigue is still unknown.…”

“…Artur Nahorecki 1,3 , Katarzyna Postrzech--Adamczyk 1 , Bożena Głuszczyk-Ferenc 1 , Robert Skomro 2 , Andrzej Szuba Introduction. Lymphedema is an illness which (regardless of its etiology) lymph gather in the extravascular space.…”

“…Lymphedema is an illness which (regardless of its etiology) lymph gather in the extravascular space. Compression therapy is an acknowledged method to treat this condition (the use of external pressure with the help of bandages and pneumatic apparatus) [1,2]. This leads to the movement of the liquid from intercellular space to endovascular area and subsequently to the extraction of its excessive amounts afterwards.…”

“…This method, carried out under hospital ward, enables effective treatment even in patients with difficult and complicated lymphedema. [1]. Lipoedemic fat cannot be lost through diet and exercise and with time it becomes painful.…”