1. LYMPHOEDEMA
GCS
VICKIE MATHIAS

2. LYMPHOEDEMA What is it? Where can you get it?
How many classes of Lymphoedema are there?

3. Primary Lymhoedema

4. Secondary Lymphoedema

5. Lipoedema (Painful fat syndrome)

6. Obesity Related

7. Dependency

8. Skin changes Thickness of the skin increases
Build up of horny scales on the surface
Skin creases deepen
Warty appearance, over time
Stemmer’s sign positive- can be absent in early stages
Pitting/non pitting
Fibrosis

9. Stemmer’s Sign

10. Lymphangioma

11. Papillomatosis

12. Peau D’Orange

13. Malignant Disease

14. Treatments involved Maintenance; Skin care
Exercise and use of the limb
Compression Garments
Simple Lymphatic Drainage Massage
Posture
Healthy eating advice
Sign posting to Lymphoedema Support Network

15. Treatments involved Intensive Coban bandaging
Medical/Manual Lymphatic Drainage Massage
Kinesiology taping
Compression Garments
Self lymphatic drainage massage
Intermittent Pneumatic Compression therapy i.e.. Lymphassist
Low Level Light Therapy
New treatments; LV anastomosis, Liposuction, Lymph node transplant

16. Kinesiology Taping

17. The Lymphoedema Team Consists of; Vickie Mathias – Manager
Kim wilcox – Lymphoedema Practitioner
Shelley Ellis – Lymphoedema Practitioner (O/T)
Ali O’Connor – Lymphoedema Practitioner
Jane Spiers – HCA
Pat Lipscome – HCA
Jane Hutton – Clerical officer

18. How To Refer On the Intranet
standard referral form (BMI, ?If Housebound, ?D.N’s involved)
Only accept medical referrals
You can always ring for advice if not sure

19. Conclusion
It is often devastating, debilitating, stressful and painful with frequent feeling of isolation. Too often , because of professional ignorance, appropriate treatment is denied to these patients. It is our role, of all healthcare professionals, to understand and provide the care that is essentially needed.