Assessment, treatment goals and interventions for oedema/lymphoedema in palliative care
| Autor: | Sinead Slattery, Shirley Real, Sinead Cobbe |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Palliative care Heart Diseases Lymphatic massage Psychological intervention Treatment goals Cohort Studies 03 medical and health sciences Pulmonary Disease Chronic Obstructive 0302 clinical medicine Lymphorrhoea Quality of life Patient Education as Topic Chart review Compression Bandages Neoplasms Medicine Edema Humans 030212 general & internal medicine Lymphedema Motor Neuron Disease Physical Therapy Modalities Aged Retrospective Studies Advanced and Specialized Nursing Aged 80 and over Massage business.industry Palliative Care Middle Aged Athletic Tape Exercise Therapy 030220 oncology & carcinogenesis Physical therapy Quality of Life Female business Stockings Compression |
| Zdroj: | International journal of palliative nursing. 23(3) |
| ISSN: | 1357-6321 |
| Popis: | Background: Little is known about the treatment of oedema in palliative care patients. Aim: To outline the assessment, goals, and interventions for patients with oedema. Method: A 6-month chart review of a specialist physiotherapy-led oedema service was carried out. Results: Of the sample group (n=63), 28.6% of patients had lymphoedema, 15.9% had non-lymphatic oedema, 46% had mixed oedema and 9.8% had lymphorrhoea; 58 patients (92%) had cancer. The most common interventions were providing education (100%, n=63), using compression garments (58%, n=37), bandaging (51%, n=32), exercise (38%, n=24), lymphatic massage and kinesio-taping (35%, n=22 each). Treatment regime differed depending on the type of oedema present. Treatment goals were pragmatic: the most common were to maintain skin quality (54%, n=34), reduce limb volume (52%, n=32), and improve quality of life (48%, n=30). Conclusion: Palliative care oedema can be treated using manual methods, including compression and massage. Goals differ from other oedema populations. Research is hampered by lack of suitable measures to record skin changes and quality of life. |
| Databáze: | OpenAIRE |
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