Treatment for lymphorrhoea in limbs and in advanced disease.

Supported by the NHS Lymphoedema Service Administrator, this article reports on a project undertaken by a clinical nurse specialist in Lymphoedema (CNS) and in part fulfilment of an MSc in Skin integrity skills and treatment, achieved from the University of Hertfordshire, September 2011. The need for the project was generated by the 5-day delay experienced by terminally ill patients in a hospice while waiting to receive treatment for lymphorrhoea from the community-based CNS. The training and assessment of healthcare assistants in a cost-effective treatment enabled the instigation of care within 3 hours of the development of lymphorrhoea in a patient and an evaluation of its competent delivery.

Lymphoedema 3: the available treatments for lymphoedema.

The third article in this series describes the treatment available to sufferers of lymphoedema in the UK. Lymphoedema is a condition that cannot be cured and requires lifelong treatment to control symptoms that, if left untreated, would progressively worsen. The aim of treatment is to stabilize the oedema and empower the patient with the necessary skills to undertake self-care.

Lymphoedema 2: classification, signs, symptoms and diagnosis.

The second article in this series describes the different types of lymphoedema and the signs and symptoms associated with the condition. In the preceding article (Vol 11(5): 304-9) we examined the anatomy, physiology and functions of the lympathic system in relation to the condition of lymphoedema, and demonstrated how, by acting as a one-way drainage system, the lympathics maintain tissue homeostasis through the removal of excess fluid from the interstitial spaces. Failure or dysfunction of the system can result in lymphoedema, a condition characterized by the accumulation of fluid in the soft tissues.

Lymphoedema 1: components and function of the lymphatic system.

Lymphoedema is an incurable and debilitating condition which has a negative impact on the quality of life of the sufferer and his/her family. Information with regards to diagnosis and treatment is often scarce and conflicting in nature. The following series of articles should enable nurses to recognize the condition, provide basic information to a patient and instigate treatment though referral.