Assessment, treatment goals and interventions for oedema/lymphoedema in palliative care

摘要

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 manuai 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.