LYMPHEDEMA
PROBLEM
Lymphedema is the backup of fluid in the lymphatic system into an arm or leg. The fluid causes severe swelling, which restricts movement and can lead to infection and, in rare cases, a form of cancer called lymphangiosarcoma.
CAUSES
Many factors can cause lymphedema. These include a diagnosis of cancer treated with radiation, surgical removal of lymph nodes, infection, and disorders from birth, which affect the structure of the lymph system.
PREVENTION
A.Protect your arm or leg while recovering from cancer treatment:
1.Avoid heavy lifting, if it involves an arm.
2.Avoid strenuous exercise.
3.Avoid heat on your arm or leg.
4.Avoid tight clothing.
TREATMENT PLAN
A.Raise the affected arm or leg whenever lying down to improve pain and swelling.
B.Wear compression stockings. Put them on before getting out of bed in the morning. Take them off just before going to bed at night.
C.Apply lotion every day to the affected area.
D.Check the affected area every day and report any skin changes to your healthcare provider, especially any cracks or cuts.
E.Follow up with your primary healthcare provider and other specialty providers on a regularly scheduled basis.
Activity:
A.Get regular exercise. Discuss with your healthcare provider what type and frequency of exercise is safe for you.
B.Exercise leg muscles by pumping ankles when sitting. Rocking in a rocking chair is another option.
Diet:
A.Discuss with your healthcare provider the type of diet that best suits your needs: Diabetic diet, low-fat diet, low-cholesterol diet, and/or low-sodium diet.
Medications:
You Have Been Prescribed: ___________________________________________________________
You Need to Take: ___________________________________________________________
You Need to Notify the Office If You Have:
A.Any new symptom(s) not present at your last office visit.
B.Any of these symptoms:
1.Fever over 101°F.
2.Increased redness, pain, tenderness to touch, and/or warmth in affected arm or leg.
3.New pain, swelling, or warmth in an arm or leg.
C.Other: ___________________________________________________________
Phone: ____________________________
RESOURCE
Vascular Cures–Lymphedema: http://vascularcures.org/lymphedema
PATIENT TEACHING GUIDE