Managing upper limb lymph oedema with use of a combined armsleeve compression garment

摘要

This article will detail the findings of 4 case studies following a product evaluation of a JOBST Bella Lite combined armsleeve for mild to moderate lymphoedema, while discussing the assessment and management of upper limb lymphoedema. Holistic assessment and consideration of psychosocial impact on the patient will be discussed briefly along with guidance on how to determine those 'at risk' of developing the condition. Upper limb lymphoedema (ULL) is a well-documented consequence of breast cancer surgery and treatments, presenting as localised swelling of the arm, hand or breast (Jung et al, 2014; DiSipio et al, 2013). Those undergoing extensive surgery or lymph node dissection for breast cancer are thought to be at risk of developing lymphoedema (Togawa et al, 2014), and there are a number of factors which can increase the risk of the onset of lymphoedema, including: age at diagnosis, type or extent of surgery, number of lymph nodes removed, chemotherapy and higher body mass index prior to diagnosis (Togawa et al, 2014; Jung et al, 2014). Lymphoedema is a chronic, progressive condition known to worsen over time; many studies document the importance of early intervention in minimising long-term symptoms or prevention. Accumulation of lymph in the interstitium increases the risk of cellulitis and lymphangitis (Shih et al, 2009), emphasising the importance of managing the condition effectively as early as possible following onset.