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Swell to Well: Wound Management for Clients Living with Lymphedema

Swell to Well: Wound Management for Clients Living with Lymphedema
Neely Sullivan, MPT, CLT-LANA, CDP
September 21, 2020
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Introduction

I am very pleased to be here today. A couple of housekeeping items that I want to introduce before starting the actual content of the session. First, I just wanted to mention that there are many different backgrounds and experience levels on this call. I have tried to be very thorough when presenting the information today, so I apologize if I repeat a basic concept. I want to make sure that everyone on the webinar today has working baseline knowledge of the information. Also, there is no way that I can adequately cover wound care or lymphedema management in a two hour period. Both of these topics are really large, thus my intent today is to introduce you to the concept of wound care for clients living with lymphedema. If you are interested in this topic, I would encourage you to pursue more education, maybe even certification in wound care and lymphedema. 

Background and Physiology of the Lymphatic System

Let's start with the background in the physiology of the lymphatic system. While we cannot spend hours and hours on this topic to have true mastery of the lymphatic system, we are going to take a look at a global level.

What is the Role of the Lymphatic System?

  • A drainage system
    • Brings substances from the tissues back to the circulatory system

The lymphatic system functions as a drainage system in the body. I like to think of it more as an irrigation system (Figure 1).

Figure 1. The lymphatic system (NIH/Public domain).

I am going to explain this analogy in just a few slides.

Lymphedema 

This quote is by Casley Smith, a very well known clinician in the lymphedema arena. She says that "lymphedema is the accumulation of excessive lymph fluid and swelling of subcutaneous tissues due to obstruction, destruction, or hypoplasia of lymph vessels."

Lymphatic System Anatomy

  • Initial lymph capillaries
  • Pre-collectors
  • Perforating pre-collectors
  • Collectors
  • Lymph nodes
  • Trunks

 


neely sullivan

Neely Sullivan, MPT, CLT-LANA, CDP

Neely Sullivan, PT, CLT-LANA, has worked with diverse client populations ranging from pediatric to geriatric in a variety of clinical settings.  These experiences and multiple courses on the topic have allowed her to treat and develop client care programs for clients living with lymphedema and wounds. She has served in multiple levels of regional and corporate management positions. In these positions, Neely has developed policies and worked closely with interdisciplinary teams to ensure that clients living with lymphedema and/or wounds have the opportunity to attain their highest level of function and quality of life. She is a certified lymphedema therapist and has most recently been responsible for the identification, implementation, and evaluation of clinical programs in long-term care settings.  Neely currently provides educational support to 13,000+ therapists nationwide as an Education Specialist for Select Rehabilitation. Neely has lectured nationally and at the state level on the topics of Lymphedema and Wound Care Management. She has authored publications focusing on edema and lymphedema management. 



Related Courses

Wound Care Staff Education: What Clinicians Need to Know
Presented by Neely Sullivan, MPT, CLT-LANA, CDP
Recorded Webinar
Course: #3945Level: Intermediate2 Hours
A systematic approach to wound care staff training can result in a positive outcome for therapists, staff, their clinic, and most importantly, their clients. Using multiple examples, this course examines key elements (role of multidisciplinary team, documentation and reimbursement, prevention, wound assessment, and wound treatment) of effective education and introduces strategies for making wound care learning engaging and fun to support delivered wound care services. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.

Management of the Client with Compromised Respiratory Function
Presented by Neely Sullivan, MPT, CLT-LANA, CDP
Recorded Webinar
Course: #3931Level: Intermediate2 Hours
This seminar reviews the background and scope of respiratory illness (including COVID-19) and introduces strategies for assessing and implementing treatment interventions designed for clients with compromised lung function. Finally, this course includes reimbursement and documentation principles to ensure efficacy in this area by therapy providers. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.

Justifying Medical Necessity in Documentation: Screens to Skilled Services
Presented by Neely Sullivan, MPT, CLT-LANA, CDP
Recorded Webinar
Course: #3973Level: Intermediate2 Hours
Providing excellent client-centered services depends on documentation that clearly illustrates the medical necessity of the client. Participants in this webinar will learn how to evaluate and articulate the medical necessity of their client, illustrate the complexity of their skills to support the necessity of your treatment plans, and recognize through examples what constitutes appropriate documentation. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.

Overcoming Compassion Fatigue in Our Work Environment
Presented by Neely Sullivan, MPT, CLT-LANA, CDP
Recorded Webinar
Course: #4314Level: Introductory2 Hours
This seminar will describe the stages, causes, symptoms, and consequences of compassion fatigue. It will also introduce strategies for assessing levels of stress and implementing strategies to prevent/minimize the development of compassion fatigue in your healthcare setting. This course is directly related to the practice of physical therapy and athletic training and is therefore appropriate for the PT/PTA and AT.

Reducing Opioid Use: The Role of Therapy in Managing Pain
Presented by Neely Sullivan, MPT, CLT-LANA, CDP
Recorded Webinar
Course: #4345Level: Intermediate2 Hours
Understanding and addressing chronic pain before it is treated pharmacologically may be an important first step in addressing opioid misuse. By attending this course, therapists will gain a better understanding of the scope of opioid use and abuse as well as the role that therapists can play in identifying and addressing addiction and pain. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.

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