Could a compression bandage used with a patient with lymphedema increase the patient's blood pressure? Do you take special care to monitor this if they have a diagnosis of hypertension?
Answer
Since compression bandaging will increase fluid return to the heart, it can increase blood pressure. It is important to monitor blood pressure both before and after manual lymphatic drainage treatment. It is also helpful to educate the patient on signs and symptoms of adverse effects related to bandaging. These signs include headaches, shortness of breath, and facial redness and pressure.
Amy H. Pannullo, PT, DPT, WCS, CLT
Amy Pannullo graduated from Stony Brook University with her Doctorate of Physical Therapy in May 2007. She then went on to specialize in the field of women’s/men’s health, earning her board certification as a Women’s Health Certified Specialist, and credentials as a Certified Lymphedema Therapist. She actively serves as a mentor for Duke University’s Women’s Health Residency program, a teaching assistant for the DPT program and a Certified Clinical Instructor for student internships.
Kirsten I. Wightman, PT, DPT, CLT
Kirsten Wightman graduated with her doctorate of physical therapy in May of 2012. She then went on to pursue a yearlong residency in the field of Women’s Health physical therapy at Duke University under the direct mentorship of some of the best women’s health clinical specialists in the country. She received her lymphedema certification in the fall of 2012 through the Norton School of Lymphatic therapy. With a true passion for treating pelvic health and the lymphedema/oncology population, she will start a new position at Palo Alto Medical Foundation in Sunnyvale, CA in the fall of 2013 working in women’s health and cancer care.
Related Courses
1https://www.physicaltherapy.com/pt-ceus/course/wounds-in-patients-with-neurological-4357Wounds in Patients With Neurological ImpairmentsThis webinar introduces participants to the different types of wounds commonly found in patients with neurological impairments. It provides clinicians with basic treatment and risk reduction techniques to utilize in their practice settings. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.auditory, textual, visual
This webinar introduces participants to the different types of wounds commonly found in patients with neurological impairments. It provides clinicians with basic treatment and risk reduction techniques to utilize in their practice settings. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.
2https://www.physicaltherapy.com/pt-ceus/course/swell-to-well-wound-management-3666Swell to Well: Wound Management for Clients Living with LymphedemaThis seminar will describe the anatomy and physiology of the lymphatic system in relation to risks for developing wounds. This session will also focus on different types and stages of wounds commonly occurring and outline wound management interventions for individuals living with lymphedema. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.auditory, textual, visual
This seminar will describe the anatomy and physiology of the lymphatic system in relation to risks for developing wounds. This session will also focus on different types and stages of wounds commonly occurring and outline wound management interventions for individuals living with lymphedema. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.
3https://www.physicaltherapy.com/pt-ceus/course/therapist-s-management-upper-extremity-3411Therapist's Management of Upper Extremity BurnsThis course will cover the therapist’s management of upper extremity and hand burns from acute injury through scar formation with rehabilitation implications including edema management, orthotics, precautions and appropriate exercise throughout each phase. Wound coverings, dressings, and scar management techniques will be addressed. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTAauditory, textual, visual
This course will cover the therapist’s management of upper extremity and hand burns from acute injury through scar formation with rehabilitation implications including edema management, orthotics, precautions and appropriate exercise throughout each phase. Wound coverings, dressings, and scar management techniques will be addressed. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA
4https://www.physicaltherapy.com/pt-ceus/course/physical-therapist-screening-integumentary-system-3944Physical Therapist Screening of the Integumentary System, the Window Into One’s HealthA 2-hour intermediate continuing education course for clinicians interested in strengthening their knowledge and skills in the screening examination of the integumentary system. Clinical decision-making concepts and integumentary conditions will be reinforced and applied in a primary care approach to physical therapist examination that can be seamlessly integrated into inpatient, outpatient, and wellness-based physical therapist practices. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.auditory, textual, visual
A 2-hour intermediate continuing education course for clinicians interested in strengthening their knowledge and skills in the screening examination of the integumentary system. Clinical decision-making concepts and integumentary conditions will be reinforced and applied in a primary care approach to physical therapist examination that can be seamlessly integrated into inpatient, outpatient, and wellness-based physical therapist practices. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.
5https://www.physicaltherapy.com/pt-ceus/course/wound-care-staff-education-what-3945Wound Care Staff Education: What Clinicians Need to KnowA 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.auditory, textual, visual
'This presenter does an excellent job informing and communicating what is necessary for good wound treatment beyond just treating the wound'Read Reviews
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.
