Lymphedema & Complete Decongestive Therapy -What Every Clinician Needs to Know – Barbara Ingram-Rice

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Lymphedema & Complete Decongestive Therapy -What Every Clinician Needs to Know by Barbara Ingram-Rice,
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Faculty:
Barbara Ingram-Rice
Duration:
5 Hours 43 Minutes
Format:
Audio and Video
Copyright:
Nov 10, 2016

Description

Lymphedema requires patients to commit to their wellbeing full time, but when the process becomes too difficult, self-care routines tend to fall away. This puts patients at risk of exacerbation, infection, and more.  Over time, other health issues arise until suddenly they need assistance with maintaining their routines.

Not every therapist wants to be certified in Complete Decongestive Therapy, but every health care provider needs to know the basics, when and how to help, and when to refer out. In this recording, you’ll learn to recognize the signs and symptoms of lymphedema and explore complete decongestive therapy treatment plans, including assessment, massage, skin care, compression, exercise, and patient education.

Handouts

Outline

OVERVIEW OF THE ANATOMY AND PHYSIOLOGY OF THE LYMPHATIC SYSTEM

  • Anatomy of the lymphatic system
  • Understand the ways the lymphatic system may break down
  • Differentiate between lymphedema, lipedema and acute edema due to an injury
  • Discover what lymphatic watershed areas are

PATHOPHYSIOLOGY OF LYMPHEDEMA

  • Stages of lymphedema
  • Primary lymphedema
    • Congenital malformations
  • Secondary lymphedema
    • Post cancer
    • Trauma
    • Venous complications

DIAGNOSTIC IMAGING

  • Lymphoscintigraphy
  • Xeroradiography
  • CT scans

COMPLETE DECONGESTIVE THERAPY

  • Assessment
  • Manual lymphatic drainage massage
  • Skin care
  • Compression
    • Bandaging
    • Garments
    • Garment alternatives
    • Compression pumps
  • Decongestive exercise
    • Standard exercises for UE and LE
  • Patient education

LAB: MANUAL LYMPHATIC DRAINAGE PROTOCOL

BEST WAYS TO DONN/DOFF COMPRESSION STOCKINGS AND SLEEVES

  • Upper extremity
  • Lower extremity
  • Bandaging alternatives

DECONGESTIVE EXERCISES

  • Learn a fun exercise model that can be used for decongestive therapy as well as other patients
  • Lab to practice the moves as led by the instructor

DIFFERENTIAL DIAGNOSES

  • Lipedema
  • Chronic venous insufficiency
  • Venous-lymphostatic insufficiency
  • Generalized edemas
  • Edema during pregnancy
  • Acute inflammation

INTERMITTENT PNEUMATIC COMPRESSION THERAPY

COMPLEX CASE STUDY UTILIZING CDT TECHNIQUES

  • Initial assessment
  • Inpatient intensive rehab
  • Ongoing care

Faculty

Barbara Ingram-Rice Related seminars and products: 1

OT, LMT, CLT, CHC


Barbara Ingram-Rice, OT, LMT, CLT, CHC, serves on the faculty of the Occupational Therapy Assistant Program at State College of Florida and is the founder of Healthways for Life, Inc, a private practice in Florida that specializes in helping patients achieve self-care independence. An occupational and massage therapist, as well as a certified complete decongestive therapy/manual lymphatic drainage specialist, Ms. Ingram-Rice has worked closely with patients to manage the chronic condition of lymphedema throughout her 30 years of clinical practice.

Since studying Occupational Therapy at the Medical College of Georgia in 1983, she has worked in numerous professional advisory and leadership roles: Chair of the American Occupational Therapy Association Committee of State Presidents; President and Government Affairs Coordinator of the Florida Occupational Therapy Association; and West District President and State Conference Planner for the Georgia Occupational Therapy Association. She was the recipient of the David D. Clark Award of Excellence in 2011 and the Louise Samson Leadership Award in 2003, and she was inducted into the American Occupational Therapy Foundation’s Leaders and Legacies Society in 2015.

Speaker Disclosures:

Financial: Barbara Ingram-Rice is the founder of HealthWays For Life, Inc. She receives a speaking honorarium from PESI, Inc.

Non-financial: Barbara Ingram-Rice is a member of the American Occupational Therapy Association.



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