Treatment and outcomes of head and neck oedema referrals to a hospital-based lymphoedema service.
Identifieur interne : 001673 ( Main/Exploration ); précédent : 001672; suivant : 001674Treatment and outcomes of head and neck oedema referrals to a hospital-based lymphoedema service.
Auteurs : Eunice Jeffs [Royaume-Uni] ; Martine HuitSource :
- British journal of community nursing [ 1462-4753 ] ; 2015.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Autosoins, Drainage, Femelle, Humains, Lymphoedème (), Lymphoedème (étiologie), Mâle, Orientation vers un spécialiste, Pression, Résultat thérapeutique, Sujet âgé, Sujet âgé de 80 ans ou plus, Traitement par les exercices physiques, Tumeurs de la tête et du cou (), Unités hospitalières (organisation et administration), Études rétrospectives.
- MESH :
- organisation et administration : Unités hospitalières.
- étiologie : Lymphoedème.
- Adulte, Adulte d'âge moyen, Autosoins, Drainage, Femelle, Humains, Lymphoedème, Mâle, Orientation vers un spécialiste, Pression, Résultat thérapeutique, Sujet âgé, Sujet âgé de 80 ans ou plus, Traitement par les exercices physiques, Tumeurs de la tête et du cou, Études rétrospectives.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Drainage, Exercise Therapy, Female, Head and Neck Neoplasms (complications), Hospital Units (organization & administration), Humans, Lymphedema (etiology), Lymphedema (therapy), Male, Middle Aged, Pressure, Referral and Consultation, Retrospective Studies, Self Care, Treatment Outcome.
- MESH :
- complications : Head and Neck Neoplasms.
- etiology : Lymphedema.
- organization & administration : Hospital Units.
- therapy : Lymphedema.
- Adult, Aged, Aged, 80 and over, Drainage, Exercise Therapy, Female, Humans, Male, Middle Aged, Pressure, Referral and Consultation, Retrospective Studies, Self Care, Treatment Outcome.
Abstract
A retrospective review of all head and neck cancer-related lymphoedema (HNCRL) referrals from 1 October 2009 to 30 September 2013 was undertaken. HNCRL referrals significantly increased over a 4-year period. Lymphoedema clinic records were manually examined for the presentation of HNCRL, treatments provided, and outcomes. Some 207 HNCRL referrals were received, increasing by 251% from 2009 to 2013. A total of 110 men and 50 women were assessed and treated over the 4 years; 67% were discharged, 26% continued treatment/monitoring by clinic; 8% are deceased. The average time to discharge reduced from 16 to 5 months. From the results, it seems that self-management with exercise and counter-pressure/compression is very effective and the requirement for manual lymph drainage is reduced. There is increased patient engagement with effective self-care. Provision of appropriate education and information facilitated simple, effective self-management. This reduced treatment time, shortened time to discharge and released valuable practitioner time to treat patients with complex oedema.
DOI: 10.12968/bjcn.2015.20.Sup4.S6
PubMed: 25950400
Affiliations:
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Nightingale Faculty of Nursing and Midwifery, King's College London, and Honorary Lymphoedema Clinical Nurse Specialist, Guy's Hospital</wicri:orgArea></affiliation></author><author><name sortKey="Huit, Martine" sort="Huit, Martine" uniqKey="Huit M" first="Martine" last="Huit">Martine Huit</name></author></analytic><series><title level="j">British journal of community nursing</title><idno type="ISSN">1462-4753</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Drainage</term><term>Exercise Therapy</term><term>Female</term><term>Head and Neck Neoplasms (complications)</term><term>Hospital Units (organization & administration)</term><term>Humans</term><term>Lymphedema (etiology)</term><term>Lymphedema (therapy)</term><term>Male</term><term>Middle 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scheme="MESH" qualifier="organisation et administration" xml:lang="fr"><term>Unités hospitalières</term></keywords><keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Hospital Units</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Drainage</term><term>Exercise Therapy</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Pressure</term><term>Referral and Consultation</term><term>Retrospective Studies</term><term>Self Care</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Autosoins</term><term>Drainage</term><term>Femelle</term><term>Humains</term><term>Lymphoedème</term><term>Mâle</term><term>Orientation vers un spécialiste</term><term>Pression</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Traitement par les exercices physiques</term><term>Tumeurs de la tête et du cou</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A retrospective review of all head and neck cancer-related lymphoedema (HNCRL) referrals from 1 October 2009 to 30 September 2013 was undertaken. HNCRL referrals significantly increased over a 4-year period. Lymphoedema clinic records were manually examined for the presentation of HNCRL, treatments provided, and outcomes. Some 207 HNCRL referrals were received, increasing by 251% from 2009 to 2013. A total of 110 men and 50 women were assessed and treated over the 4 years; 67% were discharged, 26% continued treatment/monitoring by clinic; 8% are deceased. The average time to discharge reduced from 16 to 5 months. From the results, it seems that self-management with exercise and counter-pressure/compression is very effective and the requirement for manual lymph drainage is reduced. There is increased patient engagement with effective self-care. Provision of appropriate education and information facilitated simple, effective self-management. This reduced treatment time, shortened time to discharge and released valuable practitioner time to treat patients with complex oedema.</div></front></TEI><affiliations><list><country><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Grand Londres</li></region><settlement><li>Londres</li></settlement></list><tree><noCountry><name sortKey="Huit, Martine" sort="Huit, Martine" uniqKey="Huit M" first="Martine" last="Huit">Martine Huit</name></noCountry><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Jeffs, Eunice" sort="Jeffs, Eunice" uniqKey="Jeffs E" first="Eunice" last="Jeffs">Eunice Jeffs</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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