Treatment and outcomes of head and neck oedema referrals to a hospital-based lymphoedema service.
Identifieur interne : 000F04 ( PubMed/Corpus ); précédent : 000F03; suivant : 000F05Treatment and outcomes of head and neck oedema referrals to a hospital-based lymphoedema service.
Auteurs : Eunice Jeffs ; Martine HuitSource :
- British journal of community nursing [ 1462-4753 ] ; 2015.
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
Links to Exploration step
pubmed:25950400Le document en format XML
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<author><name sortKey="Jeffs, Eunice" sort="Jeffs, Eunice" uniqKey="Jeffs E" first="Eunice" last="Jeffs">Eunice Jeffs</name>
<affiliation><nlm:affiliation>NIHR Clinical Doctoral Research Fellow, Florence Nightingale Faculty of Nursing and Midwifery, King's College London, and Honorary Lymphoedema Clinical Nurse Specialist, Guy's Hospital, London.</nlm:affiliation>
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<author><name sortKey="Huit, Martine" sort="Huit, Martine" uniqKey="Huit M" first="Martine" last="Huit">Martine Huit</name>
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<term>Aged</term>
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<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 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" qualifier="complications" xml:lang="en"><term>Head and Neck Neoplasms</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</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>
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<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
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<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>
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<Title>British journal of community nursing</Title>
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<Abstract><AbstractText>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.</AbstractText>
</Abstract>
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<MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName>
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<MeshHeading><DescriptorName UI="D004322" MajorTopicYN="N">Drainage</DescriptorName>
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<MeshHeading><DescriptorName UI="D005081" MajorTopicYN="N">Exercise Therapy</DescriptorName>
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<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<MeshHeading><DescriptorName UI="D006258" MajorTopicYN="N">Head and Neck Neoplasms</DescriptorName>
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<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName>
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<MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
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<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Education</Keyword>
<Keyword MajorTopicYN="N">Exercise</Keyword>
<Keyword MajorTopicYN="N">Head and neck cancer</Keyword>
<Keyword MajorTopicYN="N">Lymphoedema</Keyword>
<Keyword MajorTopicYN="N">Self-management</Keyword>
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