Diagnosis and Treatment of Edema and Lymphedema in the Cancer Patient

Rehabil Nurs. 2018 Jul/Aug;43(4):229-242. doi: 10.1097/rnj.0000000000000177.

Abstract

Background: Lymphedema occurs commonly in cancer survivors. It is crucial to properly assess cancer patients in order to distinguish lymphedema from general edema and to initiate evidence based treatment.

Purpose: To provide evidence based recommendations for screening, evaluating, and treating lymphedema and to establish the role of the nurse in the care of patients with lymphedema.

Methodology: Comprehensive overview with narrative literature review of evidence based lymphedema diagnosis and treatment.

Findings: Cancer-related edema represents numerous complex conditions. A variety of interventions are needed to address prevention, early detection, patient education, and effective treatment.

Conclusion: Lymphedema treatment is complex and multimodal, and is provided by an interdisciplinary team of properly trained professionals. Nurses play a major role in evaluating, treating and educating patients on the signs and symptoms of cancer-related edema and patient self-management.

Clinical implications: Evidence-based assessment and treatment should be initiated early to improve outcomes and quality of life in patients with cancer-related lymphedema.

MeSH terms

  • Delivery of Health Care / methods*
  • Edema / diagnosis
  • Edema / therapy
  • Female
  • Humans
  • Lymphedema / diagnosis*
  • Lymphedema / therapy*
  • Lymphoscintigraphy / methods
  • Mass Screening / methods
  • Neoplasms / complications
  • Neoplasms / therapy*
  • Risk Reduction Behavior
  • Treatment Outcome