Klose MLD Study Questions And Answers Verified 100% Correct |2027|

Klose MLD Study Questions And Answers Verified 100% Correct |2027| Abdomen Contraindications - ANSWER --General -Pregnancy -Menstrual Period (relative to patient's comfort) -Recent abdominal surgery (6 mos or less) -Radiation fibrosis, R. colitis, R. cystitis -Post pelvic DVT (6 mos or less) -Crohn's Disease -Diverticulitis & diverticulosis -Liver cirrhosis -Abdominal aortic aneurysm -Unexplained pain -Implanted devices (drains, feeding tubes, colostomy bags, morphine pumps) -Others (hernia, mesh implants, cysts, fibroids, IUD - less or no work) Deep techniques on the trunk contraindications: - ANSWER --General -Osteoporosis -Radiation fibrosis -Bone metastases (bone cancer) -Anti-hormone therapy Why is abdominal MLD combined with deep diaphragmatic breathing? - ANSWER -To stimulate deeper situated lymphatic structures - thoracic duct (passes through the diaphragm then empties into the subclavian vein), cisterna chyli, lumbar trunks, pelvic & lumbar lymph nodes & organ structures with their lymphatic systems What are some indications for MLD other than lymphedema. - ANSWER --Sprain -Whiplash -Hematoma -Post-Surgical Edema -Oncology -Palliative Care / Hospice -Fibromyalgia -Chronic Fatigue Syndrome -Rheumatoid Arthritis -Scleroderma -Complex Regional Pain Syndrome (CRPS) -Other Systemic Disorders - anxiety, post-traumatic stress disorder, general stress reduction, general detoxification & enhanced immune function When incorporating MLD with a client who has post-surgical edema after total knee replacement, is it necessary to treat anastomosis pathways on the lateral trunk? - ANSWER -No. Drain into regional lymph nodes. Why is MLD contraindicated for a client who has uncontrolled congestive heart failure (CHF)? - ANSWER -MLD may overload/overwhelm the cardiovascular system Which anastomosis pathways are used when working with clients with: Secondary, right, upper-extremity lymphedema? - ANSWER -Anterior & Posterior Interaxillary anastomosis, (R) axilo inguinal anastomosis (affected side) Which anastomosis pathways are used when working with clients with: Primary, left, upper-extremity lymphedema? - ANSWER -(L) axillary lymph nodes. No anastomosis pathways required. Nodes are intact, only vessels are affected in primary. Which anastomosis pathways are used when working with clients with: Secondary, right, lower-extremity lymphedema? - ANSWER -Anterior & Posterior Interinguinal anastomosis, (R) inguinal axilo anastomosis Which anastomosis pathways are used when working with clients with: Primary, left, lower-extremity lymphedema? - ANSWER -(L) inguinal nodes. No anastomosis pathways required. Nodes are intact, only vessels are affected in primary. Which anastomosis pathways are used when working with clients with: Double mastectomy with lymph node removal on both sides? - ANSWER Bilateral axilo inguinal anastomosis Which anastomosis pathways are used when working with clients with: Double mastectomy with one side done prophylactically, i.e. lymph nodes were removed only on the side where cancer was detected? - ANSWER -Interaxillary anastomosis from affected to unaffected side, and if needed, as in lymphedema, affected side axilo inguinal anastomosis With MLD, how is the approach for clients with primary lymphedema different than for clients with secondary lymphedema? - ANSWER -Primary - utilize lymph nodes Secondary - utilize anastamosis pathways What are the 4 basic strokes of Vodder-method MLD? - ANSWER --Stationary Circle -Rotary Technique -Pump Technique -Scoop Technique What are the common characteristics of the 4 MLD techniques? - ANSWER - Gentle, predominantly circular stretching of the skin -Pressure phase -Relaxation phase (pressure-free) -Application rate of 1/sec, 5-7 repetitions /area What are the effects of MLD? - ANSWER --Improvement of lymph capillary uptake -Increase of lymphangio activity -Soothing effect -Analgesic effect -Redirection of fluid around blocked areas General: (4) Absolute Contraindications - ANSWER --acute cellulitis, -untreated congestive heart failure (CHF - cardiac edema), -acute untreated DVT, -fever General: (2) Relative Contraindications - ANSWER --malignant disease (active cancer) -renal dysfunction Neck Contraindications - ANSWER --General -Cardiac arrhythmia -Hyperthyroidism