Lymphedema Management Study Guide Exam Questions and CORRECT Answers

Lymphedema Management Study Guide
Exam Questions and CORRECT Answers
What are the different Tx's for Lymphedema? - CORRECT ANSWER - -Skin Care
-MLD
-Multilayer Compression Bandaging
-Compression Garments
-Strength after Breast CA Exercise Program
-Aquatic Exercise
-Vasopneumatic Pumps
-Kinesiotape
-Low Level Laser
-Lymphedema Risk Reduction


What is the Gold Standard Lymphedema Tx? - CORRECT ANSWER - COMPLETE
DECONGESTIVE THERAPY


How could Complete Decongestive Therapy be described? - CORRECT ANSWER -2
Phases:
1) Intensive Reduction Phase:
-Skin Care
-MLD
-Compression Bandaging
-Exercise
2) Maintenance Phase: (once limb has been decongested)
-Daytime Elastic Garments
-Night time Compression
-Continued MLD

, What is Manual Lymphatic Drainage and how is it performed? - CORRECT ANSWER -
WHAT: a VERY LIGHT MASSAGE TECHNIQUE used to STIMULATE THE LYMPHATIC
SYSTEM


HOW:
-ALWAYS CLEAR PROXIMALLY FIRST and then WORK DISTALLY
-Utilizes "ANASTOMOSES" to REDIRECT FLUID to ALTERNATIVE LYMPH-NODE
DRAINAGE SITES
-Emphasize Diaphragmatic Breathing (for Thoracic Duct)
-5-7 REPETITIONS PER AREA
-SLOW RHYTHMIC MOVEMENTS; 1 STROKE PER SECOND


What are the Absolute and Relative Contraindications to MLD (in general)? - CORRECT
ANSWER - Absolute:
-UNTREATED CHF
-Acute Infection
-Renal Failure
-Acute DVT


Relative:
-Malignant Lymphedema


What are some Absolute and Relative Contraindications for Neck MLD? - CORRECT
ANSWER - Absolute:
-HYPERthyroidism (AVOID introducing thyroid hormone into blood stream)
-Cardiac Arrhythmias
-Hypersensitive Carotid Sinus (AVOID an acute drop of BP)


Relative:
-Pts >60 yo (AVOID mobilizing atherosclerotic plaque)