Senior Physiotherapist, Milford Care Centre, Limerick, Ireland.
Br J Community Nurs. 2021 Apr 1;26(Sup4):S6-S15. doi: 10.12968/bjcn.2021.26.Sup4.S6.
Oedema and lymphoedema commonly occur in patients receiving palliative care. Community nurses frequently manage both in the home or must decide to refer for medical or specialist lymphoedema assessment. This article describes the types of oedema seen in palliative care and assists in clinical reasoning around the type of oedema presented and when to refer onwards. The treatments for palliative care oedema and lymphoedema are described, including how to adapt for complex cases and for patient comfort. Genital swelling, abdominal swelling, head and neck oedema and lymphorrhoea are also discussed.
水肿和淋巴水肿在接受姑息治疗的患者中很常见。社区护士经常在家中管理这两种疾病，或者必须决定转介给医生或专业的淋巴水肿评估。本文描述了姑息治疗中常见的水肿类型，并帮助对所呈现的水肿类型进行临床推理，并确定何时转介。姑息治疗水肿和淋巴水肿的治疗方法也有所描述，包括如何为复杂病例和患者舒适度进行调整。还讨论了生殖器肿胀、腹部肿胀、头颈部水肿和淋巴液渗出。
