Lymphedema: incidence, pathophysiology, management, and nursing care.

PURPOSE/OBJECTIVES: To review the incidence, pathophysiology, and management of lymphedema and discuss relevant nursing implications.

DATA SOURCES

Published articles, book chapters, and clinical experience.

DATA SYNTHESIS

Lymphedema may result from cancer and cancer treatment. Any surgical intervention and radiation therapy can result in interruption and obstruction of the lymph channels. Signs and symptoms of lymphedema include edema, pain, numbness, and limited range of motion.

CONCLUSIONS

Physical and psychological distress may result from lymphedema.

IMPLICATIONS FOR NURSING PRACTICE

Nursing care should focus on patient education that emphasizes risk factors for the development of lymphedema, prevention measures, and self-care activities. Nursing research is needed to determine specific informational needs of the patient, appropriate teaching techniques, and optimal times for delivery of information.