Breast Cancer Related Lymphedema: An Interdisciplinary Approach.
Abstract
Many survivors of breast cancer complete their treatment, only to suffer from secondary
lymphedema. Chemotherapy, radiotherapy, and surgically removing axillary lymph nodes all
potentially disrupt upper limb lymphatic drainage, causing fluid accumulation in the upper
extremity. The swelling and increased volume of the upper extremity due to fluid accumulation
severely limits a patient’s ability to live normally and perform their activities of daily living.
Healthcare providers have the responsibility to both educate patients about possible outcomes
of cancer treatment as well as monitor subsequent changes. After breast cancer surgery,
physicians and nurses have the opportunity to monitor the patient to closely track possible
symptoms or risk factors for lymphedema. Nurses in particular spend significant time with
patients, which provides them the ability to notice any abnormal changes in limb volume or
movement. Additionally, their relationship with the patient allows nurses to properly educate
and discuss the possibility of lymphedema. Physical and occupational therapists work with
patients after surgery to increase strength, mobility, and a patient’s ability to perform activities
of daily living. If lymphedema has been diagnosed, they also work to decrease arm volume and
increase range of motion. Methods of managing lymphedema include medication, surgery,
manual lymphatic drainage, compression, exercise, and bandaging. An interdisciplinary
approach which includes these components while adjusting for patient preference will improve
a patient’s chance of living an enjoyable, productive life while managing symptoms of
lymphedema.
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https://hdl.handle.net/20.500.12202/4465Collections
- Honors Student Theses [208]
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