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Journal of Public Health Policy and Planning | Volume 3
April 08-09, 2019 | Zurich, Switzerland
Health Care and Neuroscience
International Conference on
Self management with compression in lymphoedema
Franz-Josef Schingale
Lympho-Opt clinic, Germany
I
deal goal of therapy is to normalize the lymphatic
transport. Because of the chronic nature of
lymphedema the therapeutic goal is to return
the disease in the latent stage (limited transport
capacity without lymphedema) or at least in the
stage I and thereby achieve sustainable relief from
the discomfort. In treatment planning one or more
of the following sub-objectives have to be specified:
• Improve lymphatic drainage
• Softening fibrosclerotic tissue changes
• Reduction of connective tissue
• Improving the function deficits of the limbs, to
enhance the effectiveness of muscle and joint
pump
• Mediation of self-treatment options (skin care,
certain lymph drainage handles, technique of
lymphatic compression bandage)
• Repatriation or reintegration of such persons in
their social environment such as school, training,
study or professional
• Prevention of long-term care
• Improving quality of life
The most important column of the treatment is
compression therapy and movement. We educated
the patients in bandaging but it`s problematic,
because bandage slips after 5 hours and it was a
disaster for the patient to take off the whole bandage
and start again. So we changed to JuxtaFit for self
management, a stiff bandage with velcroft closures
and a BPS Guide
Advantages for the patient:
It takes less time and
the patient can adjust it after a few hours to control
the necessary compression, better reduction due to
higher stiffness and controlled pressure
e
:
franz-josef.schingale@lympho-opt.de