week 5 Oedema

Question 1

(i) Describe four [4] functions of compression therapy in managing oedema. [4 marks] (ii) Briefly describe two [2] aspects of oedema treatment that would be covered in an education programme. [4 marks]

Answer 1

1. Enhance muscle pump function to increase fluid flow to heart
(compression + movement)
2. Reduce stretched and dilated vessels
3. Improve valve function
4. Maintain and improve limb shape
5. Limb protection

bullshit

Question 2

(i) You are a clinician with a student on clinical placement and working with a client with chronic venous oedema following a DVT 5 years ago. He suffers from venous leg ulcers, and the oedema does not go down overnight.
Describe the two [2] different phases of oedema management using compression, and what compression devices you would use in each phase.

Answer 2

reduction phase using bandages
- degree of compression applied by bandage depends on
- this is the stage where the aim is to really push the fluid to where it wats to go
maintenance stage
- prescribe and measure when oedema reduced or plateaued

Question 3

(ii)Outline three [3] treatment approaches that you may apply in an effort to reduce the oedema in Tony’s hand. [3 marks]

Answer 3

using compression garment
some basic exercises or more daily activities to promote muscle pump for venous and lymphatic return
massage retrograde and lymphatic drainage

Question 4

b) Provide a rationale for why and when you would use compression bandages or compression garments with Mr K. (4 marks)
c) Outline two [2] key points of education that you would provide to Mr K to support his treatment program. (2 marks)

Answer 4

unsure

Question 5

what is a bi psychosocial approach

Answer 5

looking at both physical and psychosocial recovery

treatment tailed to individual need within injury context

Question 6

what are important aspects the therapist must consider for management of oedema (7)

Answer 6

1. what caused the oedema
2. when did oedema commence
3. how did oedema become chronic
4. what course of severity do we expect oedema
5. how can we treat it and how effective will the treatment be
   6how to implement this into the patient’s everyday life and roles
6. what will be barriers and facilitators of oedema control