Edema Management Program

 

Edema will affect approximately 25-50% of patients who undergo axillary node surgery. Edema can also be caused by swelling secondary to chronic venous insufficiency, post-op surgical and hereditary. Patients who do not respond to diuretics and elevation are candidates for treatment.
 

What are the consequences of Edema?

 

  • Impairs the affected area.

  • Restricts joint movement.

  • Causes the skin to be dry and taut.

  • Tissues become hard and fibrotic, restricting

  • blood flow and oxygen.

  • Causes recurrent infections.

  • Blistering may increase leading to leakage and the development of serious wounds.\

What can be done about Edema?

  • Affinity Home Health Care offers a combination of lymphatic drainage with utilization of bandaging and compression therapy, all provided by a experience nursing staff.

  • Treatments are performed in conjunction with remedial exercises with the bandages, increasing lymphatic flow to promote edema reduction.

  • Patients are educated in the disease process and self care.

  • When appropriate, patients will be fitted for a compression sleeve & provided a compression pump for ongoing maintenance. Billed to Medicare.


All patients are seen by a registered nurse prior to treatment. Patients needing assistance will be provided with a home health aide to assist with bathing and showering.

It is important to note that when patients receive this therapy at home there is no co-pay, no capitation and supplies are covered by Medicare.

Symptoms of fluid retention

Symptoms of fluid retention can include:

  • swelling of affected body parts (feet, ankles and hands are commonly affected)

  • aching of affected body parts 

  • stiff joints 

  • rapid weight gain over a few days or weeks

  • unexplained weight fluctuations

  • when pressed, the skin may hold the indent for a few seconds (pitting oedema)

  • in other cases, the skin may not hold an indent when pressed (non-pitting oedema).