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Managing Lower Limb Lymphoedema using Multi Layered Lymphoedema Bandaging

Unit Code: PH55CY002
Level: Five
Credit Value: 4
Unit ID: CCZ515
learndirect: PH5
Sector: 1.2
Last registration date: 31/07/2017

This unit is a member of one or more groups of related units.

Purpose and Aim:
Developing competence in multi layered Lymphoedema bandaging techniques for the lower limb for registered practitioners

Learning Outcomes Assessment Criteria
The learner will The learner can
1. Understand how to use multi layered lymphoedema bandaging techniques to manage lymphoedema in the lower limbs.
1.1 Explain the purpose of multi layered lymphoedema bandaging in managing lymphoedema to include:
  • Current research
  • Current best practice guidelines
1.2  Explain the contraindications to using multi layered lymphoedema bandaging in managing lymphoedema.
1.3  Explain how to assess patients with lower limb lymphoedema to include:
  • Taking an oedema history
  • Assessing patients' mobility and support needs
  • Conducting an examination of the limb
  • Identifying skin conditions
  • Assessing circulation in the leg
  • Taking lower limb measurements
  • Calculating the circumference difference based on volumetric measurements
    • 1.4  Explain how to use multi layered bandaging techniques to manage lymphoedema to include:
  • Selecting compression padding and bandages
  • Selecting and using moisturiser and emollients
  • The benefits of toe bandaging
  • The application of undercast padding
  • The application of toe bandages
  • The application of multi layer short stretch bandaging
  • Identifying when to refer to other registered practitioners
  • Identifying the use of prophylaxis for cellulitis
    • 2. Be able to apply multi layered lymphoedema bandaging to manage lymphoedema in lower limbs.
    2.1 Demonstrate how to prepare for an assessment of lymphoedema in lower limbs to include:
    • Explaining the procedure to the patient and obtaining consent
    • Respecting the dignity and privacy of the patient
    • Maintaining the comfort of the patient throughout the procedure
    • Complying with current protocols for infection control, record keeping and data protection, safeguarding, health and safety, and manual handling
    2.2  Perform a lower limb lymphoedema assessment including:
  • Taking an oedema history
  • Making a physical assessment of the limb
  • Justifying the plan of care
    • 2.3  Demonstrate how to apply multi layered lymphoedema lower limb bandage to include:
  • Washing the limb with soap substitute and drying the limb removing loose skin plaques
  • Using moisturisers/emollients
  • Applying protection layer, toe bandaging, padding and multilayered short stretch bandaging
  • Checking limb shape and rigidity
  • Monitoring the circulation in extremities
  • Maintaining records and reporting deterioration to a medical practitioner or registered practitioner
    • 2.4  Give advice to the patient or family/carers about the ongoing management of the condition including information on:
  • Hygiene
  • Podiatry needs
  • Depilation
  • Footwear/clothes
  • Nutrition/hydration
  • Mobility and exercise
    • 2.5  Give advice to the patient or family/carers about minimising complications with multi layer Lymphoedema bandaging
    3. Be able to reflect on personal practice in managing lymphoedema using multi layered lymphoedema bandaging techniques.
    3.1 Evaluate personal practice in using lower limb multi layer lymphoedema bandaging.
    3.2  Create an action plan for ongoing professional development.

    Assessment Methods:
    • Practical demonstration
    • Practice file


    Further assessment guidance is available here.
    Assessment Information:
    There is no specific assessment information to be used with this unit.

    If not specifically stated in the assessment information, a plural statement in any assessment criterion means a minimum of two.
    ESDGC:

    The following key themes can be integrated into this unit


    Health
    Other Mappings:
    NOS CHS60, CHS 62, CHS 116
    KSF G7, HWB2 level 3, HWB7 level 3, HVB6 level 3
    Assessor Requirements:
    Assessment of this unit may only be conducted by an occupationally competent registered practitioner approved by the National Clinical Lead for Lymphoedema for Wales.