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 Nursing and Subjects and Vocations Allied to Medicine Last registration date: 31/07/2017
Purpose and Aim: Developing competence in multi layered Lymphoedema bandaging techniques for the lower limb for registered practitioners
LEARNING OUTCOMES
ASSESSMENT CRITERIA
Method
Assessor
Evidence
Date
Signature
The learner will:
The learner can:
Assessment method
Who will assess?
Evidence which will be available for verification
Date achieved
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 Information:
There is no specific assessment information to be used with this unit.
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.
