Case Studies & Papers
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Activa publication
| Title |
Actico - Actively targeting Lymphoedema: Case Studies |
Download File |
| Author |
A Williams, M Boyle |
| Publication |
Internal by Activa Healthcare, October 2005 |
| Key Points |
5 Case Studies ranging from 15 yr old with lymphagiectasia to 64 yr old with chronic oedema. |
| Title |
Debrisoft:Revolutionising Debridement |
Download File |
| Author |
Activa supplement in BJN and BJCN |
| Publication |
Activa publication |
| Key Points |
Booklet with introduction from Kathryn and Peter Vowden. Case studies from a range of healthcare professionals including podiatrists. |
Case study
| Title |
The Use of Actico Cohesive SSB (Inelastic) bandages in the management of lymphoedema |
Download File |
| Author |
Anne Williams |
| Publication |
Poster |
| Key Points |
Comparison of Actico Cohesive v non cohesive SSB. Sub bandage pressure measurements, limb volume reduction, staying in place, rebandaging frequency , patient comfort, nurse satisfaction, 3 case studies. |
| Title |
Lymphoedema - a gap in local services |
Download File |
| Author |
Angela Wilson, Leg ulcer specialist nurse |
| Publication |
Poster presentation, Wounds-UK conference, Harrogate, November 2006 |
| Key Points |
Best practice for chronic oedema is inelastic bandages. Innapropriate use of 4L causes deterioration.Actico and Actilymph on FP10 accessible treatment |
| Title |
Lymphoedema: A case study using the available resources - bandages, hosiery, nurse skills and patient/carer |
Download File |
| Author |
Anne Clements Independent Lymphoedema Practitioner |
| Publication |
Poster Presentation: Wounds UK Conference, Harrogate - November 2007 |
| Key Points |
4 layer elastic bandages are unsuitable for lymphoedema. They can cause gravitational swelling of toes. Actico gives rapid limb reduction without slippage |
| Title |
The advantages of using Actico bandaging to reduce oedema |
Download File |
| Author |
Alison Nelson, Healing Solutions Judith Patton - TVN |
| Publication |
Poster Presentation: Wounds UK Conference, Harrogate - November 2007 |
| Key Points |
Obese patient,non compliant. Wife learnt to bandage with Actico. After 6 weeks both legs healed and in Actilymph hosiery. |
| Title |
Implementation of a structured approach to leg ulcer care |
Download File |
| Author |
Rachael Smithdale and Ruth Martin Tissue Viability Nurse Specialists |
| Publication |
Poster Presentation: Tissue Viability Society Conference, Peterborough - April 2008 |
| Key Points |
Variations in referral rates for specialist leg ulcer intervention can lead to inequalities in pt care |
| Title |
A multi disciplinary approach to the management of Chronic Dependent Oedema in a patient with Spina Bifida |
Download File |
| Author |
Declan Campbell, Tissue Viability Podiatrist and Margaret Coulter, TVN |
| Publication |
Poster Presentation: Tissue Viability Society Conference, Peterborough - April 2008 |
| Key Points |
Poster to demonstrate multidisciplinary management of bilateral pitting dependency lower limb oedema in young Spina Bifida patient. |
| Title |
Chronic Oedema: A new perspective |
Download File |
| Author |
Marion Finn Tissue Viability Senior Nurse |
| Publication |
Poster Presentation: Tissue Viability Society Conference, Peterborough - April 2008 |
| Key Points |
Management of bilateral leg oedema requiring full leg bandaging. Patient much happier, now wearing hosiery |
| Title |
How quality of life can be altered in 24hours: the treatment of a lady with unrecognised lymphovenous disease |
Download File |
| Author |
Sylvia Hampton, Andy Kerr, Cathie Bree-Aslan - Tissue Viability Consultancy Services Ltd |
| Publication |
Poster Presentation: EWMA Conference, Lisbon - May 2008 |
| Key Points |
Young female patient ashamed of swollen legs and having to wear large men's shoes so barely went out. After 3 weeks of Actico was able to wear hosiery and normal shoes |
| Title |
Tackling obesity as part of the management plan for complex decongestive therapy in the treatment of lymphoedema |
Download File |
| Author |
Andrea Stigant Clinical Lymphoedema Specialist |
| Publication |
Poster Presentation: EWMA Conference, Lisbon - May 2008 |
| Key Points |
Case study of young patient morbidly obese, BMI 91 with non healing leg ulcers and Lymphoedema. Patient had limited mobility and low self esteem. |
| Title |
The management of chronic oedema |
Download File |
| Author |
Irene Spedding Tissue Viability Nurse Specialist |
| Publication |
Journal of Community Nursing, June 2008, Vol.22, Issue 6, 26 & 28 |
| Key Points |
Case study in young patient with chronic oedema in both lower limbs and recurrent leg ulcer. History of recurrent cellulitis and DVT. Full leg Actico, could wear normal shoes and mobilise |
| Title |
Comparison of sub-bandage pressure measurements of 4 compression systems from initial application to 24hrs |
Download File |
| Author |
Jeanette Muldoon,PHD Student, Kings College & Dr Hildegard Charles |
| Publication |
Poster Presentation: EWMA Conference, Helsinki - May 2009 |
| Key Points |
Study to show initial pressure and pressure losses after 24 hours in four different compression bandage systems on 15 healthy people.Actico found to be most comfortable. |
| Title |
The management of Lymphorrhoea with Flivasorb and Actico |
Download File |
| Author |
Rebecca Billingham Macmillan Lymphoedema Nurse Specialist |
| Publication |
Poster Presentation: Wounds UK Conference, Harrogate - November 2009 |
| Key Points |
73 year old lady with co-morbidities and housebound. Suffering with bilateral oedema and Lymphorrhoea and one leg also ulcerated. Her dream was to wear her �70 slippers. After weeks she could. |
| Title |
Chronic oedema - a patient's perpetual journey for treatment |
Download File |
| Author |
Melanie Lewis NHS University Health Board, Swansea |
| Publication |
Poster Presentation, EWMA Conference, Geneva - May 2010 |
| Key Points |
A 58 year old man with 18 years of lymphoedema. Clothes and slippers smelt offensive from lymphorrhea. Sleeping in a chair and not worn outdoor shoes for 3 years. Happy ending after Flivasorb and Actico , he was sleeping in his bed after 4 weeks and wearing normal shoes and clothes. |
| Title |
Improving QOL for patients with chronic oedema and lymphoedema - partnership with industry |
Download File |
| Author |
Edwin Chamanga TVN |
| Publication |
Poster Presentation, EWMA Conference, Brussels - May 2011 |
| Key Points |
Patient with mismanaged lymphoedema and disfiguring de bulking surgery. Close work between industry and Tissue Viability service greatly improved patient's quality of life.
quality of life for a patient with chronic oedema and lymphoedema post de bulking
surgery. |
| Title |
Managing lymphoedema of the lower limb in the acute setting: case studies that represent diverse patient groups in the UK |
Download File |
| Author |
Jemell Geraghty Clinical Nurse Specialist |
| Publication |
Poster Presentation, EWMA Conference, Brussels - May 2011 |
| Key Points |
Case study showing the conservative management of two patients with leg ulceration from chronic venous hypertension. |
| Title |
Lymphovenous disease: A condition for life... not suffering for life |
Download File |
| Author |
Lol Pidcock Specialist Lymphoedema Nurse |
| Publication |
Poster Presentation, EWMA Conference, Brussels - May 2011 |
| Key Points |
Mrs T is 52 years old, she suffers from lymphovenous disease, having bilateral leg ulcers and lymphorrhoea, very worried she could not attend daughter's wedding. |
| Title |
Lymphoedema - a gap in local services |
Download File |
| Author |
Angela Wilson, Leg ulcer specialist nurse |
| Publication |
Poster presentation, Wounds-UK conference, Harrogate, November 2006 |
| Key Points |
No specialist lymphoedema service in area.Unless correct inelastic bandages used to treat swelling the condition will deteriorate.This TVS uses Actico as easy to use and Activa provide support. Actilymph on drug tariff. |
| Title |
Management of a Patient with Lymphoedema |
Download File |
| Author |
Caroline Graham (TVNS), Johston L (Physio Clin.Spec), Burke M (LTVN) |
| Publication |
Poster presentation at Wounds UK Conference, Harrogate, Nov.2005 |
| Key Points |
56yr old man diagnosed 7 years ago and treated by Consultant Vascular Surgeon. Treated at acute hospital with long stretch bandage. Now TVS using Actico and MLD.Marked improvement. |
| Title |
Evaluation of new lymphoedema drug tariff garments for lower limbs |
Download File |
| Author |
Sue Lawrance, Lymphoedema Specialist Nurse |
| Publication |
Poster presentation at Wounds UK Conference, Harrogate, Nov.2005 |
| Key Points |
High level of lower limb lymphoedema in leg ulcer patients, and patients are often first seen by the community, need to receive correct treatment to prevent deterioration. |
| Title |
The lymphoedema practitioner's role in provision of care: a case study |
Download File |
| Author |
Andrea Stignant, Clinical Lymphoedema Specialist |
| Publication |
Journal of Community Nursing, November 2006, 20 (11): 29-34 |
| Key Points |
Because there is only 1 person at specialist level, education for community nurses for the daily care of these patients is essential. |
| Title |
A complex case study reviewing care of patient with cellulitis caused by lymphoedema |
Download File |
| Author |
Jane Cadogan TVN Swindon , J Waldron Vascular Nurse |
| Publication |
Poster presentation. TVS Conference, Torquay, April 2004 |
| Key Points |
SSB choice for lymphoedema, cotton bandages slipped. Layers of Actico reduced cirumference. |
| Title |
The Use of Actico Cohesive SSB (Inelastic) bandages in the management of lymphoedema |
Download File |
| Author |
Anne Williams, Lymphoedema Specialist Practitioner Dalkeith |
| Publication |
Poster at EWMA conference, Stuttgart in September 2005 |
| Key Points |
3 case studies, patients found Actico comfortable, did not slip and allowed mobility. |
| Title |
Lymphoedema: A case study using the available resources - bandages, hosiery, nurse skills and patient/carer |
Download File |
| Author |
Anne Clements |
| Publication |
Poster Presentation: Wounds UK Conference, Harrogate - November 2007 |
| Key Points |
Uncontrolled lymphoedema of four years. Actico applied three times a week. Noted reduction and better shape,significant reduction in 4 wks.Maintenance class 3 Actilymph |
| Title |
An audit of nurse's use of compression hosiery within two NHS Trusts |
Download File |
| Author |
Jackie Stephen-Haynes Consultant Nurse & Snr Lecturer in TV, Worcester Co-Author: Rachael Sykes, Activa |
| Publication |
Poster Presentation: Wounds UK Conference, Harrogate - November 2010 |
| Key Points |
An audit in 2010 of community and hospital nurses who attended 2 annual Trust led study sessions of their use of compression hosiery. Found nurses were not selecting appropriate hosiery for chronic oedema patients. |
| Title |
A well leg model "Prevention is better than cure" |
Download File |
| Author |
Lisa Rice and Jane McFarlane LU Specialists |
| Publication |
Wounds UK Conference, Harrogate, November 2008 |
| Key Points |
An audit of leg ulcer management indicating high recurrence rates. Activa BS hosiery is suitable for patients without oedema, and Actilymph for those with oedema. The ranges resulted in recurrence dropping from 65.9% to 4.5%. |
| Title |
The management of Lymphorroea with Flivasorb and Actico |
Download File |
| Author |
Rebecca Billingham |
| Publication |
Poster presentation at Wounds UK Conference, Harrogate - November 2009 |
| Key Points |
73 year old lady with co-morbidities and housebound. Suffering with bilateral oedema and lymphorrhoea and one leg also ulcerated. Flivasorb applied with Actico. After first day no strike through onto bandages and the Flivasorb had locked away all the fluid. |
| Title |
Treatment of a patient with hard-to-heal leg ulcers |
Download File |
| Author |
Silva, Filipe, Cardoso |
| Publication |
Poster presentation, Wounds UK Harrogate, November 2010 |
| Key Points |
The management of a 56yr old, morbidly obese man with bilateral circumferential leg ulcers. He had an extensive past medical history and the aim of treatment was to address the bacteria within the wound, address the multiple pathologies, reduce the oedema in his legs and heal the leg ulcers, thus improving his quality of life. |
| Title |
The development of a compression selection chart |
Download File |
| Author |
Nicci Kimpton |
| Publication |
Wounds UK Conference, Harrogate November 2011 |
| Key Points |
Implementing guidelines for clinicians has increased their confidence in selecting the best compression regime for patients with a range of venous, lymphatic and arterial conditions. |
Journal
| Title |
Randomised trial of cohesive short stretch versus four-layer bandaging in the management of venous ulceration |
Download File |
| Author |
P.Franks, M.Moody, C.Moffatt, R.Martin, R.Blewett, E.Seymour, A.Hildreth, C Hourican, J Collins, A Heron, |
| Publication |
Tissue Repair and Regeneration 2004: 12; 157-162 |
| Key Points |
159 patients, 12 centres- Outcomes; ulcer closure 4 LB 68%, CSSB 73%. Mobility deficit did not affect healing with cohesive short stretch bandages |
| Title |
Empowering patients to take control of leg ulcer treatment through individualised management |
Download File |
| Author |
Sylvie Hampton, Ellie Lindsay |
| Publication |
Journal of Wound Care, Vol.19,No.5, May 2005:238-240 |
| Key Points |
Had tried various treatments over the years including 4 LB. Had been labelled non-compliant and slept in a chair. Referred to Leg Club. Bilaterial applied over paste bandages. |
| Title |
A clinical audit of Actico cohesive short stretch bandages |
Download File |
| Author |
Anne Williams, Lymphoedema specialist |
| Publication |
Journal of Community Nursing, February 2006, 20 (2): pp4,6,8 & 10 |
| Key Points |
Soft pitting oedema responds well to multi layer short stretch bandages. Step by step palliative bandage guide. |
| Title |
Understanding compression therapy to achieve tolerance |
Download File |
| Author |
Alison Hopkins, Fran Warboys CNS, Tissue Viability |
| Publication |
Wounds-UK journal (2007) : 26 -34 |
| Key Points |
Bandage types, pressures, assessment, importance of padding, cahllenges and compression usage are discussed. |
| Title |
Leg Ulcer management in patients with chronic oedema |
Download File |
| Author |
Tracy Green Macmillan Lymphoedema Clinical Nurse Specialist |
| Publication |
Wounds Essentials (2007) Vol2: 46-58 |
| Key Points |
Chronic oedema is a common as leg ulcers. Fluctuating working and resting pressures found in inelastic bandages are required.Full leg bandaging and layering. |
| Title |
Understanding Lymphoedema in Older People |
Download File |
| Author |
Linda Nazarko Twickenham |
| Publication |
Nursing and Residential care, June 2006, Vol.8, No.26; 254-8 |
| Key Points |
Lymphoedema often unrecognised and untreated. Bandages and compresssion hosiery for the condition available on drug tariff. |
| Title |
Primary Lymphoedema - A case study |
Download File |
| Author |
Maureen Barrett D/N |
| Publication |
JCN July 2002 Vol:16, Issue:7- 44-48 |
| Key Points |
Activa the only company to provide support. Explanation of problems of bandaging limbs. |
| Title |
Selecting & fitting Activa hosiery |
Download File |
| Author |
Sylvie Hampton TVS |
| Publication |
Nursing and Residential Care. August 2002 Vol:4 No:8 396-398 |
| Key Points |
Confusion exists between European and British Standard hosiery. General lack of training for nurses. |
| Title |
Redesigning the process of providing compression hosiery to patients attending hospital clinics |
Download File |
| Author |
M. Andrews, Orthotics Project Manager |
| Publication |
JWC. Vol 14, No.7, July 2005: 307-309 |
| Key Points |
Article highlighted problems with old system. Backing consultants. Activa shortlisted by working group.Activa's training support. |
Other
| Title |
Randomised trial comparing four layer with Actico cohesive short stretch compression bandaging in the management of chronic venous ulceration |
Download File |
| Author |
P.Franks, M.Moody, C.Moffatt, R.Martin, R.Blewett, E.Seymour, A.Hildreth, C Hourican, J Collins, A Heron, |
| Publication |
Tissue Repair and Regeneration 2004: 12; 157-162 |
| Key Points |
159 patients, 12 centres- Outcomes; ulcer closure 4 LB 68%, CSSB 73%. Mobility deficit did not affect healing with cohesive short stretch bandages |
