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 |
A complex case study reviewing care of a patient with cellulitis caused by lymphoedema |
Download File |
| Author |
Jane Cadogan, TVN 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 circumference. |
| 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 |
Management of a Patient with Lymphoedema |
Download File |
| Author |
Caroline Graham, L Johnston, M Burke |
| 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. |
| 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 |
Whilst lymphoedema is not curable appropriate treatment controls the symptoms and prevents infection. |
| 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 Management. Involving the patient in treatment choice and implementation of care. |
Download File |
| Author |
Denise Renshaw, Lymphoedema Therapist |
| Publication |
Poster Presentation, EWMA Conference, Glasgow - May 2007 |
| Key Points |
Patient had lymphoedema of the arm following a mastectomy, Actico enabled her to wear her wedding ring again. |
| Title |
Case study of a patient with lymphoedema of the arm secondary to multicentric Castleman's disease, showing the cost effective use of cohesive short stretch bandaging, compared with using a cotton ssb |
Download File |
| Author |
Andrea Stigant Clinical Lymphoedema Specialist |
| Publication |
Poster Presentation: BLS Conference Oct 2007 |
| Key Points |
Actico is more cost effective than cotton short stretch in price and requires less frequent re bandaging |
| Title |
Care of a client with chronic oedema within a community setting |
Download File |
| Author |
Jill Stanton District Nursing Sister |
| Publication |
Poster Presentation: Wounds UK Conference, Harrogate - November 2007 |
| Key Points |
Uncontrolled lymphoedema, osteoarthritis and obese patient with fear of hospitals. Full leg Actico improve Q of L.Patient able to sleep in bed again |
| 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 |
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 |
Navigating the Health Care System |
Download File |
| Author |
Gudrun Collins Lymphoedema Specialist |
| Publication |
Poster Presentation: Tissue Viability Society Conference, Peterborough - April 2008 |
| Key Points |
Patient with lymphoedema, disfigured by debulking surgery. Now treated with full leg Actico bandages applied by husband |
| 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 |
The management of chronic oedema associated with venous disease using the patient and carer as a resource |
Download File |
| Author |
Alison Nelson Director of Tissue Viability |
| Publication |
Poster Presentation: EWMA Conference, Lisbon - May 2008 |
| Key Points |
Patient with poorly managed venous disease and Lymphoedema. Bilateral, very oedematous, extremely painful, weeping legs. |
| 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 |
Worried about dignity - Genital Oedema. |
Download File |
| Author |
Gudrun Collins Lymphoedema Specialist |
| Publication |
Poster Presentation: Wounds UK Conference, Harrogate - November 2009 |
| Key Points |
Reduced mobility and poor quality of life, both improved by Actico and Actilymph hosiery |
| 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 |
Lymphoedema management - A multidisciplinary approach |
Download File |
| Author |
Lisa Rice, LU Specialist, Eastleigh and Louise Piper, Community Sister |
| Publication |
Poster Presentation, Wounds UK Conference, Harrogate - November 2010 |
| Key Points |
The management of a 72 year old lady with lymphoedema, lymphorrhoea, hyperkeratosis and reduced mobility |
| 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 |
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 |
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 |
A multidisciplinary management of lower limb lymphoedema with quality of life as an outcome measure |
Download File |
| Author |
Kate Bennett |
| Publication |
Harrogate Wounds UK 2011 |
| Key Points |
Improved quality of life may be the patient's and carer's goal rather than full healing. |
| Title |
Treatment of a painful ulcer with an ionic sheet hydrogel dressing |
Download File |
| Author |
Christina Harris |
| Publication |
Harrogate Wounds UK 2011 |
| Key Points |
A case study of an 80 year old lady with rectal cancer, a deep vein thrombosis in her left groin leading to severe unilateral lymphoedema and a large leg ulcer. Severe pain was affecting her quality of life. |
Journal
| Title |
Primary Lymphoedema: a case study |
Download File |
| Author |
Maureen Barrett |
| Publication |
JCN July 2002 Vol:16, Issue:7- 44-48 |
| Key Points |
Activa only company to provide support. Explanation of problems of bandaging limbs |
| Title |
What I tell my patients about short-stretch bandaging |
Download File |
| Author |
Lesley Robinson |
| Publication |
British Journal of Dermatology Nursing 2004 Vol:8 No:3 |
| Key Points |
How Actico works. Application instructions for practitioners. Patient information. |
| 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. |
