Abstract
Lymphoedema is a problem affecting millions of people throughout the world. In Australia, by far the most common group of people suffering from lymphoedema are women following treatment for breast cancer. Lymphoedema is caused by a dysfunction in the lymph system resulting in an accumulation of protein in the affected tissues. Oedema occurs because of the colloidal osmotic pressure exerted by the excess proteins. Treatment for lymphoedema must be aimed at the mobilisation of stagnant proteins, not simply the removal of excess water. Treatment involves manual lymph drainage, compression, exercise, skin care and education. Occupational therapists must recognise that improving the occupational performance of clients suffering from lymphoedema extends past prescription of pressure garments. The programme for lymphoedema management at Royal Prince Alfred Hospital, Occupational Therapy Department is discussed.
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