Using compression garments in the management of lymphoedema

Cancer-related lymphoedema is a long-term condition that can develop following cancer treatment involving the removal or irradiation of lymph nodes. It can also occur when cancer cells invade lymph nodes. The management of lymphoedema involves several treatment strategies, which are best used in combination. Without the inclusion of compression, however, swelling can temporarily improve but remain essentially uncontrolled. Compression is therefore considered the mainstay of lymphoedema management (Longhurst et al, 2018), playing a pivotal role at all stages of the condition (Doherty et al, 2006).

Nurses and other health professionals in many areas of health care will encounter patients wearing compression garments for a variety of reasons. Knowledge of problems that can arise, the ability to identify poorly fitting garments and the advice to give patients concerning the application, removal and care of compression garments is therefore important when delivering best care to this patient group.