FHA / PHC /VCH Physiotherapy Services for Lymphedema 2014 FHA / PHC /VCH Physiotherapy Services for Lymphedema The purpose of this document is to provide information for PHC, VCH and FHA physiotherapists regarding services available for patients with lymphedema. Name Location/ Setting Geraldine Casey Liz Murry Janet Lun Leslie Hopkins Lion’s Gate Hospital Moya Stokes Ruth Struivig de Groot Debby Hall UBCH inpatient arthroplasty and surgical unit South Health Unit (CH6) Email phone fax Lions Gate Hospital 231 E. 15th St. North Vancouver, BC V7L 2L7 (604) 984-5809 [email protected] Admission Criteria Discharge Criteria Services provided - Physician referral - Adult - UE & LE - Typically secondary (acquired) - Mixed etiology - Patient demonstrating selfmanagement - Pressure garment acquired - Plateau in circumference measurements - non compliance - Education - Exercise - Lymphapress if required - Wrapping with Comprilan/Comprifoam [email protected] 604-984-5746 [email protected] [email protected] 604-301-2247 Fax 604-321-5108 Vancouver Home Health Carol Horii Kathy Petts Holy Family Hospital Outpatients [email protected] [email protected] 604 322-2624 Kelly Kavanagh Jill Kipnis St Paul’s Hospital Outpatients [email protected] 604-806-8115 Fax: 604-806-9143 1 Referral Process - UE only - Oncology only - Central Intake (direct access), - TST from acute care - Internal team referral from other disciplines in Home Health - Physician referral: send to Dr Weiss C432 1081 Burrard Street V6Z1Y6 604-806-8973,,,68973 - PHC Physician Referral - OASIS - BCCA - Homebound clients or clients/caregivers who are affected physically by >1 hour trip - UE & LE - Oncology - Adult > 55 years of age - UE & LE - Oncology, nononcology /mixed etiology /primary/secondary - Assessment with Dr E Weiss required prior to PT - No mechanical lifts - UE & LE (mostly UE) - Oncology or suspected oncology (lymph node biopsies) Education Exercise - Care plan goals met - Able to attend outpatient or community services Education Consultation with and referral to outpatient services/private services. - Garments worn without problems - Plateau - Indep with self wrapping - Loss of contact - Non adherence to wrapping protocol - Education - Exercises - Teaching pts &/or caregiver wrapping techniques, referral to Fitter for garments. - Pts pay for supplies - Liaison/consultation with physiatrist as needed - SW referral as indicated - Education - Exercise - Lymphapress - Link to compression garment - Pt indep - Pt plateaued and fitted with compression garment - Functional UE Developed by Providence Healthcare, Vancouver Coastal Health and Fraser Health Physiotherapists July 2014. Contact Alison Hoens @ [email protected] FHA / PHC /VCH Physiotherapy Services for Lymphedema 2014 - Comfort - Stable circumferential measurements - Sound knowledge of home mngt including: compression garment, exercises, self massage - Max 3 months - Goal is to get into a compression garment & self mngt fitter - Education - Exercise - Lymphapress - Wrapping - Self massage Sally Toft Burnaby Hospital Outpatients [email protected] 604-412-6309 Fax:604-450-6305 - Physician Referral - UE - Oncology & Nononcology (eg. secondary to surgery/#) Christine Hoffman Wanda PalmerLundt Eagle Ridge Hospital Outpatients [email protected] [email protected] Eagle Ridge Hospital, 475 Guildford Way, Port Moody, BC 604-469-3167 Fax 604-469-3246 - Physician referral - UE and LE - Mixed diagnoses Jackie Eves Langley Memorial Hospital Outpatients [email protected] - Physio or physician referral - UE Oncology (Post mastectomy only) - *Short term only - Education - Prepartion for sleeve fitting Surrey Memorial Hospital Surrey Memorial Hospital Outpatients 604-588-3344 Fax 604585-5568 [email protected] - Physician referral; - Direct access - UE & LE (primarily UE as pts on SMH breast cancer surgery pathway) - Acute - Oncology - As long as needed and depending on type of intervention required 1-2x/ week - Plateau in circumferential measures - Rx frequency weaned further, possibly 1/12 for 1-2 checks - Education - Exercise - Lymphapress - Compression bandaging with Comprilan; - Compression bandaging with Coban 2 Lite for upper limb; - Education - Exercise education - Lymphapress - Wrapping education but client must provide supplies unless the patient brings it in Pts treated with Lymphapress followed for 3 months and then referred to private FHA / PHC/ VCH Physiotherapy for Lymphedema Task Force Dr Kristin Campbell, Karen Chahal, Nancy Cho, Jackie Eves, Donna Findlay, Sean Gallimore, Debby Hall, Christine Hoffman, Leslie Hopkins, Carol Horii, Melissa Idle, Kelly Kavanagh, Jill Kipnis, Dena (Diana) LeGartner, Patrick Leung, Brenda McKnight, Liz Murry, Wanda Palmer Lunt, Kathy Petts, Moya Stokes, Ruth Struivig de Groot, Chiara Singh, Sally Toft. Geraldine Casey Facilitated by Alison Hoens 2 Developed by Providence Healthcare, Vancouver Coastal Health and Fraser Health Physiotherapists July 2014. Contact Alison Hoens @ [email protected]
© Copyright 2024 ExpyDoc
