Implementation of a lymphoedema surveillance program in a regional hospital.

Abstract

Introduction: The Australasian Lymphology Association endorses early detection and management of sub-clinical lymphoedema to reduce the long-term physical, functional and psychological effects. This pilot project involved the implementation of a Lymphoedema Surveillance Program (LSP) within the Surgical Breast Clinic (SBC) utilizing an advanced practice allied health assistant. Objectives: To determine the acceptability and feasibility of assessing patients pre-operatively in the SBC for staff and patients. Methods/Intervention: Train an allied health assistant to perform baseline measures (circumferential measures and bio-impedance analysis) and provide basic patient education. All new breast cancer patients seen in the SBC, who were recommended for surgery as a first-line treatment, were invited to participate. Patients and staff in the SBC were invited to complete satisfaction surveys. Data was collected for all new breast cancer patients seen between October 2016-March 2017. Results: 35 patients participated in the project. Most patients (30/32, 94%) indicated they preferred to have their assessment completed on the day in the Breast Clinic and (29/31) 94% rated the overall experience as 5/5. Most staff (8/9, 89%) strongly agreed with the statement “I support the implementation of the LSP.” Patients have been followed up and outcomes at up to 18 months will be presented. Clinical Implications: The LSP facilitates the early diagnosis of lymphoedema and was acceptable and feasible to patients and staff. Conclusion: The introduction of the LSP has been a valuable addition to the holistic management of breast cancer patients in the Grampians Region