Adapting Lymphedema Treatment in Patients with a Mental Disability

Background and Purpose. Mental disability is often characterized by significant limitations in adaptive skills. When this condition is associated with lymphedema, treatment requires greater commitment of the care team. The objective of this study is to report the treatment of lymphedema using only o...

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Main Authors: Maria de Fátima Guerreiro Godoy, Lívia Maria Pereira de Godoy, Rodrigo Ocampos Troitino, José Maria Pereira de Godoy
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Psychiatry
Online Access:http://dx.doi.org/10.1155/2017/4958127
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author Maria de Fátima Guerreiro Godoy
Lívia Maria Pereira de Godoy
Rodrigo Ocampos Troitino
José Maria Pereira de Godoy
author_facet Maria de Fátima Guerreiro Godoy
Lívia Maria Pereira de Godoy
Rodrigo Ocampos Troitino
José Maria Pereira de Godoy
author_sort Maria de Fátima Guerreiro Godoy
collection DOAJ
description Background and Purpose. Mental disability is often characterized by significant limitations in adaptive skills. When this condition is associated with lymphedema, treatment requires greater commitment of the care team. The objective of this study is to report the treatment of lymphedema using only one therapeutic technique, a low-stretch grosgrain stocking. Case Report. We report the case of a 14-year-old mentally challenged female patient with lymphedema of the left leg, motor difficulties, and impaired speech and sight. According to the caregiver, lymphedema was present at birth; however, the patient had not been submitted to specific treatment. Thus, only one technique, an adapted low-stretch grosgrain compression stocking, was proposed as it could be used during daily life activities. The adaptation involved the grosgrain stocking, fastened using eyelets and cord up to the thigh, being sewn onto a pair of cotton shorts. The result was a clinical improvement with reductions in the perimeter and volume due to the compliance of the patient and the family to treatment. Conclusion. The use of a single treatment strategy in the form of a low-stretch stocking in such cases together with the involvement of a multidisciplinary team can lead to good treatment outcomes for chronic lymphedema.
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spelling doaj-art-d128e6e4fe7643e389cc02f10cd8e6ce2025-02-03T01:01:56ZengWileyCase Reports in Psychiatry2090-682X2090-68382017-01-01201710.1155/2017/49581274958127Adapting Lymphedema Treatment in Patients with a Mental DisabilityMaria de Fátima Guerreiro Godoy0Lívia Maria Pereira de Godoy1Rodrigo Ocampos Troitino2José Maria Pereira de Godoy3Medicine School in São José do Rio Preto (FAMERP), São José do Rio Preto, SP, BrazilResearch Group of Clínica Godoy, São José do Rio Preto, SP, BrazilResearch Group of Clínica Godoy, São José do Rio Preto, SP, BrazilResearch Group of Clínica Godoy, São José do Rio Preto, SP, BrazilBackground and Purpose. Mental disability is often characterized by significant limitations in adaptive skills. When this condition is associated with lymphedema, treatment requires greater commitment of the care team. The objective of this study is to report the treatment of lymphedema using only one therapeutic technique, a low-stretch grosgrain stocking. Case Report. We report the case of a 14-year-old mentally challenged female patient with lymphedema of the left leg, motor difficulties, and impaired speech and sight. According to the caregiver, lymphedema was present at birth; however, the patient had not been submitted to specific treatment. Thus, only one technique, an adapted low-stretch grosgrain compression stocking, was proposed as it could be used during daily life activities. The adaptation involved the grosgrain stocking, fastened using eyelets and cord up to the thigh, being sewn onto a pair of cotton shorts. The result was a clinical improvement with reductions in the perimeter and volume due to the compliance of the patient and the family to treatment. Conclusion. The use of a single treatment strategy in the form of a low-stretch stocking in such cases together with the involvement of a multidisciplinary team can lead to good treatment outcomes for chronic lymphedema.http://dx.doi.org/10.1155/2017/4958127
spellingShingle Maria de Fátima Guerreiro Godoy
Lívia Maria Pereira de Godoy
Rodrigo Ocampos Troitino
José Maria Pereira de Godoy
Adapting Lymphedema Treatment in Patients with a Mental Disability
Case Reports in Psychiatry
title Adapting Lymphedema Treatment in Patients with a Mental Disability
title_full Adapting Lymphedema Treatment in Patients with a Mental Disability
title_fullStr Adapting Lymphedema Treatment in Patients with a Mental Disability
title_full_unstemmed Adapting Lymphedema Treatment in Patients with a Mental Disability
title_short Adapting Lymphedema Treatment in Patients with a Mental Disability
title_sort adapting lymphedema treatment in patients with a mental disability
url http://dx.doi.org/10.1155/2017/4958127
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