Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

What might be an appropriate advanced treatment for lymphedema?

1. Manual massage and continual non-elastic bandages

2. Only elevation therapy

3. Compression garments only

4. Use of topical creams

The correct answer is: Manual massage and continual non-elastic bandages

Manual massage and continual non-elastic bandages represent an appropriate advanced treatment for lymphedema because they work collaboratively to manage the swelling associated with this condition. Manual lymphatic drainage, a specialized form of massage, helps to stimulate the movement of lymph fluid within the body, reducing swelling and improving circulation in the affected areas. Continual non-elastic bandages provide consistent compression, which is essential for preventing the accumulation of lymph fluid and helping to maintain the reduction achieved through manual massage and other interventions. This combination of techniques can promote better fluid dynamics in the lymphatic system, ultimately leading to improved outcomes for patients with lymphedema. In contrast, elevation therapy alone, while beneficial, does not address the underlying mechanisms of lymph fluid build-up as effectively as the combined approach of massage and compression. Compression garments can be helpful but are typically most effective when used in conjunction with other therapies. Topical creams may provide symptomatic relief or skin care but do not directly treat the underlying issues of lymphatic function. Thus, the comprehensive approach of manual massage combined with continual non-elastic bandaging is indeed the most appropriate advanced treatment option for managing lymphedema effectively.