Community Nurses

Welcome to the community nurses’ page. Working in the community, you will encounter a wide range of patients who present with long-term swelling, some of these will be chronic oedema, some will be lymphoedema and others will be palliative oedema or palliative...

Best Practice for Cellulitis with Lymphoedema

Distinguishing between ‘red legs’ and cellulitis in these patients can be difficult (Cellulitis or Red Legs Flowchart). However once established, the following may be a useful guide. The British Lymphology Society and The Lymphoedema Support network...

Differential Diagnosis of Lymphoedema

The differential diagnosis of lymphoedema from other chronic oedema and mixed oedema is based largely on a good history, but there are some investigations that would help differentiate and therefore direct patient care more appropriately. Quick flowchart...

HCSW and Nursing Homes

Free learning module on the link below: Health Care Support Workers and other carers This section is especially for you. The short learning module below is to help you learn how to look after people with swollen legs and feet. It also gives examples of when you might...

Impact of Chronic Oedema

The impact of chronic oedema can have a devastating effect on the physical, psychological and social well-being of the patient which is unique to each individual patient and should never be underestimated. The effect may include: Physical – increased swelling of...

Management of Chronic Oedema and Lymphoedema

Management of chronic oedema consists of identifying and eliminating risk factors where possible e.g. prolonged dependency, obesity, sedentary lifestyle. A combination of preventative and active therapy includes compression, skin care, exercise, healthy lifestyle....

Lymphorrhoea Pathway

Click on this link for an example of a pathway of care for weeping/wet legs (lymphorrhoea). It was developed in Glasgow, but can be adapted to suit the resources and processes in your locality. Lymphorrhoea Pathway