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Textbook of Chronic Wound Care: Chapter 13 Lymphedema

Textbook of Chronic Wound Care: Chapter 13 Lymphedema
New Courses


RN, LPN, APRN, CNA, CHT - Category B, CRT, RRT, RCP, CHRN - Category B

Credit Hours: 2.0

License Types: RN, APRN, LN, CNA, CRT, RRT, RCP, CHT - Category B, CHRN - Category B

This 2 hour online course is based on Chapter 13 of the Textbook of Chronic Wound Care. The textbook is not required to participate in this course, materials that you will need are provided. However, the Textbook of Chronic Wound Care can be puchased from Best Publishing Company and will be a compliment to this course.


  • Lymphedema is a vascular disorder that is either due to congenital malformations of the lymphatic system (primary etiology) or related to an insult or injury to the lymphatic system (secondary etiology) such as surgery, trauma, radiation, malignancies, or infections.
  • Secondary lymphedema is more prevalent than primary lymphedema.
  • On a global scale, the leading cause of lymphedema in the world is due to lymphatic filariasis, a parasitic form of lymphedema spread through mosquitoes.
  • Cellulitis is common in patients with lymphedema and may require recurrent hospitalizations.
  • ApositiveStemmer’ssignisasimpleclinicalfindingthatyieldsadefinitivediag- nosis of lymphedema.
  • Lymphoscintigraphy is accurate for detecting abnormalities of the lymphatic sys- tem in the extremities and shows slow or absent lymph flow and areas of reflux (backflow).
  • Complete decongestive therapy (CDT) is considered the standard of care for lymphedema management.
  • Surgery for lymphedema is not curative but may help manage severe cases.
  • Multilayered lymphedema bandaging (MLLB) is composed of multiple layers of short-stretch bandages, along with hygienic lining and padding materials, to cre- ate graduated compression with high containment.
  • All patients need to be transitioned into compression garments for lifelong maintenance management of lymphedema.
  • Intermittent pneumatic compression (IPC) devices, or lymphedema pumps, may be considered adjunctive to effectively manage lymphedema.

* Click on the course title above to view full course details*


  1. Case study
  2. Epidemiology and economic impact of lymphedema
    and integumentary dysfunction on lymphedema patients
  3. Starling’s law and ultrafiltration
  4. Composition of lymph and the lymphatic load
  5. Pathophysiology
  6. Examination and differential diagnosis
  7. Lymphedema staging
  8. History and physical exam
  9. Vascular assessment
  10. Stemmer’s sign
  11. Clinical features
  12. Lipedema
  13. Volumetric measurements and diagnostic tests
  14. Role of surgery in lymphedema
  • VLNT
  • LVA and LNVA
  • Lymphaticolymphatic bypass
  • SAPL

XV Interventions: complete decongestive therapy

  • Skin and nail care
  • Therapeutic exercise
  • Manual lymphatic drainage therapy
  • Multilayered lymphedema bandaging (MLLB)
  • Compression garments
  • Pneumatic compression

License types eligible for credits: RN, APRN, LN, CNA, CRT, RRT, RCP. Provided through the Florida State Board of Nursing and the CE is reciprocal for nurses in the United States. Florida nursing credits are reciprocal and approved for nurses within all states. Receiving credit for Florida providers is simple, attend the course and our staff will upload your credits directly to the Florida State database. For out of state credit, we provide all the necessary paperwork for you to file with the respective nursing board.

The information provided at this enduring material activity is for continuing education purposes only. The lecture content, statements or opinions expressed however, do not necessarily represent those of Wound Care Education Partners (WCEP), its affiliates or its employees.

No commercial support was received for this activity.

Hardware/Software Requirements
Hardware required for a learner to participate in this journal-based enduring material activity includes:
Computer with internet connection and a modern, updated browser
Note: If using IE 6, IE 7, or IE 8 we cannot guarantee that the courses will work.
Keyboard to take the quizzes

This textbook-based Internet Enduring Material activity is produced for online use.

Provider Contact Information
If at any time during participation in this online enduring material event, a learner can contact WCEP, by clicking on "Contact Us" tab located on the bottom right hand side of the menu bar found at the bottom of the screen. Also, the contact phone number and email address (hotlink) is always displayed on the bottom center of the screen.

Wound Care Education Partners (WCEP)
631 U.S. Highway 1, Suite 307
North Palm Beach, FL 33408
Phone: +1-561-776-6066
Fax: +1-561-776-7476
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.