Abstract：
This case report discusses the role of a practitioner managing a patient with secondary lymphoedema as part of a self-management regime. The patient was diagnosed with multiple sclerosis and lumbar spinal stenosis. The focus is on compression therapy, which is used as part of complete decongestive therapy to reduce and control lymphoedema. The case report illustrates how a patient-centred plan can help people with lymphoedema and co-morbidities to achieve their personal goals. The evidence behind treatment decisions is considered, and modifications made to the care plan to accommodate the needs of the individual are described. The teaching and rehabilitation role of the practitioner is explored, including strategies used to support patients with long-term conditions. This report also identifies a lack of research-based evidence supporting the management of oedema as a symptom of multiple sclerosis. Further research is needed to inform clinical guidelines which would promote the management of secondary lymphoedema.
摘要：
此病例报告讨论了执业医师作为自我管理制度的一部分来管理继发性淋巴水肿患者的作用。患者被诊断为多发性硬化和腰椎管狭窄。重点是压迫疗法，它被用作完全减充血疗法的一部分，以减少和控制淋巴水肿。病例报告说明了以患者为中心的计划如何帮助淋巴水肿和合并症患者实现个人目标。考虑了治疗决定背后的证据，并描述了为适应个人需求而对护理计划进行的修改。探索了从业者的教学和康复作用，包括用于支持长期疾病患者的策略。该报告还指出，缺乏基于研究的证据来支持将水肿作为多发性硬化症的症状。需要进一步的研究来提供临床指南，以促进继发性淋巴水肿的治疗。
