Coordination of Multiple Services for a Patient With Severe Lymphedema of the Right Lower Extremity

Sylvia, Mary Beth; Spera, Erin; Hamilton, Susan M.; Harrington, Stella; Hartford, Jay; Quigley, Sandy
August 2011
Critical Care Nurse;Aug2011, Vol. 31 Issue 4, p55
Academic Journal
Surgical resection of the right lower extremity in an adult with severe lymphedema of the extremity required intensive coordination of multiple services and specialists because of the medical and surgical complexity of the patient's condition, massive limb size, and surgical location in a children's hospital. Early and prolonged planning was necessary to anticipate problems and provide optimal care. The patient had a successful surgical outcome, improvement in medical comorbid conditions postoperatively, and improvement in the quality of life upon discharge. This coordinated effort will be used in the future as a template for patients with complex conditions whose care requires lengthy planning and involves multiple services and specialists.


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