Managing lymphoedema and lymphoedema-related complications in end-of-life care

Abstract

Lymphoedema is a condition often seen in palliative patients, characterised by impaired lymphatic drainage, which leads to swelling in affected areas. In the context of end-of-life care, managing lymphoedema and its associated complications, such as lymphorrhoea and infections, is crucial for enhancing patient comfort and quality of life. This article discusses the various management strategies for lymphoedema in palliative care, including compression therapy, manual lymphatic drainage, skin care and gentle exercise. Attention is given to complications such as cellulitis and lymphorrhoea, emphasising early intervention and holistic care to prevent deterioration. Additionally, the importance of mobility support, tailored care plans, and collaboration with healthcare specialists are explored. The article also highlights recent studies, including those on subcutaneous needle drainage and the limitations of current treatment options. Ultimately, effective management of lymphoedema in end-of-life care requires a comprehensive approach that prioritises comfort, symptom relief and the dignity of the patient.