The Skills of Therapist involved in Cancer Patients Undergoing Lymphedema Care

Abstract

Abstract

The purpose of this study is to elucidate the particular skills employed by expert therapists in the care of cancer patients with lymphedema. Eleven therapists authorized by the Association of Lymph Drainage Therapists and who had provided Complex Physical Therapy for lymphedema patients participated in the study. Data were collected through semi-structured interviews, and analyzed by qualitative and inductive methods. Four skills were identified as important in the alleviation of lymphedema：“understand the patient including details of his/her life in the past, present and future”, “ascertain how lymphedema has impacted on the patient’s overall life”, “explore methods that have the greatest effect”, “perceive what has happened under the palms”. Three skills were also identified to support patient self care：“be positive about self-care”, “support to continue self-care”, “estimate the distance as an escort runner”. The participants in this study treated patients with lymphedema by understanding their physical symptoms and personal experience of the condition. In addition, they provided psychological support to enable the patients to adopt a positive attitude to self-care, and realize and continue self-care. Once lymphedema appears, it follows a chronic course. Therefore, it is important for the caregivers to care for patients appropriately and reduce their pain. At the same time, the caregivers need to support patients to help them accept their lymphedema and understand the importance of initiating and continuing self-care.