Article publié à l’origine dans Pathways, Hiver 2023. Tous droits réservés 2023, Partenariat canadien du lymphœdème. Diffusé avec la permission de l’éditeur. Adaptation : Anne-Marie Joncas – Graphisme : Catherine Boily nference
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Moving forward together Nouveau succès pour le congrès national du lymphœdème 2023 The 2023 National Lymphedema Conference Moving forward together Moving forward together is another success Par Anna Kennedy et Shirin Shallwani
des personnes à risque élevé de lymdoit être mis sur le poids le plus approBy Anna Kennedy and Shirin Shallwani phœdème, l’intégration de la gestion prié pour une personne plutôt que sur le poids idéal. L’un des principaux enseides patients (par ex., l’automesure) et Le Partenariat canadien du lymphœgnements de cette présentation sur la le recours à la technologie (par ex., les Body image and sexuality he Canadian Lymphedema Framework is: “Never start a treatment or change in dème a tenu son congrès national 2023 gestion de la santé et du poids est le résultats électroniques rapportés par Anna Kennedy Cancer may impact all aspects hosted its 2023 Lymphedema thatand youShirin can’tShallwani continue forever.” à Toronto les National 3 et 4 novembre. Plus de Bybehaviour suivant : « Ne commencez jamais un trailes patients). By Anna Kennedy Shallwani of sexuality and even more 375 personnes ontNovember participé,3-4. dont des Conference in Torontoyon Sustainability key. and Shirinen tement ou unis changement cours de patients, des soignants, desincluding thérapeutes, if lymphedema is present. There were over 375 participants, « Ne vous lancez injamais dansBodyImage corporelle image and sexuality e Canadian Lymphedema Framework is:chi“Never route start a: treatment or change des infirmières, des médecins, des Marie-Eve Letellier, Sandra caregivers, therapists, nurses, ou un forever.” changement etBody sexualité may impact all aspects image and sexuality osted patients, its National behaviour thattraitement youstart can’ta Prospective continue he 2023 Canadian Lymphedema Framework is: un “Never treatment or change in deCancer rurgiens, desLymphedema ajusteurs de vêtements , and AnnaunTowers Rotholc comportementsurveillance que vous ne pourrez pasof sexuality physicians, surgeons, compression fitters, Le cancer peut avoir and even more Cancer may impact all aspects erencehosted in compressifs Toronto on November 3-4. Sustainability is key. its 2023 National Lymphedema behaviour that you can’t continue forever.” et des exposants. Le compte ference maintenir à vie. » La persistance est (Quebec) led participants impact sur toutes les and exhibitors. The following review highlights There is increasing research if lymphedema is present. suivant faitNovember état des 3-4. séances plé- Sustainability is key. of sexuality and even more e were overrendu 375inparticipants, including Conference Toronto on essentielle. evidence supporting the facettes de la through thissexualité, important topic, often the plenary sessions and somedes of the nières et375 de participants, certaines séances de Marie-Eve Letellier, Sandra if lymphedema is cas present. ents,There caregivers, therapists, nurses, Prospective were over including et plus encore en considered taboo fordediscussion breakout sessions. benefits of prospective surveillance for discussion en groupe restreint. , and AnnaLetellier Towers Rotholc Marie-Eve , Sandra icians, surgeons, compression fitters, surveillance patients, caregivers, therapists, nurses, Prospective sicians, La surveillance lymphœdème. Marie-Eve between patients and healthcare cancer-related lymphedema screening. (Quebec) led participants prospective ,Sandra and Anna Towers Rotholc exhibitors. The surgeons, following review highlights There issurveillance increasing research physicians, compression fitters, Letellier, Rotholc, Une question de poids professionals. However, Why weight? Shirin Shallwani (Ontario) outlined the through this important topic, oftencommuled participants De plus en the plus de données et(Quebec) Anna Towers (Québec) plenary of thereview highlights evidenceThere supporting and sessions exhibitors.and Thesome following is increasing research Denise Campbell-Scherer (Alnication isparticipants fundamental and must components: baseline assessment Denise Campbellappuient lesfor avantages ont guidé les taboothis for discussiontopic, through important often koutthesessions. benefits ofmain prospective surveillance plenary sessions and some of the le congrès evidence supporting the de laconsidered berta) a(Alberta) inauguré occur between patients and their partners, and routine monitoring, education and kicked cancer-related Scherer surveillance prospective pour pour aborder ce thème between patients and healthcare considered taboo for discussion lymphedema screening. breakout sessions.par une allocution sur « Ce benefits of prospective surveillance for doctor, and healthcare professionals. Well-being, risk-reduction care, weight professionals. off the conference with a keynote le dépistage (exercise, systématique du lymphœimportant, souvent consicommubetweenHowever, patients and healthcare Why weight? Shirin Shallwani (Ontario) outlinedskin the cancer-related lymphedema screening. que vous devez savoir à propos dème relié auearly cancer. Shirin Shallwani déréquality comme sujetand tabou of life, are essential for all management), detection of lymphedema address on “What youdirectrices need to know about main components: is fundamental and fulfillment must professionals. However, commubaseline assessment Denise CampbelldesWhy lignes canadiennes weight? Shirin Shallwani outlined the élé-nication (Ontario) en a(Ontario) décrit les principaux entrepatients les patients et les with lymphedema. (subclinical/early stage), and individualized the Canadian Adult Obesity Clinical Practice de pratique clinique en matière d’obésité between theirand partners, nicationpatients is fundamental must and routine monitoring, education (Alberta) kicked Scherer main components: baseline assessment Denise Campbellments : évaluation de and base et surveil-occurprofessionnels deand la santé. Challenges to implementing Guidelines.” Our knowledge of obesity has risk-reduction chez l’adulte ». Nos sur andmanagement. doctor, and healthcare professionals. occur between patients and their (exercise, skin care, weight off the conference withconnaissances a keynote routine monitoring, education and kicked Scherer (Alberta) lance de routine, éducation et réduction Cependant, la communicationWell-being, estpartners, fondaFoot care progressed with an increased recognition of the a prospective surveillance program l’obésité ont progressé avec une reconquality of life, and fulfillment are essential for Well-being, all doctor, and healthcare professionals. management), early detection ofskin lymphedema ess on “What you off need know about des risques (exercice, soins la peau, mentale et doit être établie entre les risk-reduction (exercise, care, de weight thetoconference with a keynote ress naissance accrue du rôle du microbiome Lymphedema in the lower roles of the gut microbiome, genetics, mood include limited resources (time, equipment, gestionstage), du poids), dépistage précoce dupatients patients et life, leurs leur médewith lymphedema. quality of andpartenaires, fulfillment are essential for all (subclinical/early and individualized Canadian Obesity Clinical Practice management), early detection of lymphedema addressAdult on “What you need to know about intestinal, de on la génétique, de l’humeur limb causes skin and (stress), and sleep obesity. The new 2020 trained professionals) and non-standardized lymphœdème (subclinique/premier stacin et les professionnels de la santé. Le patients with lymphedema. management. Challenges to implementing elines.” Our knowledge of obesity has (subclinical/early stage), and individualized the Canadian Adult Obesity Clinical delines.” (stress) et du sommeil sur Practice l’obésité. health changes. Maryse procedures and management Obesity Guidelines focus patient-a Les de) et priseforendiagnosis charge individualisée. bien-être,Foot la qualité de vie et l’épanouiscare ressed withdernières anCanada increased recognition of on the prospective surveillance program management. Challenges to implementing La Guidelines.” Our knowledge of obesity has d’Obélignes directrices 2020 mise en œuvre d’un programme de sursement sont primordiaux pour tous les (Quebec) and Audrey Beaumier of subclinical/early lymphedema. Possible care and improvement of health and well- limited Lymphedema in the lower Foot care thecentred gutsité microbiome, genetics,recognition mood include resources (time, equipment, Canada privilégient les soinsofcentrés with an increased the a prospective surveillance program s of progressed veillance prospective se and heurte à des patients atteints deWall lymphœdème. (Ontario) provided solutions include identifying prioritizing being. Tools like the Edmonton Obesity Staging sur patient etThe l’amélioration de la santé limb causes skin and in the lower practical Lymphedema ss),roles and of sleep obesity. new 2020 mood trained include professionals) and non-standardized theleon gut microbiome, genetics, limitedtelles resources (time, equipment,limidifficultés que des ressources foot care tips for patients and at high of lymphedema, System andbien-être. the 5As of Obesity Management can individuals etand du health changes. Maryse limb causes skin and for diagnosis andrisk management sity (stress), Canada Guidelines focus on patientSoins des pieds sleep on obesity. The new 2020 procedures trained professionals) and non-standardized tées (temps, équipement, professionnels healthcare professionals. Drink integrating patient management (e.g., help guide obesity assessment and support. The (Quebec) and Audrey Beaumier health changes. Maryse of subclinical/early lymphedema. Possible redObesity care and improvement of health and wellqualifiés)for et diagnosis des procédures non standarLe lymphœdème des membres inféprocedures and management Canada focus on patientDes outilsGuidelines tels que le système de stadifilots of water, perform daily inspections, practice self-measurement), andprioritizing incorporating focus should be on the bestd’Edmonton weight for a person disées pour le diagnostic et Possible la prise en rieurs entraîne des modifications de provided practical Wall (Ontario) cation de l’obésité la of include (Quebec) andlaAudrey Beaumier solutions identifying and g. Tools like the Edmonton Obesity subclinical/early lymphedema. centred care and improvement ofStaging health and et wellwear well-fitted and technology (e.g., electronic patientrather than the ideal weight. A key takeaway from charge du oflymphœdème subclinique/ peaumeticulous et altère lahygiene, santé. Maryse Beaumier desEdmonton 5AManagement de la prise en charge de solutions foot care tips(Ontario) for patients and footwear, provided practical Wall individuals at highinclude risk lymphedema, em being. and thestratégie 5Aslike of Obesity can identifying and prioritizing Tools the Obesity Staging seek professional help from a foot care nurse, reported outcomes). this session on managing health and weight précoce. possibles com(Québec) healthcare et Audrey Wall l’obésité peuvent aider à guider Drinkontand footprofessionals. care tips(Ontario) for patients integrating patient management guide obesity and support. The l’évaluaindividuals atLes high solutions risk of (e.g., lymphedema, System andassessment the 5As of Obesity Management can prennent l’identification et la priorisation proposé des conseils pratiques en tion de l’obésité et le soutien. L’accent
he 2023 National Lymphedema Conference The 2023 National Lymphedema Conference s another success T is another success
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lots of water, perform daily inspections, practice Drink healthcare professionals. self-measurement), and incorporating s should be onobesity the best weight for and a person integrating patient management (e.g., help guide assessment support. The meticulous hygiene, wear well-fitted footwear, lots of water, perform daily inspections,and practice technology (e.g., electronic and patienter than ideal be weight. A key self-measurement), incorporating focustheshould on the besttakeaway weight forfrom a person Anna Kennedy is a Founding Member of the Canadian Lymphedema Framework and Editor of the Pathways magazine. seek professional from wear a footwell-fitted care nurse, meticuloushelp hygiene, footwear, and reportedtechnology outcomes).(e.g., electronic patientsession managing health andAweight ratheronthan the ideal weight. key takeaway from She received the Queens Jubilee Medal of Honour for her contribution to the lives of Canadians. Anna advocates a seek professional help from a foot care nurse, reported outcomes). this session on managing health and weight healthy and active lifestyle to manage her lymphedema. Shirin Shallwani, PT, PhD is a licensed physiotherapist and certified lymphedema therapist, currently completing a postdoctoral research fellowship at the University of Alberta Anna Kennedy is a Founding Member of the Canadian Lymphedema Framework and Editor of the Pathways magazine. Faculty Rehabilitation Medicine. She received the of Queens Jubilee Medal of Honour for her contribution to the lives of Canadians. Anna advocates a
with standardized instruments and agreement surgical technique depends on lymphedema doctor, and healthcare professionals. Well-being, treatment methods.under su Lymphedema management Koryzma (Alberta). options classified physiological of we “Moving Patients to Make on physiological outcomes (volume reduction, staging and ICG imaging, which can show quality of life, and fulfillment are essential for all and Although surgical interventions have been interventions. 2) Excisional lymphedema p is difficult, making changes in health on th Meaningful and Sustainable compression reliance, cellulitis rates). which elements of the lymphatic system are Fitter patients with lymphedema. surgeries aresurgical appropriate forfirst a very small around for many yearsprocedures (the microsurgery of ob Behaviour Changes th behaviour isstill challenging. One important factor Physiologic are not portion The working.Health co of the population who are at the late stage of addre with Relationship-Centred Care” was was performed in 1960), advanced technology, a cure for lymphedema. that can lead to sustained behavioural change in toaddr there Foot care matière de soins des piedsSaturday’s keynote address by Celine deand précision, a permis de nearréaliser team. thements disease have failed all conservative three In anhigh-powered abstract session, including microscopes, ac patients is having a supportive relationship with pour les patients les pro-Koryzma (Alberta). Lymphedema management des procédures impliquant de minus- forsupp Lymphedema in theetlower treatment methods. Marie-Eve Letellier (Quebec) com infrared imaging and precision instruments, an professionals. Relationship-centred fessionnels deand la healthcare santé.is difficult, cules vaisseaux lymphatiques. Andrew limb causes skin Although surgical interventions have been psych and making changes in health presented an oral abstract on facilita has enabled procedures that involve tiny co care means clinicians move from an expert role Entre boire beaucoup Simpson (Ontario) a décrit les chirurgies around for many years (the healthautres, changes. Maryse «Independent prospective fol-first microsurgery thera( behaviour is challenging. One important factor team d’eau, procéder à une inspecphysiologiques pour le lymphœdème. 1) lymphatic vessels. Andrew Simpson (Ontario) ca to a collaborator role. Communication can be Beaumier (Quebec) and Audrey low-up of lymphedema was performed in 1960),patients advanced technology, realis that can lead to sustained behavioural change in tion quotidienne, pratiquer Peu invasives, les anastomoses lymphophysiologic for lymphedema. 19 facilitated through practicing non-judgemental who have undergonesurgeries lymphatic surgeries.” including high-powered microscopes, nearImpo actio patients is having a supportive relationship with outlined practical Wall (Ontario) une hygièneprovided rigoureuse, veineuses conviennent aux personnes 1) Lymphaticovenular anastomoses are Her study concluded that lymphedema curiosity and incorporating motivational cob infrared imaging precision instruments, foot caredes tipschaussures for patients and porter bienhealthcare professionals. Relationship-centred atteintes d’unand lymphœdème secondaire ofand is a chronic condition, even in those who Nele D minimally invasive and appropriate for those has enabled procedures that involve tiny interviewing techniques. Other strategies include healthcare professionals. Drink coord ajustées et demander l’aidecare means clinicians move from an expert role à un stade précoce et dont les vaisseaux receive surgery and require long-term provide lymphatic vessels. Andrew Simpson (Ontario) with early-stage secondary lymphedema cana to a collaborator Communication d’une infirmière lymphatiques sont fonctionnels. 2) Les linking health behaviourrole. goals to personallycan be lots of water,professionnelle perform daily inspections, practice follow-up and care. There isvascularisées a for needlymphedema. further sont compr outlined physiologic surgeries spécialisée en soins pieds,footwear, d’un pogreffes lymphatiques 1917 facilitated through practicing non-judgemental meticulous hygiene, wear des well-fitted and with functioning lymphatic vessels. 2) meaningful values, supporting self-efficacy, and todes evaluate the acute and long-term effects banda dologue ou d’un pédicure-podologue procédures plus lourdes avec un 1) Lymphaticovenular anastomoses are curiosity and incorporating motivational La présentation de Claire Temple-Oberle Vascularized more professional help from a foot careof nurse, promoting habit change. Benoit Cartier (Quebec) led us through two delymphatic topic. 2.transplants Assess theare person’s and aseek podiatrist, or a chiropodist your ofrisque lymphatic surgery. Panelist excess Claire Temple-Oberle ’s (Alberta) dans le cadre de la priseasenpart charge duinterviewing morbidité au niveau du site story minimally invasive and appropriate for those (Alberta) a porté Other sur la prévention techniques. strategies includepri-prolonged procedures with a risk of donor site types of lymphatic surgeries. 1) Lymphovenous context. Identify their value-based goal lymphedema management. presentation described the primary prevention of with lymphœdème. donneur (dont un risque de lymphœ- outcom lymphœdème au mélanome early-stage secondary lymphedema linkingmaire healthdubehaviour goals tolié personally morbidity (including lymphedema). They dans areobesitygarme Holistic obesity in melanoma and the clinical trial Surgery lymphedema anastomosis, lymphatic grafting and lymph dème). Elles sont plus appropriées Assessment also clas et survalues, les données d’essais lymphatic vessels. includes 2) meaningful supportingissues self-efficacy, and cli- with functioning assessment ma Framework and Editor of the Pathways magazine. maxim data on avoiding lymphedema by de-escalating Soins axés sur la relation les cas de lymphœdème avancé ou chez more appropriate in advanced lymphedema Siba Haykal (Ontario) moderated a panel node transplants arelelymphatic reconstructive niques visant à prévenir lymphœdème adiposity-related “root c Relationship-centered care Vascularized lymphatic transplantscomplications, are more habit ion to the lives of Canadians. Anna advocates a apromoting and management or skin surgery in thechange. nodal basin. Inde secondary les personnes n’ayant plus de vaisseaux Celine Koryzma enthe atténuant laManagement portée l’intervention or prolonged those without functioning lymphatic vessels. discussion on “Surgical of options classified under physiological of weight gain, and disease severity. 3 “Moving Patients to(Alberta) Make procedures with aonrisk of“5As donor site A workshop the lymphatiques fonctionnels. Le besoin consid of lymphedema in melanoma, several allwani, PT, PhD is a prononcé licensed physiotherapist and prevention le discours d’ouchirurgicale au niveau du bassin ganHe noted the need for high-quality studies Lymphedema.” Determining the2)appropriate interventions. Excisional lymphedema morbidity (including lymphedema). They aredes the risks of obesity and the health Meaningful and Sustainable of grande Obesity Management” d’études deon qualité avec l research fellowship at the University of Alberta Texture clinical trials are for immediate verture du samedi sur leSurgery glionnaire. En underway ce qui concerne la prévenwith standardized instruments and agreement more appropriate in advanced lymphedema surgical technique depends on lymphedema surgeries are appropriate for a very small portion Haykal (Ontario) moderated a panel of obesity management, which consist Health« Amener Behaviour was led by Denise Campinstruments standardisés et un accord Guide reconstruction to prevent lymphedema thème lesChanges patients àSibalymphatic tion secondaire du lymphœdème lié au or those without functioning lymphatic vessels. on physiological outcomes (volume reduction, the “Surgical Management of andinmélanome, ICG imaging, which can show sur les résultats physiologiques (réducand Melanie bell-Scherer ofonthe population who are at the late stage of selecti patients requiring lymph node dissection. addressing the root causes of obesity. with Relationship-Centred Care” significative was staging discussion modifier de manière plusieurs essais cliniques He noted the need for high-quality studies tion du volume, fiabilité de la compresLymphedema.” Determining the appropriate (Alberta). Heatherington compression reliance, cellulitis rates). Adjust This prophylactic surgery involves re-establishing et durable leurs comportements en masontof enthe cours concernant laare reconstruclymphatic F the disease andsystem have failed all conservative three pillars of obesity management th Saturday’s keynote address by Celinewhich elements sion, taux de cellulite) a été souligné. Il with standardized instruments and agreement The components of a patientsurgical technique depends on lymphedema tière de santé grâce à des soins axés sur tion lymphatique immédiate afin de préalterna lymphatic circulation after ilioinguinal or axillary Physiologic surgical procedures are not still working. Wi n t e r 2 0 2 3 treatment methods. support nutrition andchirurgiphysical activityTh Koryzma (Alberta). Lymphedema management est admis que les procédures approach include: 1. Ask for permission oncentred physiological outcomes (volume reduction, la relation ». La prise en charge du lym-staging venir lymphœdème les patientsa cure advant lymphadenectomy. Patient-reported outcomes andleICG imaging, whichchez can show for lymphedema. to Although surgical interventions have been psychological intervention, pharmacolo is difficult, andest making changes in healthles using physiologiques pas phœdème complexe et modifier tocales discuss body weight,cellulitis as itne canguérissent be a sensitive dissection des ganglions compression reliance, rates). and ea the LYMQol were relatively high. whichnécessitant elements of une thetool lymphatic system are Fitte In an abstract session, te around forCette manychirurgie years (the first microsurgery le lymphœdème. therapy, and bariatric behaviour is challenging. One important comportements en matière de santé factor eststill working. lymphatiques. prophylacPhysiologic surgical procedures are not surgery. 4. Agree The c Marie-Eve Letellier (Quebec) fo was performed in 1960), advanced technology, difficile. Un facteur important pouvant tique consiste à rétablir la circulation a cure realistic expectations and a sustainabl that can lead to sustained behavioural change inWi lymphedema. Lorsford’une présentation to th nter 2023 entraîner un changement de comporteune lymphadénecan oralaction abstract on5. Assist with addressing fa including après high-powered microscopes,presented nearplan. patients is having a supportive relationship with lymphatique dean résumés, Marie-Eve In abstract session, team ment durable chez les patients est la tomieinfrared ilio-inguinale ou axillaire. Les résul«Independent prospective folLetellier (Québec) a livré imaging and precision instruments, Marie-Eve Letellier and(Quebec) barriers, providing resources, for andte healthcare professionals. Relationship-centred co c relation de soutien avec les professiontats rapportés par les patients à l’aide un résumé oral de l’étude low-up of lymphedema patients presented an oral abstract on has enabled procedures that involve tiny facili coordinating regular follow-up. https:// carenels means move from an expert de laclinicians santé. Les soins centrés sur larole de l’outil LYMQol étaient relativement «have Suiviundergone prospectif indépen«Independent prospective fol- surgeries.” lymphatic team Im lymphatic vessels. Andrew Simpsonwho (Ontario) canada.ca/wp-content/uploads/2020 to arelation collaborator role. Communication can be élevés. impliquent que les cliniciens dant de patients atteints de lymphœlow-up of lymphedema patients Her study concluded that lymphedema passent d’un rôle d’expert à un rôle o outlined physiologic surgeries for lymphedema. facilitated through practicing non-judgemental Benoit dème ayant 191707-guide-2-at.pdf été soumis à des chirurgies Cartier (Québec) a expliqué deux who have undergone lymphatic surgeries.” Imp d’accompagnateur. La communication is a chronic condition, even in those who N 1) Lymphaticovenular anastomoses are lymphatiques ». L’étude a conclu que le curiosity and incorporating motivational types de chirurgies lymphatiques. 1) Her study concluded that lymphedema peut être favorisée par une curiosité of lymphœdème est une affection chroreceive pc minimally lymphoveineuse, invasive and appropriate thosesurgery and require long-term la greffefor interviewing strategies include L’anastomose exempte techniques. de jugementOther et par l’utilisation isnique, a chronic condition, even in those who ayant Nele même chez les personnes lymphatique et la secondary transplantation defollow-up and care. There is a need further co with early-stage lymphedema linking behaviour goals to motivationpersonally de health techniques d’entretien and require chirurgicale long-term provi subi surgery une intervention et néganglions lymphatiques qui sont des op-to receive evaluate the acute and long-term effects b with functioning lymphatic vessels. 2) nel. D’autres stratégies consistent à meaningful values, supporting self-efficacy, and tions de reconstruction lymphatique follow-up and un care.suivi Thereetis des a need further cessitant soins à long comp relier les objectifs de comportement en of lymphatic surgery. Panelist Claire ex Temple-Oberle ’s (Alberta) Vascularized transplants more promoting habit change. terme. est nécessaire d’évaluer evaluateIlthe acute and long-term effects plus band classées dans les lymphatic interventions physiolo-are to matière de santé à des valeurs personprécisément les effets à court et à long presentationgiques. described the procedures primary prevention of of prolonged with a risk site of lymphatic surgery. 2) Les chirurgies d’excision quidonor exces exceo nelles significatives, à soutenir l’auto- Panelist Claire Temple-Oberle’s (Alberta) terme de la chirurgie lymphatique. Holistic obesity conviennent à une infime partie de la ga lymphedema in melanoma and the clinical trial morbidity (including lymphedema). They are outco Surgery efficacité et à promouvoir le changementpresentation described the primary prevention of population présentant un stade avancé assessment Holistic obesity garm in melanoma clinical trial m data onlymphedema avoidingmore lymphedema byand de-escalating appropriate in the advanced lymphedema Siba Haykal (Ontario) moderated a panel d’habitudes. de la maladie et pour qui toutes les méassessment Évaluation et prise maxi data on avoiding lymphedema by de-escalating and management o surgery nodal basin. In secondary or those without functioning lymphatic vessels. discussion on the “Surgical Management of in the thodes de traitement conservatrices en charge holistique and management or sk surgery in the nodal basin. In secondary Chirurgie A workshop on the “5As co prevention of lymphedema in melanoma, several He noted the need for high-quality studies Lymphedema.” Determining the appropriate n’ont pas permis d’obtenir de résultats de l’obésité A workshop on the “5As cons prevention of lymphedema in melanoma, several Siba Haykal (Ontario) a animé une table of Obesity Management” Te clinical trialsfonctionnels. are with underway for immediate standardized instruments and agreement surgical technique depends on lymphedema Un atelier sur la stratégie des of Obesity Management” ronde sur la « prise en charge chirurgi-clinical trials are underway for immediate Textu was led by Denise CampG lymphatic reconstruction to prevent lymphedema physiologicalchirurgicales outcomes (volume staging ICG imaging, which can showdelymphatic « 5AleddebylaDenise priseCampen charge Si leson interventions existent reduction, cale and du lymphœdème ». La sélection was Guid reconstruction to prevent lymphedema and Melanie bell-Scherer se in patients requiring lymph node dissection. compression reliance, cellulitis de l’obésité » aMelanie été animé depuis de nombreuses (la rates). prewhich elements of the lymphatic system are Fitters Forum la technique chirurgicale appropriée re-in patients and bell-Scherer selec requiring lymph node années dissection. par Denise Campbell-Sche(Alberta). Heatherington mièrePhysiologic microchirurgie are-establishing été pratiquéeare ennot A This prophylactic surgery involves sur la stadification du lymphœdème surgical procedures stillpose working. The compression garment fitter isAdjus inte (Alberta). Heatherington This prophylactic surgery involves re-establishing Adju rer et Melanie Heathering1960), la technologie de pointe, notamet l’imagerie ICG, apte à révéler lymphatic les par- circulation The components of a patienta after ilioinguinal or axillary cure for after lymphedema. to the lymphedema patient’s healthca The components of a patientaltern lymphatic acirculation ilioinguinal or axillary ton (Alberta). Une approche ment les microscopes puissants, l’image-centred approach ties du système lymphatique toujours include: 1. Ask Askforforpermission permission a lymphadenectomy. outcomes centred approach include: InPatient-reported an abstract session, adva lymphadenectomy. outcomes An 1. interactive roundtable centrée surteam. le patient comprend les discu rie proche dePatient-reported l’infrarouge et les instrufonctionnelles. to discuss body weight, as it can be a sensitive to discuss body for weight, a sensitive using the LYMQol tool were relatively high.high. anda using the LYMQol tool Letellier were relatively Marie-Eve (Quebec) as it can begarment compression fitters was
presented an oral abstract on 00 22 33 prospective folWi n Wi n t e rWi 2n 0tt2ee3rr 22«Independent
low-up of lymphedema patients who have undergone lymphatic surgeries.” Her study concluded that lymphedema is a chronic condition, even in those who
facilitated by the Diamond Athletic Su team (Winnipeg). Importance and challenges of compression therapy Nele Devoogdt (Belgium),
a podiatrist, or a chiropodist as part of your lymphedema management.
Relationship-centered care éléments suivants : 1. Demander la perLes patientsof peuvent passer auxpatient vête- in Canada, get Surmonter Staying active obstacles who is a lymphedema (Alberta) and Heather Lori Radkeles “Moving Patients to Make mission de discuter duwith poids corporel, ments compressifs enhow l’absence d’œdèrelatifs à l’acceptation lymphedema an idea on lymphedema is being treated that took place Watt (Alberta) car le sujet peut être délicat. 2. Évaluer me à godet, de plaies, de lésions cutaMeaningful andday. physique et auSustainable chanAn extensive body of evidence and provide access to conduct future research. the previous Patient advice l’histoire et le contexte has de vie de la pernées et lorsque la réduction de volume gement de comporteHealth Behaviour Changes led to the endorsement s story and life on how to live with a chronic sonne. Identifier ses objectifs fondés sur est optimale. Les considérations propres ment en matière de santé with Relationship-Centred Care” was of exercise as safe for those based goals. condition centred on the theme Overcoming barriers to des valeurs. L’évaluation porte égaleau patient et le guide S.T.R.I.D.E. (Shape, Lors d’un atelier, Celine Koryzma (Calgaat riskdeor with lymphedema. besity classification, self-care:by connecting bodyand acceptance and keynoteof address Celine with ment sur la the classification l’obésité, Texture, Refill, Issues, Dosage Etiolo- Saturday’s ry) a observé qu’il est normal d’éprouver h two topic. 2. Assess person’s story and life ons, “root causes” Marize Ibrahim and Angela others, staying positive and being health behaviour change (Alberta). négatifs Lymphedema les complications liées à l’adiposité, les gy/Forme, texture, reflux, problèmes, Koryzma des sentiments aprèsmanagement un diaenous Identify their value-based goals. severity. 3.«context. Advise (Quebec) explaineddosage et étiologie) (BjorkIn2019) patientchronique, and kind intocomme yourself.le LP a workshop, Céline Koryzma causes profondes » deYung la prise de poids peuvent is difficult, andmaladie making changes health gnostic de h Assessment also includes obesity classification, he health benefits how exercise activates muscles, et la gravité de la maladie. 3. Conseiller guider la sélection des vêtements de behaviour (Calgary) explained that negative feelings areis challenging. lymphœdème. Les professionnels la ctive One importantdefactor adiposity-related complications, “root causes” surof les risques de l’obésité et lymphatic les avan-return, compression. Les after bandages ajustables ich consists encourages pumping for pronormal a diagnosis of chronic disease, santé doivent reconnaître et valider les of weight gain, and disease severity. 3. 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A registry would help gain information muscles, whothat made this conference summarizing thelaPatient-to-Patient Advice stimule pompe lymhow exercise activates muscles, mant l’atelier interactif sur les (Calgary) explained that negative feelings encourages pumping for lymphatic return, pronormal after a diagnosis of chronic disease, discussion on the “Surgical Management of are on the prevalence of lymphedema, give a picture see you in 2025! interactive workshop facilitated phatique, favorise un poids sain et, proauby Catharine, conseils entre patients, animé par Cathaencourages pumping for lymphatic return, afterDetermining a diagnosis ofcare chronic disease, motes a healthy weight, and ultimately impacts Lymphedema.” re suchnormal as lymphedema. Healththe professionals appropriate final, contribue à l’autonomie et à la rine, Lori Radke (Alberta) et professionals motes a healthy weight, and ultimately impacts such as lymphedema. Health care site independent living and quality of life. Exercise need toat acknowledge and validate patients’ You can find references related to presentations with oral https://canadalymph.ca/pathways-refe surgical technique depends on lymphedema qualité de vie. L’exercice estand plusposter qu’uneabstracts Heather (Alberta) s’étant Heather Lori Radke independent living quality of life. Exercise Staying active need toWatt acknowledge and validate patients’ re ofiswho is than a lymphedema patient Canada, get (Alberta) and Heather Lori Radke more just cardioand activity and should feelings about living with chronic disease. simple activité cardio etin devrait inclure staging andlaICG imaging, which can show Selfdéroulé veille. Les conseils with lymphedema an idea on how lymphedema is being treated (Alberta) that took place Watt a is more than just cardio activity and should feelings about living with chronicnegative disease. SelfWatt encompass andetstrength training. compassion helps people cope desstretching étirements de la musculation. deselements patients sur la façon de with which ofhelps the lymphatic system are An extensive body of evidence sels. and strength training. compassion people cope with and provide access toenjoy conduct research. previous day. Patient advice Findencompass activity you and future keep moving. Ilan s’agit destretching choisir une activité qui vous the emotions, body acceptance,negative and vivre avecencourages une maladie chrostill working. s Find anet activity you enjoyàand keep moving. has led to the endorsement emotions, encourages body acceptance, on how toétaient live with a chronic plaise de continuer bouger. supports engagement in healthy behaviours.and nique centrés sur le ment of exercise as safe for those condition centred on the theme Overcoming barriers to supports engagement in: healthy behaviours. Patient registry thème departicipants l’autogestion bri- mindfulness Workshop practiced tion, Forumatdes risk ajusteurs or with lymphedema. Registre de patients Patient registry Workshop participants practiced mindfulness ofexercises self-care: connecting with body acceptance and ser l’isolement, rester positif Spencer Gibson (Alberta) focused on mindful self-compassion Fitters Marize Forum L’ajusteur de vêtements compressifs fait Ibrahim Angela Spencer Gibson (Alberta) a Spencer Gibson (Alberta) et être patient et bienveillant Marize Ibrahim and Angela exercises focused on mindful self-compassion others, staying positive and being health behaviour change itter is integral led a roundtable discussion on and acceptance of body changes. The compression garment fitter is integral partie intégrante de explained l’équipe soignante animé une table ronde sur Yung kind to yourself. In “Patients a workshop, Céline Koryzma envers soi-même. led a roundtable discussion on patient LP Yung (Quebec) andand acceptance of bodyLP changes. Céline Koryzma ’s healthcare count: Development of to the lymphedema patient’s healthcare entourant leexercise patient atteint de lymphœle thème « Les patients how activates muscles, “Patients count: Development of (Calgary) explained that negative feelings are able discussion a patient registry for Canada.” There is a crucial Patient voices Th team. AnUne interactive discussion pour dème. table roundtable ronde interactive comptent : Développement a patient forinCanada.” There is a crucial encourages pumping forde lymphatic return, proPatient voices tters was les normal after aregistry diagnosis of chronic disease, need to track patients the healthcare system to Bo The conference closing session for compression garment fitters was ajusteurs vêtements de compresd’un registre de patients au Canada ». Il THERAPY motesSupplies a facilitated healthy weight, andLYMPHEDEMA ultimately impacts as lymphedema. Health care professionals toCERTIFICATION track patients inneed the healthcare system to included The conference closing session Athletic helpneed identify questions that to be addressed by the Diamond Supplies sp a presentation by sion a été animée parAthletic l’équipe de Dia-such est impératif de suivre les patients dans independent and quality Exercise help identify questions that need to be addressed included a presentation by Theof life. Klose Training need to acknowledge and validate patients’ team living (Winnipeg). andAdvantage: ultimately get better care for lymphedema mond Athletic Supplies (Winnipeg). Ne Catharine Bowman (Stanford) le système de soins de santé pour déterand ultimately get better care for lymphedema is more than just cardio activity and shouldof lymphedema Catharinethe Bowman (Stanford) Advice feelings about living with chronic disease. Selfpatients. A les registry would help gain information wh summarizing Patient-to-Patient miner points à améliorer et, à terme, • 135-hours education encompass stretching and strength training. compassion helps people cope with negative Importance and challenges Importance et défis patients. A registry would help gain information enges summarizing the Patient-to-Patient Advice obtenir de meilleurs soins pour les paon the prevalence of lymphedema, give a picture se interactive workshop facilitated by Catharine, 75-hr engaging online home study module activity you enjoy keep moving. de laand thérapie par compression therapy on the prevalence of lymphedema, give a picture pyFind an of tients atteints de lymphœdème. Un reinteractive workshop facilitated by Catharine, emotions, encourages body acceptance, and 60-hr (6 1/2) day classroom education compression Nele Devoogdt (Belgium), gistre permettrait des to informasupports engagement in d’obtenir healthy behaviours. You can find references related presentations with oral and poster abstracts at https:// •Devoogdt post-graduate resources providedPatient an overview ofExclusive(Belgique) Neleregistry aWorkshop tions sur prévalence du mindfulness lymphœdème, You canlafind references related to presentations with oral and poster abstracts at https participants practiced compression therapy. dressé un état des lieux de de dresser profil self-compassion des Canadiens •Multi-layer Special pricing forlaCanadian Therapists; Spencer Gibson (Alberta) -layer Panelist Claire Temple-Oberle’s (Alberta) Spencer Gibson exercises focused onunmindful bandaging isthérapie the first step to reduce par compression. Les atteints de lymphœdème, contact us for information acceptance of body changes. de savoir presentation described the primary prevention of o reduce led a roundtable discussion on moreand excess volume andmulticouches improve patientconstituent bandages comment le lymphœdème est traité et “Patients count: Development of e patient outcomes. Patients are transitioned to la première étape pour réduire l’excès d’obtenir des données pour mener des lymphedema in melanoma and the clinical trial ONLINE COURSES: The Canadian Canadian Lymphedema Lymphedema Framework Framework nsitioned tode a patient registry for Canada.” There is a crucial Patient voices The data on avoiding lymphedema by de-escalating garments if there is non-pitting edema, recherches. volume et améliorer le sort du patient. • Breast Cancer Rehabilitation Board thanks all the efforts of the presenters, The conference closing session ting edema, need to track patients in the healthcare system to Board thanks all the efforts of the presenters, maximal volume reduction, and no wound surgery in the nodal basin. In secondary d helpnoidentify questions that need to be addressed te and wound sponsors, staff (Bonnie Baker and Grace included a presentation by da up • Strength After Breast Cancer sponsors, staff (Bonnie Baker and Grace or skin lesions present. Patient-specific 23 in 20 prevention of lymphedema in melanoma, several ient-specific Neumayer) plus plus the the numerous numerous volunteers volunteers Catharine Bowman and ultimately get better lymphedema considerations andcare the for S.T.R.I.D.E. (Shape, Neumayer) Catharine Bowman (Stanford) • Wound Management for clinical trials areconference underway for immediate updated R.I.D.E. (Shape, more information who summarizing the Patient-to-PatientFor Advice Texture, Refill, Issues, and Etiology) Therapists 23 gain information patients. A registry would help who made made this this conference possible. possible. We We will will in 20Dosage Lymphedema lymphatic reconstruction to prevent lymphedema Guide (Bjorkof 2019) can help guide theEtiology) prevalence lymphedema, give athe picture geonand see you in 2025! interactive workshop facilitated by1-303-245-0333 Catharine, see you in 2025! Catharine, LYMPHEDEMA THERAPY CERTIFICATION • Head & Neck Lymphedema Management in patients requiring lymph node dissection. garments. p guide theselection of compression LYMPHEDEMA THERAPY CERTIFICATION info@klosetraining.com • Add’l courses at klosetraining.com Adjustable wraps can be useful as an The Training Advantage: You can can find find references references related related to to presentations presentations with with oralKlose and poster poster abstracts at https://canadalymph.ca/pathways-references https://canadalymph.ca/pathways-references This prophylactic surgery involves re-establishing arments. You oral and abstracts at
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s n Le Conseil d’administration du Partenariat canadien du lymphœdème remercie l’apport des Canadian présentateurs, des commanditaires, The Lymphedema Framework du personnel (Bonnie Baker et Grace Neumayer) Board thanks all the efforts of the presenters, et desnombreux bénévoles qui ont permis sponsors, (BonnieNous Baker and Grace la tenue destaff ce congrès. vous donnons Neumayer) the numerous volunteers rendez-vousplus en 2025 ! who made this conference possible. We will see you in 2025!
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Anna Kennedy est membre fondatrice Anna Kennedy isis aadu Founding Member Anna Kennedy Founding Member ofof the the Can Can du Partenariat canadien lymphœdème received the Jubilee Medal She received the Queens Queens Jubilee Medal ofof Honour Honou etShe rédactrice en chef du magazine Pathways. Elle a reçu la Médaille d’honneur du Jubilé healthy healthy and and active active lifestyle lifestyle toto manage manage her her lymphed lymphe de la Reine pour sa contribution à la vie des certified certified lymphedema lymphedema therapist, therapist, currently currently complet comple Canadiens. Anna préconise un mode de vie Faculty Faculty ofof Rehabilitation Rehabilitation Medicine. Medicine. sain et actif pour gérer son lymphœdème. Shirin Shallwani, PT, Ph. D., physiothérapeute agréée et thérapeute certifiée en lymphœdème, est boursière universitaire en recherche postdoctorale à la Faculté 88de w w aayyss. .ccaa de l’Alberta. wmédecine ww. w.llyym mpde phheréadaptation eddeem maappaatthde hw wl’Université