here - Atlantic Clinical Lymphedema Network
Transcription
here - Atlantic Clinical Lymphedema Network
Atlantic Clinical Lymphedema Network Fall 2012 Therapist making a difference in Newfoundland Teresene Walsh-Oakley is a Registered Massage Therapist (RMT), who specializes in Complete Decongestive Therapy / Manual Lymph Drainage (CDT/MLD), and Myo-Fascial/Scar Tissue release. Her clinic, Pro-Motion Therapeutic Services, is a private practice situated in the New World Fitness Building on Topsail Road in St. John’s, NL. Teresene (Terry) has been a practicing massage therapist since 1999 and a lymphedema therapist since 2004. She is a member of the ACLN (Atlantic Clinical Lymphedema Network), LAO (Lymphedema Association of Ontario), Board Member of NLMTA (NL Massage Therapy Association), CMTA (Canadian Massage Therapy Alliance), and participant in the local Lymphedema Support Group in St. John’s. She is a certified fitter for compression garments, and a certified personal trainer. The CDT/MLD portion of her practice encompasses approximately 50% of the therapy provided to patients. Being the only private practicing lymphedema therapist in the area, Terry consults and works very closely with lymphedema nurse coordinators and therapists throughout Atlantic Canada but especially with colleagues at the Dr. H. Bliss Murphy Cancer Clinic at the Health Science Center in St. John’s. Lymphedema patients are referred through nurse coordinators, physiotherapists, and various doctors for treatment of both primary and secondary symptoms of lymphedema. Terry encourages every patient she works with, provides education, and teaches self management techniques for lymphedema. It has been Terry’s experience that most patients who present with lymphedema symptoms will have Myo-fascial restrictions and/or scartissue as well. Her primary goal for each and every patient is to provide empowerment, education, and encouragement before, during, and especially after each treatment. This promotes a positive experience and enhances quality of life. It truly is a treatment that has a lasting effect on the patient. For additional information, contact Terry at Pro-Motion Therapeutic Services Telephone: 709-747-7766 e-mail: [email protected] ACLN - page 1 Atlantic Clinical Lymphedema Network Fall 2012 Lymphedema Surveillance For lymphedema therapists, it is common knowledge that it is easier to treat lymphedema (LE) that is caught in the beginning phase rather than later after it has progressed. In a randomized controlled trial, Stout (2008) found LE that was identified early through surveillance programs could be well managed and sometimes reversed.(1) A lymphedema surveillance program is one which identifies the individuals who are at risk of developing LE and follows them at regular intervals, in an attempt to recognize early signs and symptoms of swelling. Ideally, presurgical measures should be available at standard anatomical landmarks so that the individual’s (lymphatic normal) baseline arm measurements and weight are recorded. More women are surviving breast cancer and awareness of breast cancer survivorship issues are increasing. Common impairments and functional limitations due to breast cancer treatment include upper extremity motion restriction, fatigue, weight gain, pain, and chemotherapy-induced peripheral neuropathy, as well as lymphedema. Recently in April 2012, a supplement to the journal “Cancer” was published addressing the common impairments that often follow breast cancer treatment. “Supplement: A Prospective Surveillance Model for Rehabilitation for Women With Breast Cancer” includes sixteen articles written by various prominent North American breast cancer researchers.(2) These articles outline the prospective surveillance model, recommend it and discuss implementation strategies as well as patient perspectives. We are fortunate in Saint John, NB to have had a formal breast cancer rehabilitation program for the past three and a half years with lymphedema surveillance as an integral part. Thanks to a grant from the CBCF, education sessions about this type of breast cancer rehab program will be given in four different New Brunswick cities this fall. References 1. Stout Gergich NL, Pfalzer LA, McGarvey C, Springer B, Gerber LH, Soballe P. Preoperative assessment enables the early diagnosis and successful treatment of lymphedema. Cancer. 2008; 112: 2809-2819. 2. Kathryn H. Schmitz, Nicole L. Stout, Kimberly Andrews, Jill M. Binkley and Robert A. Smith et al. Supplement: A Prospective Surveillance Model for Rehabilitation for Women With Breast Cancer. Cancer. 2012;118; S8; 2187–2333. Andrea Tilley, PT CDT St. John, NB Lymphedema Care Program, Capital Health, Hailfax, NS The Lymphedema Care program at Capital District Health Authority is located in the Rehab Services Department in the Dickson Building of Victoria General Hospital Site. The client services are provided by an occupational therapist and a physiotherapist who both have certification training in Complex Lymphedema Therapy. This is a multi-faceted program that offers education for those at risk of developing lymphedema; acts as a triage/liaison service for those who wish to access treatment in other parts of the province; and provides treatment to clients experiencing lymphedema. Once a month, an education and screening session is offered to women who have had a diagnosis of breast cancer and are at risk of developing lymphedema post surgery and radiotherapy treatments. Clients are also seen on an individual basis that have lymphedema as a result of cancer for assessment and treatment. Assessment and consultative services are offered to clients/family/physicians regarding lymphedema that is not related to a diagnosis of cancer. Audrey Deveaux, PT Leanne Beaton, BSc OT Halifax, NS ACLN - page 2 Atlantic Clinical Lymphedema Network Fall 2012 We are ready to meet your Mobile Medical home healthcare needs with a full range of products and services. Mastectomy Products Compression Products Shoppers Drug Mart 3430 Joseph Howe Drive In home fitting and delivery at no extra charge Phone: 1(506)738-2351 or 1(800)830-1611 Cell: 1(506)636-1450 Fax:1(506)217-0211 Halifax, NS Ph: (902) 443-6084 Fax: (902) 443-6294 Email: [email protected] Carmel Sullivan Owner/Operator Email: [email protected] Contact the ACLN Shannon Andersen [email protected] (902) 893-5554 ext 2198 ACLN - page 3 Certified Lymphedema Therapists in Atlantic Canada Nova Scotia Shannon Andersen PT Colchester East-Hants, NS 902-893-5554 ext 2198 [email protected] Brenda Baxendale BSc, OT Sydney, NS 902-567-8000 ext 2265 [email protected] Leanne Beaton BSc, OT Halifax, NS, 902-472-2151 [email protected] Heather Lowe MSc, OT Yarmouth, NS 902 742-3542 ext.1288 [email protected] Sandra MacDonald RMT, CDT Halifax, NS 902-421-7549 aj244@[email protected] Natalie Parker PT Colchester East-Hants, NS 902-893-5520 Natalie.Parker@cehha. nshealth.ca Fall 2012 Manon Tardif PT, CDT Campbellton, NB, 506-789-5017 [email protected] Andrea Tilley PT, CDT St. Joseph’s Hospital, St. John, NB 506-632-5510 [email protected] Linda Savoie PT CDT Tracadie-Sheila, NB 506-394-3004 [email protected] PEI Alanna Saulnier PT, CDT Dept. of Physical Medicine Charlottetown, PEI 902-894-2062, [email protected] Natalie Bourque PT Yarmouth, NS 902 742-3542 ext.1154 [email protected] Julie Skaling PT, CDT Kentville, NS, 902-678-3422 [email protected] Audrey Deveaux PT Halifax, NS, 902-473-2151 Audrey.deveaux@cdha. nshealth.ca New Brunswick Tammy Betts PT, CDT Moncton, NB 506-857-5326 [email protected] Newfoundland Heather Buckle PT, CDT Sophie Doiron PT, CDT Moncton, NB 506-862-4100 [email protected] Beverly Lanning RN, CLT-LANA Regional Lymphedema Nurse Central Heath, NL 709-489-4418 [email protected] Jackie Devoe PT Sydney, NS 902-567-8000 ext 2196 [email protected] Dana Harrison RMT, CDT Kentville, NS, 902-687-3422 [email protected] Christine Johnston PT Truro, NS 902-893-5554 ext 2210 [email protected] Amilyn Kearney BSc,RMT,CLT Sydney NS, 902-539-1218 www.belisanasprings.ca Ramona Kieser BHSc,PT, CDT Sackville, NB, 506-536-8081 [email protected] Myrna King BSc, OT Halifax, NS 902-473-1257 [email protected] Louise Godin PT, CDT Moncton, NB 506-862-4100 [email protected] Nathalie Hache PT, CDT Lameque, NB 506-344-3419 [email protected] Nicole Hache PT, CDT Caraquet, NB 506-726-2275 [email protected] Marie-Andree Legere PT, CDT Fredericton, NB 506-452-5239 [email protected] Health & Performance, Corner Brook, NL 709-632-2266 [email protected] Ingrid Lindner RMT, CDT Labrador Massage Therapy Clinic Goose Bay, NL, 709-896-3843 [email protected] Janet Montevecchi RNBN, CDT Breast Screening Centre, St. John’s, NL 709-752-3626 [email protected] Donna Parsons RNNP, CDT Dr. Charles LeGrow Health Centre Port Aux Basque, NL, 709-695-4500 Jean Ann Ryan RNBN, CDT DHBMCC, St. John’s, NL 709-777-8713 [email protected] [email protected] Laine MacKinley PT, CDT St. John, NB 506-648-7981 [email protected] Martina Reddick RN, CDT DHBMCC, St. John’s, NL 709-777-8713 Kimberley Lombard MSc, OT Shelburne, NS 902-875-4144 ext.284 [email protected] Tara Mann PT, CDT Moncton, NB 506-857-5326 [email protected] Teresene Walsh Oakley RMT, CDT Pro Motion Therapeutic Services St. John’s,NL, 709-747-7766 Cynthia Lohnes-Ferrolino BSc,RMT Chester, NS 902-275-8089 ACLN - page 4 [email protected] [email protected]