Lymphoedema Level One Course Content

Transcription

1 Lymphoedema Level One Course Content Dear Health Practitioner, The Level One lymphoedema training course offered by the ALERT Education at Macquarie University is open to AHPRA registered health professionals (such as AHPRA registered Medical Practitioners, Physiotherapists, Occupational Therapists and Registered Nurses). The Australasian Lymphology Association (ALA) is the peak professional body for Lympohoedema in Australia and New Zealand. ALERT s Level One Lymphoedema course is ALA endorsed and meets the ALA s course guidelines requirements as listed in Appendix 7 of the National Lymphoedema Practitioner Registers (NLPR) Guidelines document. 1 The ALA currently recognises two categories of LT: Category One - Such as AHPRA registered Medical Practitioners, Physiotherapists, Occupational Therapists and Registered Nurses Category Two - Massage therapists Only practitioners who complete one of these courses and meet the rigorous standards to become an ALA Accredited Practitioner are eligible to receive the ALA s tick of approval. Category One LT: These practitioners may provide initial & ongoing assessment of people that have lymphoedema, including complex and undiagnosed lymphoedema, and provide treatment. The type of treatment provided by these practitioners will depend on the scope of practice of their specific undergraduate and post graduate training as well as the practitioner's level of lymphoedema management training. Qualified Medical Practitioners, Registered Nurses, Physiotherapists or Occupational Therapists registered with Australian Health Practitioner Regulation Agency (AHPRA) or under the NZ Health Practitioners Competence Assurance Act What to look for in a level one course? Page 1 of 13 Created May 2018.

2 Meet the initial and ongoing requirements of an ALA Accredited Practitioner, as set down in the NLPR Guidelines. These practitioners have completed an eligible ALA Endorsed Level 1 lymphoedema course as a minimum standard. Level 1 courses provide the practitioner with the basic skills/knowledge to assess and treat uncomplicated lymphoedemas Once qualified you can practice as a lymphoedema therapist and can receive the ALA logo with tick of approval as an NLPR Accredited Therapist if you register to be an ALA and NLPR member. These courses should be a minimum of 45 face to face contact hours. What is the focus of the course? The focus of the course is primary and/or secondary lymphoedema of the limbs however skills can be translated to all forms of oedema management, such as venous disease (i.e. venous insufficiency and lower limb venous ulcer management), orthopaedics (i.e. post-surgical swelling), neurological (i.e. dependant oedema) and traumatic (i.e. post amputee care of oedema). The Revised Starling s principle highlights why this course is applicable to any health professional that treats clients with oedema. 2 It is the lymphatic system that is responsible for the transportation of tissue oedema and therefore any health professional that manages person s with oedema will benefit from this course. Course inclusions: The course content through online learning and nine practical days includes the following components: Theory of lymphatic anatomy and pathophysiology Prospective and early intervention models of care for lymphoedema Risk minimisation education and reference to best practice documents Full and modified complex lymphoedema therapy (CLT) Comprehensive lectures and practicals on manual lymphatic drainage (MLD) Comprehensive lectures and practicals on compression bandaging (both two layer and four-layer systems). All bandages are included for the practical sessions. Comprehensive lectures and practicals on garment prescription including a full day workshop on custom made garment prescription. Comprehensive lectures and a practical on exercise prescription for lymphoedema Low level laser and other technology such as negative pressure massage therapy intermittent pneumatic compression and kinesiological taping theory. Overview of surgical management of lymphoedema (i.e. liposuction, lymph node transfer, lymphovenous anastomoses) Comprehensive lectures on the diagnostic investigations for lymphoedema (i.e. ICG lymphography) Patients sharing their stories for contextualisation of theory to clinical practice If a lymphoedema course is endorsed by the Australasian Lymphology Association (ALA) the content will be in line with the ALA s Guidelines for the National Lymphoedema Practitioners Register. Pages from the June 2016 update, are included below, and include what topics are covered in ALA Endorsed courses. What to look for in a level one course? Page 2 of 13 Created May 2018.

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7 Australian Lymphoedema Education, Research and Treatment (ALERT)

8 About ALERT The ALERT (Australian Lymphoedema Education, Research and Treatment) team at Macquarie University Hospital consists of experienced health professionals coming together to form a comprehensive clinical and research service. The team aims to optimise positive outcomes for people living with lymphoedema through excellence in assessment and management of the condition along the continuum. Our lymphoedema program offers management of all types and stages of lymphoedema, supported by research and education initiatives, to provide the best service to our patients. We are home to both conservative and surgical lymphoedema clinics. It is our goal to provide our patients with a comprehensive service that best suits their individual situation. About our leadership Professor John Boyages Professor John Boyages is a cancer specialist with over 30 years experience in the diagnosis and treatment of breast cancer. He is the Professor of Breast Oncology at the Faculty of Medicine and Health Sciences at Macquarie University and Discipline Head, Radiation Oncology. John is also director of the Australian Lymphoedema Education Research and Treatment (ALERT) centre at Macquarie University. Until 2011 John was the founding director of the Westmead Breast Cancer Institute and he was then appointed to Macquarie University as the inaugural head of its new Cancer Institute from 2011 to John has published over 140 research and clinical articles. Australian Lymphoedema Education, Research and Treatment (ALERT)

9 Education, Research and Treatment Team Health professionals benefit from high quality education delivered by a passionate team, access to up to date information founded by current lymphoedema research, and the ability to access real patient data through the Macquarie University Hospital service offering a lymphoedema program. The key three course lectures are Sally Kava (OT), Louise Koelmeyer (OT) and Andrea Mangion (Physiotherapist.) All three lecturers are Lymphoedema therapists, ALA and NLPR members and have been involved in running training courses for over six years. Together the team has over 63 years in lymphoedema management. Australian Lymphoedema Education, Research and Treatment (ALERT)

10 Ms Louise Koelmeyer Ms Louise Koelmeyer is an occupational therapist with over 25 years of clinical experience in both public and private settings, specializing in breast cancer rehabilitation and lymphoedema management in all areas of assessment, education, early detection and treatment. As Lymphoedema Program Manager at ALERT, Louise is involved in research studies on achieving better outcomes in early and advanced lymphoedema. Louise is one of the Australian Principal Investigators on the 5- year Vanderbilt University Clinical Trial looking at monitoring and early detection of breast cancer-related lymphoedema. Macquarie University is contributing the highest number of study participants (450) to the total cohort of 1,100 women on this study. Louise is enrolled at Macquarie University in PhD studies exploring home monitoring for lymphoedema. Ms Sally Kava Ms Sally Kava is an occupational therapist with over 27 years of clinical experience in both public and private settings specialising in lymphoedema in all areas of assessment, education, and treatment. Ms Sally Kava has worked at several leading lymphoedema services including RPA hospital and Mt Wilga private hospital, Australia s largest inpatient program for lymphoedema. Australian Lymphoedema Education, Research and Treatment (ALERT)

11 Ms Sally Kava has had over 8 years experience in the lymphoedema training courses. Ms Sally Kava has formal teaching qualifications and is very passionate about delivering high quality adult education. Ms Sally Kava has a lymphoedema practice in Lindfield, NSW, and lectures at Macquarie University for the ALERT Education program. Ms Andrea Mangion Ms Andrea Mangion is a physiotherapist with over 8 years experience in lymphoedema, completing a level one lymphoedema course in 2009 with Brenda Lee (Physiotherapist). Andrea has worked at Mt Wilga private hospital, Australia s largest inpatient program for lymphoedema, as the team leader of the lymphoedema service for several years and has worked for Smith and Nephew as a clinical consultant educating clinicians in garment prescription. Further education in lymphoedema has allowed for travel to Germany to undertake advanced lymphoedema training at the Foeldi clinic, Sweden to learn more about liposuction for lymphoedema and Finland to learn more about innovative treatments for lymphoedema, namely LymphaTouch. Andrea is completing her Masters at Sydney University. Andrea works at Macquarie University as the ALERT Education Coordinator. Andrea has completed Certificate Four in Training and Education and is passionate about the delivery of adult education. Australian Lymphoedema Education, Research and Treatment (ALERT)

12 Guest lecturers Guest lecturers are provided by Dr Helen Mackie, Associate Professor Hiroo Suami and Ms. Robyn Ricketts. Associate Prof Hiroo Suami Dr Hiroo Suami is Associate Professor in lymphology in ALERT in the Faculty of Medicine and Health Sciences. Before coming to Macquarie University in October 2015, he worked in the Department of Plastic Surgery at the MD Anderson Cancer Centre in Houston, Texas for 7 years as Assistant Professor and director of the microsurgery research centre. During that time, Hiroo assisted with indocyanine green fluorescence lymphography in over 200 surgical lymphoedema cases and he is now using the same technique with patients at Macquarie University. Hiroo is a reconstructive plastic surgeon and world authority on the morphological research of the lymphatic system. Through his research, he has developed a new method to visualise the lymphatic system in animals and humans. This is a world-first procedure which enables the lymphatic system to be mapped into defined territories called lymphosomes. Dr Helen Mackie Dr Helen Mackie is the current medical adviser to and past president of the Australasian Lymphology Association. Helen provides consultations for persons with lymphoedema as the Medical Director of the Mt Wilga Lymphoedema service in Hornsby and to the Advanced Lymphoedema Assessment Clinic (ALAC) at Australian Lymphoedema Education, Research and Treatment (ALERT)

13 Macquarie University Hospital Clinic. Helen has an ongoing interest in musculoskeletal rehabilitation, pain management and general rehabilitation medicine. Helen is the Examiner for the Faculty of Rehabilitation Medicine. Ms. Robyn Ricketts Ms Robyn Ricketts is an Occupational Therapist with over 25 years of clinical and health management experience in the NSW public health system. Robyn was involved in the establishment of the Occupational Therapy Lymphoedema Service at Royal North Shore Hospital and currently works there as a Lymphoedema Therapist. In addition to working as a guest lecturer with ALERT Education, Robyn works as a research officer within Macquarie University s ALERT program. To register To register for the next level one lymphoedema course contact us at alerteducation@mq.edu.au We look forward to welcoming you into our next level one lymphoedema course. References: 1 Australasian Lymphology Association (ALA) website. Available via 2 Crockett E (2014) Endothelial Glycocaylx and the Revised Starlings Principle. PVRI Chronicle. Vol 1.Issue 2 Australian Lymphoedema Education, Research and Treatment (ALERT)