Nilma Elias Santiago – Phlebolymphedema: Clinical Presentation, Complications, and Treatment

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Exploring the Essential Features of “Nilma Elias Santiago – Phlebolymphedema: Clinical Presentation, Complications, and Treatment”

Speaker: Nilma Z. Elias Santiago, PT, DPT, WCC, CWCP, CLT, OMS

Duration: 2 Hours

Format: Audio and Video

Copyright: Dec 09, 2022  

Media Type: Digital Seminar

Description:

Phlebolymphedema is a consequence of venous and lymphatic insufficiency. Underdiagnosed and poorly treated, phlebolymphedema can cause venous ulcers, recurrent skin infections or cellulitis, and decreased quality of life. Clinicians frequently recommend compression therapy including pneumatic compression pumps to treat venous insufficiency and lymphedema. Though these are appropriate, a thorough assessment must be completed to ensure the right treatment for each patient, and when it is indicated to incorporate these modalities into the plan of care. In addition, when patients develop venous ulcers as a complication of phlebolymphedema, clinicians must know evidence-based treatments, incorporating a patient-centered approach to manage these types of wounds. This recorded session attempts to educate clinicians about the most current evidence in the diagnosis, complications( such as venous ulcers), and treatment of phlebolymphedema. This session will also provide some tools to successfully manage this condition.

Speaker:

Nilma Z. Elias Santiago, PT, DPT, WCC, CWCP, CLT, OMS, is a licensed physical therapist, a board-certified wound care specialist, a certified lymphedema therapist, and a certified ostomy management specialist. With over ten years of experience in wound care, she opened a private wound care practice in Florida that offers lymphedema, ostomy, and wound care services. Dr. Santiago is also an adjunct faculty of AT Still University in Mesa, Arizona, teaching physical therapists that are completing their post-professional doctorate in physical therapy. She has written articles published in healthcare magazines and presented a poster at the World Confederation of Physical Therapy in 2007, and in the 2018 Summit of the Association of Rehabilitation Nurses.

Speaker Disclosures:
Financial: Dr. Nilma Z. Elias-Santiago maintains a private practice. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Nilma Z. Elias-Santiago is a member of the American Physical Therapy Association.

Objectives:

Formulate the clinical picture of phlebolymphedema, stages of phlebolymphedema, and comorbidities.
Propose the gold standard treatment of venous and lymphatic insufficiency (venous insufficiency and lymphedema).
Differentiate and compare the signs and symptoms of lymphedema, venous insufficiency, and phlebolymphedema.
Differentiate and evaluate the best treatment options for each of the case studies presented (phlebolymphedema, lymphedema, venous insufficiency).

Outline:

• Introduction
• • Incidence of Phlebolymphedema
• • • Demographics
• • CVI + Stage 2 lymphedema = Phlebolymphedema
• • • Pathophysiology of CVI
    • Pathophysiology of lymphedema
• • Causes
• • • Risk Factors
    • Non-cancer related-causes
• Diagnosis
• • Patient History
• • Clinical presentation
• • • Signs and symptoms
• • Tests
• Complications
• • Venous ulcers
• • • Pathophysiology
• • • Clinical presentation
• • • • Difference between arterial vs. venous ulcers
• • Treatment
• • • Wound management
• • • • Assessment
      • Debridement
      • Dressing selection
• • • Compression therapy

Target Audience:

• Nurses
• Nurse Practitioners
• Occupational Therapists
• Occupational Therapy Assistants 
• Physical Therapy
• Physical Therapy Assistants
• Physicians
• Physicians Assistants
• Podiatrists

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