title: Management of lymphedema for cancer patients with complex needs.
abstract: OBJECTIVE
  The purpose of this paper was to discuss the management of lymphedema in patients with advanced disease.
  
  
  METHODS
  Peer-reviewed literature.
  
  
  CONCLUSIONS
  Management of lymphedema in patients with advanced cancer is complex because of multi-factorial issues. Basic components of skin care, compression, massage, and exercise can be applied for these patients. Key concepts are: 1) optimizing quality of life, 2) respecting patients' choices, and 3) providing psychological support to the patients and their families.
  
  
  CONCLUSIONS
  Management plans for patients with lymphedema in advanced disease should be flexible. Holistic and collaborative approaches are essential to achieve the goal of caring for these patients.
authors: Boromarajonani College of Nursing, Buddhachinaraj, Thailand. awkb4@mail.missouri.edu
authors: Ausanee
authors: A
authors: Wanchai
authors: Marcia
authors: M
authors: Beck
authors: Bob R
authors: BR
authors: Stewart
authors: Jane M
authors: JM
authors: Armer
mesh_terms: D006301:Health Services Needs and Demand; D006801:Humans; D008209:Lymphedema / Q000209:etiology / Q000628:therapy*; D009369:Neoplasms / Q000150:complications*