Lipedema: Diagnostic and Management Challenges and Wounds and Lymphedema: The Nature and Extent of the Problem
Date: March 14, 2020
Intended audience: CLTs, PT and OT working with this clientele
Check in time 7:30-8
Course time: 8-4:30 pm
Course level: intermediate
Location: St. Catherine’s University
601 25th Avenue South 
5th Floor Room#560
Minneapolis, MN 55454
Contact hours: 7.0
Course Fee: $200.00
Course intended to be completed in full.  If you need to arrive late or leave early the CE department must be notified before course takes place for contact hours to be adjusted.
Cancellation Policy:  Cancellation Fee will apply
Group Discounts:

If three people from the same organization register for a course, each person will receive a 10% discount. Four or more registered will receive a 15% discount. Please email or call ahead of time with the names of the people who will be registering as a group, [email protected]iew.org or 612-672-5607.

For Group discounts:  USE CODE rehab10 for 10% discount and rehab15 for 15% discount for group. 

Course Description:

The purpose of this course is to describe the initial evaluation and diagnosis of lipedema and discuss treatment options.  Course will also include Edema, describing the disease progression to help identify early signs of disease so that early treatments can be initiated. Lipedema is an uncommon disorder characterized by localized adiposity of the lower extremities, often occurring in females with a family history of the condition. The adiposity extends from hips to ankles and is typically unresponsive to weight loss. In addition to the aesthetic deformity, women also describe pain in the lower extremities, particularly with pressure, as well as easy bruising. Although the condition is well described, it is relatively rare and often misdiagnosed.  Edema can exist as a result of many pathological disease processes. In patients with lymphovenousdisease there is evidence that disease progresses from relatively minor signs and symptoms to more severe debilitating conditions if left untreated. When early signs are recognized and treatment is implemented at an early stage, it may be possible to prevent or slow the progression of disease. Patient assessment and treatment options will be discussed. 

Instructor:

Andrea Brennan, OTD, OTR/L, CLT-LANA, CI-CS, WCC  earned her bachelor of science degree from Emory University and Tufts University in occupational therapy.  As an occupational therapist since 1978, she gained a wealth of experience working in acute care hospitals, rehabilitation hospitals, skilled nursing facilities, home health settings and outpatient settings in Arizona. Andrea began her lymphedema studies as early as 1996. She received certification in the Casley-Smith International Lymphoedema treatment method in 2000, also successfully completed certification through the Lymphedema Association of North America (LANA). In 2010, Andrea began a mission to spread awareness and education about lymphedema. Patients conveyed their disappointment in other healthcare providers who failed to understand the complexity and impact of their lymphedema-related problems. She furthered her education by completing her post-professional clinical doctorate in occupational therapy in 2012, with emphasis in health services administration and lymphedema management program development.

During 2014, Andrea was selected to become a certified instructor in the Casley-Smith treatment method. This training took her to the University of Glasgow UK to be mentored. Upon her successful completion of this training, she created the Brennan School of Innovative Lymphatic Studies, which spearheads evidence-informed training and certification in lymphedema, lipedema, venous insufficiency and chronic swelling. As an instructor in the Casley Smith Method, she offered the first lymphedema training course in the Philippines where the number of lymphedema therapists tripled in the country. She was asked to conduct another training session to build upon the initial course and offer an update course to existing therapists. Furthermore, this summer, she provided training to therapists in the Casley-Smith method as an affiliate of University of Southern California at the Fujian University and its affiliated hospitalsFuzhou, China.  Andrea is frequently invited to speak on chronic edema and lymphedema management as well as other related clinical topics. She presented and published on diverse topics in lymphedema management on a local, national and international level; Clinical Symposium on Advances in Skin and Wound Care; the Wound, Ostomy and Continence Nursing Annual Conference; Fat Disorders Research Society, Latin American Venous Forum, International Lymphoedema Framework and the American Vein and Lymphatic Society. She authored a chapter in the Core Curriculum for Phlebology Nurses. Furthermore, each year she volunteers with Amigos de Salud, an international lymphatic and phlebology organization, offering treatment in Matagalpa, Nicaragua. Professional memberships include the International Compression Club, the International Lymphedema Framework and Casley-Smith International.

Andrea is a clinical specialist employed at Encompass Health Rehabilitation Hospital of Scottsdale in Arizona offering comprehensive inpatient and outpatient chronic edema and  lymphedema services, including aquatic lymphatic therapy. She lives with her husband, Joe, now empty-nesters, in Scottsdale, with their doodles, Majestic and Miracle.

Objectives:

  1. Differentiate lipedema from other similar diagnoses
  2. Construct assessments, treatment plans and management options for patients with lipedema
  3. Identify the anatomy, physiology and pathophysiology of the lymphatic and venous systems and their relation to chronic edema and lymphedema
  4. Classify the various dermatological issues occurring due to lymphovascular disease progression
  5. Understand basic wound assessment and treatement

Agenda:

7:30-8:00 Sign in and Continental Breakfast

8:00-9:00 Definition and classification, with staging of lipedema

9:00-10:00 Describe the etiology of subcutaneous adipose tissue ( SAT)

10:00-10:15 Break

10:15-12:00 Treatment strategies

12:00-1:00 Lunch Break ( on your own)

1:00-2:00 Anatomy and Physiology of the Lymphovascular system

2:00-2:45 Epidermal and Dermal Lymphatics: Dermatological manifestations

2:45-3:00 Break

3:00-4:30 Skin and Wound Management: Treatment and Dressings Conclusions

Attendee Sign Out

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AOTA Classification Code: Domain of OT and Occupational Therapy Process