Impairment Associated with Lymphedema

 

Locations:

(1) arm (typically following breast cancer)

(2) lower extremity (multiple causes)

(3) scrotum in males (with filariasis)

 

Parameters to consider:

(1) physical discomfort and pain

(2) other symptoms

(3) emotional issues (poor self-image, anxiety, depression, other)

(4) embarrassment in public

(5) effect on relationships with family and friends

(6) interference with work

(7) interference with exercise, sports or physical activities

(8) interference with social activities

(9) interference with activities of daily living (ADL) and hygiene

(10) interference with transportation and getting around

(11) cost

(12) problems in getting social support

 

Each factor can be graded.

 

Severity	Points
none	0
minimal	1
mild	2
moderate	3
severe	4
extreme	5

 

total score =

= SUM(points for all 12 parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 60

• The higher the score the greater the level of impairment experienced by the patient.