CLT Skin Care & Wound Management Flashcards

What is the primary skin care goal for lymphedema patients?

Answer: Maintain skin integrity to prevent infection and secondary complications

Maintaining skin integrity is the primary goal because breaks in the skin create entry points for bacteria, leading to cellulitis and worsening lymphedema.

Which moisturizer type is most recommended for daily skin care in lymphedema patients?

Answer: Fragrance-free, low-pH emollient creams

Fragrance-free, low-pH emollient creams hydrate without irritating skin, reducing the risk of contact dermatitis and infection in lymphedematous tissue.

Which chronic skin change is characterized by thickened, warty skin projections in long-standing lymphedema?

Answer: Papillomatosis

Papillomatosis presents as cobblestone-like, warty skin projections caused by chronic lymphostasis and fibrotic tissue changes in advanced lymphedema.

What water temperature is recommended for bathing a lymphedematous limb?

Answer: Lukewarm (approximately 92–98°F / 33–37°C)

Lukewarm water is recommended because hot water increases vasodilation and lymphatic load, potentially worsening swelling in a compromised lymphatic system.

How should a minor cut or abrasion be treated immediately on a lymphedematous limb?

Answer: Wash with mild soap, apply antiseptic, cover with clean bandage, and monitor for infection signs

Prompt cleaning, antiseptic application, and coverage reduces bacterial entry risk, while monitoring catches early cellulitis signs in immunologically compromised tissue.

What is the term for the skin condition involving fibrosis and hardening of subcutaneous tissue seen in advanced lymphedema?

Answer: Fibrosis (sclerosis)

Fibrosis or sclerosis occurs when chronic protein-rich fluid accumulation triggers fibroblast activity, leading to hardened, indurated subcutaneous tissue.