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Case Reports in Psychiatry
Volume 2017 (2017), Article ID 4958127, 3 pages
https://doi.org/10.1155/2017/4958127
Case Report

Adapting Lymphedema Treatment in Patients with a Mental Disability

1Medicine School in São José do Rio Preto (FAMERP), São José do Rio Preto, SP, Brazil
2Research Group of Clínica Godoy, São José do Rio Preto, SP, Brazil
3Medicine School of Marilia (FAMEMA), Marilia, SP, Brazil
4Medicine School of ABC, Santo Andre, SP, Brazil
5Cardiology and Cardiovascular Surgery Department, Medicine School in São José do Rio Preto (FAMERP), São José do Rio Preto, SP, Brazil

Correspondence should be addressed to José Maria Pereira de Godoy; moc.liamg@pmjyodog

Received 11 June 2017; Revised 7 August 2017; Accepted 13 August 2017; Published 11 September 2017

Academic Editor: Philipp Sand

Copyright © 2017 Maria de Fátima Guerreiro Godoy et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background and Purpose. Mental disability is often characterized by significant limitations in adaptive skills. When this condition is associated with lymphedema, treatment requires greater commitment of the care team. The objective of this study is to report the treatment of lymphedema using only one therapeutic technique, a low-stretch grosgrain stocking. Case Report. We report the case of a 14-year-old mentally challenged female patient with lymphedema of the left leg, motor difficulties, and impaired speech and sight. According to the caregiver, lymphedema was present at birth; however, the patient had not been submitted to specific treatment. Thus, only one technique, an adapted low-stretch grosgrain compression stocking, was proposed as it could be used during daily life activities. The adaptation involved the grosgrain stocking, fastened using eyelets and cord up to the thigh, being sewn onto a pair of cotton shorts. The result was a clinical improvement with reductions in the perimeter and volume due to the compliance of the patient and the family to treatment. Conclusion. The use of a single treatment strategy in the form of a low-stretch stocking in such cases together with the involvement of a multidisciplinary team can lead to good treatment outcomes for chronic lymphedema.