Complex Lymphatic Therapy Courses

Comprehensive Certification Course

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The Comprehensive Certification Course
Part I  1 week:  
Anatomy, Physiology, Pathophysiology of Lymphatic system; Evaluation, documentation,  patient education on skin care and precautions, measuring for off-the-shelf garments 
Part II   2 weeks: 
Treatment of lymphedema, all body parts, variety of etiologies:  MLD, compression wrapping, decongestive exercises,  teaching and adapting  home programs, measuring for custom garments and night options

The therapist is not certified until successful completion of  both part I and II, for the full 135 hours of training.
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The course is an intensive 135 hour course, meeting the standards set by LANA (Lymphology Association of North America) and leading to full certification as a Casley-Smith Lymphedema Therapist (CSLT).

*It includes pre-course reading and study guide; lectures, labs, and practice with actual patients. (See below for a list of topics covered under theory and a list of the skills that are taught.)

*A highlight of the Atlanta area courses is a trip to a factory that manufactures compression garments.


The Instructor
DeCourcy Squire, PT, CLT-LANA, CI-CS, is a physical therapist who has been treating lymphedema for over 15 years.
*She has studied at the Foldi Clinic in Germany and with Judith and John Casley-Smith in Australia. She is one of two certified instructors in the Casley-Smith method in the US and has been teaching the Casley-Smith method since 1999.
*She has been a workshop leader or moderator at  5 National Lymphedema Network (NLN) Conferences, is active with the Lighthouse Lymphedema Network in Atlanta, is convener of the Lymphedema Roundtable for lymphedema therapists in the Atlanta/Southeast area, and has been a consultant for NLN and the Lymphoedema Association of Australia, answering questions by email from people with lymphedema problems.
*She helped develop lymphedema programs in Nebraska and Minnesota before moving to Atlanta, and has taught community workers in Haiti about recognizing and treating filarial lymphedema.
*She currently works with the Lymphedema Program at Piedmont Hospital in Atlanta.

Eligibility to Take the Course
*Physical therapists, occupational therapists, physicians, physician assistants, nurses, and nurse practitioners are eligible to take the course.

*Physical therapy assistants and certified occupational therapy assistants are eligible if they will be working with a supervising therapist who is also fully certified in lymphedema therapy.

*Massage therapists are eligible to take the course if they have completed 500 hours of training as a massage therapist at an accredited school, are certified and/or licensed in the state in which they practice, and have a bachelors degree from an accredited college or university with course work that includes at least 12 credit hours  in human anatomy, physiology, and/or pathophysiology [192 clock hours].

Tuition
Cost of the course: $2500; if paid separately, Part I is $1000 and Part II is $2000.
A $500 deposit will hold your place (of which $200 is refundable if you have to cancel).

Housing information, directions, and the pre-course study guide are sent when the initial deposit is sent in.

Suggested Things to Bring to the Course
--Pre-test, which is sent to you in advance, along with the pre-course study guide
--Two towels
--Bag to hold bandaging materials
--Optional: Scissors, masking tape, washable markers, eyeliner, flash drive, camera
--Lab clothes that allow full access to whole limb for measuring or bandaging (arm and leg)
--MLD clothes that allow uninterrupted access to the back (suggested: halter top that unhooks or hospital gown)

If you have more questions about the comprehensive certification course, click here.

Topics Covered under Theory:
Brief historical overview
Microcirculation
Starling's Equation applied to lymphatic system
Lymph circulation
Lymphotomes and drainage patterns
Anatomy and physiology of lymphatic system
Pathophysiology of edemas
Etiologies of lymphedema
--post-surgical and/or post-radiation
--primary
--phlebolymphedema
--peri-wound edema
--lipo-lymphedema
--filariasis
--infections
--podoconiosis
--post-trauma
Staging lymphedema
Diagnosis and evaluation
Treatment approaches
--surgical
--drugs and herbs
--pumps
--Complex Lymphatic Therapy
MLD
Compression Wrapping
Decongestive Exercises/Pool programs
Skin care and precautions
Home management
Applying the techniques to conditions other than lymphedema
Current research updates
--and more.....

Skill Areas Covered:

Evaluation of patients with lymphedema
*Girth measurements
*Volume measurements
*Tissue texture
*Staging
*History taking
*Function

Manual Lymphatic Drainage
*For swollen arm (post-mastectomy, bilateral, post trauma, post-op, other)
*For swollen leg (primary, secondary, venous, filariasis, bilateral, post-trauma, post-op, other)
*For swollen trunk or genital region
*For swollen face (post-surgical/radiation, primary, post-trauma)
*Palliative
*Pediatric

Scar management/dealing with fibrosis
*Special strokes
*Anti-fibrosis pads

Gradient compression bandaging

Lymphedema exercises

Compression garments
*Certification in measuring and fitting
*Making recommendations re: style, material, and &
*Donning, doffing, care, troubleshooting

Skin care

Teaching of precautions/activity modification

Instruction of patients/family members in home program/self-care

Documentation and billing codes

Setting up a clinic