Complex Lymphatic Therapy Courses
Course Information
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The Course

2008 Atlanta Courses
*March 27-April 12: Intensive course, runs on weekends as well as during the week.

*October 13-October 31: 3 week course, with option to take the first two weeks now and then take the third week in 2009. The therapist is not certified until successful completion of the third week, 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 advance reading, 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 course is a trip to a factory that manufactures compression garments.

*The Atlanta October course will include the Lymphedema Awareness Day luncheon and program.

The Instructor
DeCourcy Squire, PT, CLT-LANA, CI-CS, is a physical therapist who has been treating lymphedema for over 14 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 the last 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 had at least 12 credit hours of course work in human anatomy, physiology, and/or pathophysiology [192 clock hours] from an accredited university or college.

Tuition
Cost of the course: $2500
A $500 deposit will hold your place (of which $200 is refundable if you have to cancel).

Housing information, directions, and the textbook 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
--The textbook, which will be sent to you in advance
--Two towels
--Bag to hold bandaging materials
--Scissors, masking tape, washable markers, tape measure
--Lab clothes that allow full access to whole limb (arm and leg)
--MLD clothes that allow uninterrupted access to the back (halter top that unhooks or hospital gown)

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
--podoconiosis
--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

 
CLTcourses@cs.com / 678-596-1785