Surgical resection of the right lower extremity in an adult with severe lymph-edema of the extremity required intensive coordination of multiple services and specialists because of the medical and surgical complexity of the patient’s condition, massive limb size, and surgical location in a children’s hospital. Early and prolonged planning was necessary to anticipate problems and provide optimal care. The patient had a successful surgical outcome, improvement in medical comorbid conditions postoperatively, and improvement in the quality of life upon discharge. This coordinated effort will be used in the future as a template for patients with complex conditions whose care requires lengthy planning and involves multiple services and specialists.
Skip Nav Destination
Article navigation
1 August 2011
Features|
August 01 2011
Coordination of Multiple Services for a Patient With Severe Lymphedema of the Right Lower Extremity
Mary Beth Sylvia, RN, MS, FNP-BC;
Mary Beth Sylvia is a family nurse practitioner in the Vascular Anomalies Center at Children’s Hospital Boston, Massachusetts. Erin Spera is a pediatric nurse practitioner in the Vascular Anomalies Center at Children’s Hospital Boston. Susan M. Hamilton is a clinical nurse specialist in the pediatric intensive care unit at Children’s Hospital Boston. Stella Harrington is a registered nurse in the operating room at Children’s Hospital Boston. Jay Hartford is a registered nurse in the pediatric intensive care unit at Children’s Hospital Boston. Sandy Quigley is a pediatric nurse practitioner, enterostomal therapist, and wound care specialist at Children’s Hospital Boston.
Corresponding author: Mary Beth Sylvia, rn, ms, fnp-bc, Vascular Anomalies Center, Children’s Hospital Boston, 300 Longwood Ave, Boston, MA 02115 (e-mail: [email protected]).
Search for other works by this author on:
Erin Spera, RN, MS, CPNP;
Erin Spera, RN, MS, CPNP
Mary Beth Sylvia is a family nurse practitioner in the Vascular Anomalies Center at Children’s Hospital Boston, Massachusetts. Erin Spera is a pediatric nurse practitioner in the Vascular Anomalies Center at Children’s Hospital Boston. Susan M. Hamilton is a clinical nurse specialist in the pediatric intensive care unit at Children’s Hospital Boston. Stella Harrington is a registered nurse in the operating room at Children’s Hospital Boston. Jay Hartford is a registered nurse in the pediatric intensive care unit at Children’s Hospital Boston. Sandy Quigley is a pediatric nurse practitioner, enterostomal therapist, and wound care specialist at Children’s Hospital Boston.
Search for other works by this author on:
Susan M. Hamilton, RN, MS, CNS;
Susan M. Hamilton, RN, MS, CNS
Mary Beth Sylvia is a family nurse practitioner in the Vascular Anomalies Center at Children’s Hospital Boston, Massachusetts. Erin Spera is a pediatric nurse practitioner in the Vascular Anomalies Center at Children’s Hospital Boston. Susan M. Hamilton is a clinical nurse specialist in the pediatric intensive care unit at Children’s Hospital Boston. Stella Harrington is a registered nurse in the operating room at Children’s Hospital Boston. Jay Hartford is a registered nurse in the pediatric intensive care unit at Children’s Hospital Boston. Sandy Quigley is a pediatric nurse practitioner, enterostomal therapist, and wound care specialist at Children’s Hospital Boston.
Search for other works by this author on:
Stella Harrington, RN, BSN, CNOR;
Stella Harrington, RN, BSN, CNOR
Mary Beth Sylvia is a family nurse practitioner in the Vascular Anomalies Center at Children’s Hospital Boston, Massachusetts. Erin Spera is a pediatric nurse practitioner in the Vascular Anomalies Center at Children’s Hospital Boston. Susan M. Hamilton is a clinical nurse specialist in the pediatric intensive care unit at Children’s Hospital Boston. Stella Harrington is a registered nurse in the operating room at Children’s Hospital Boston. Jay Hartford is a registered nurse in the pediatric intensive care unit at Children’s Hospital Boston. Sandy Quigley is a pediatric nurse practitioner, enterostomal therapist, and wound care specialist at Children’s Hospital Boston.
Search for other works by this author on:
Jay Hartford, RN;
Jay Hartford, RN
Mary Beth Sylvia is a family nurse practitioner in the Vascular Anomalies Center at Children’s Hospital Boston, Massachusetts. Erin Spera is a pediatric nurse practitioner in the Vascular Anomalies Center at Children’s Hospital Boston. Susan M. Hamilton is a clinical nurse specialist in the pediatric intensive care unit at Children’s Hospital Boston. Stella Harrington is a registered nurse in the operating room at Children’s Hospital Boston. Jay Hartford is a registered nurse in the pediatric intensive care unit at Children’s Hospital Boston. Sandy Quigley is a pediatric nurse practitioner, enterostomal therapist, and wound care specialist at Children’s Hospital Boston.
Search for other works by this author on:
Sandy Quigley, RN, MS, CNPNP, CWOCN
Sandy Quigley, RN, MS, CNPNP, CWOCN
Mary Beth Sylvia is a family nurse practitioner in the Vascular Anomalies Center at Children’s Hospital Boston, Massachusetts. Erin Spera is a pediatric nurse practitioner in the Vascular Anomalies Center at Children’s Hospital Boston. Susan M. Hamilton is a clinical nurse specialist in the pediatric intensive care unit at Children’s Hospital Boston. Stella Harrington is a registered nurse in the operating room at Children’s Hospital Boston. Jay Hartford is a registered nurse in the pediatric intensive care unit at Children’s Hospital Boston. Sandy Quigley is a pediatric nurse practitioner, enterostomal therapist, and wound care specialist at Children’s Hospital Boston.
Search for other works by this author on:
Crit Care Nurse (2011) 31 (4): 55–68.
Citation
Mary Beth Sylvia, Erin Spera, Susan M. Hamilton, Stella Harrington, Jay Hartford, Sandy Quigley; Coordination of Multiple Services for a Patient With Severe Lymphedema of the Right Lower Extremity. Crit Care Nurse 1 August 2011; 31 (4): 55–68. doi: https://doi.org/10.4037/ccn2011222
Download citation file:
Sign in
Don't already have an account? Register
Short-term Access
Purchase short-term access on a pay-per-article or pay-per-issue basis.
$15 72 - hour single article access $30 7 - day full issue access
.svg?versionId=1461)