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Compression Garment Selection, Fitting and Monitoring Project for Malignancy Related Lymphoedema – Project Completion Report - 44 -
Appendices
Compression Garment Selection, Fitting and Monitoring Project for Malignancy Related Lymphoedema – Project Completion Report - 45 -
Appendix A: Guideline for Compression Garments
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Compression Garment Selection, Fitting and Monitoring Project for Malignancy Related Lymphoedema – Project Completion Report - 47 -
Compression Garment Selection, Fitting and Monitoring Project for Malignancy Related Lymphoedema – Project Completion Report - 48 -
Compression Garment Selection, Fitting and Monitoring Project for Malignancy Related Lymphoedema – Project Completion Report - 49 -
Compression Garment Selection, Fitting and Monitoring Project for Malignancy Related Lymphoedema – Project Completion Report - 50 -
Appendix B: TOR Steering Committee
TERMS OF REFERENCE Compression garment selection, fitting and monitoring
implementation
Steering Committee
PURPOSE
The purpose of the Statewide Compression garment selection, fitting and monitoring
implementation Steering Committee (the “Committee”) is to provide oversight, strategic
advice and support for the development, direction and implementation of the redesign
trial and implementation for the Guideline for Compression Garments for Adults with
Malignancy Related Lymphoedema: Eligibility, Supply and Costing
MEMBERSHIP
Sponsor (or representative), Chief Allied Health
Officer, Allied Health Professions Office of
Queensland (AHPOQ), Department of Health,
Queensland
Julie Hulcombe
Allied Health Professional Leader/Project Officer,
AHPOQ
Fiona Hall
Directors of Allied Health Professional Advisory
Group
Kerrie-Anne Frakes
Director of Physiotherapy Mark Cruickshank
Director of Occupational Therapy Vilma Girardi
Rural and Remote Workforce Committee
Representative
Ilsa Nielsen
Cancer Care Workforce Development
Representative
Suzanne McCorkell
Academic Representation : James Cook
University
Susan Gordon
Chair: Sponsor
Coordinator: Coordination and secretariat functions are provided by the Project Officer
OBJECTIVES
The Committee will:
Compression Garment Selection, Fitting and Monitoring Project for Malignancy Related Lymphoedema – Project Completion Report - 51 -
Provide strategic advice and support regarding the implementation for the Guideline
for Compression Garments for Adults with Malignancy Related Lymphoedema:
Eligibility, Supply and Costing
Provide oversight, guidance and feedback to the project officer and sponsor on all
facets of the compression garment selection, fitting and monitoring redesign project.
– Contribute to the development and review of project documentation including
project plan, resources developed, education package and completion report.
Support information provision and consultation processes with stakeholders in
respective areas.
PRINCIPLES OF OPERATION
The Committee will meet monthly for the development phase of the project (February
2014 - June 2014) and then bimonthly for the remainder of the project (July 2014-June
2015) or at a frequency otherwise agreed by member consensus.
Extraordinary meetings may be called by the Chair if indicated.
Papers may be electronically circulated out-of-session by the Chair for noting or
decision.
A quorum will consist of 50% of Committee members plus the Chair.
Members may provide a suitably briefed proxy if they are unable to attend a meeting.
The Member must notify the Chair of their nominated proxy prior to the meeting.
Agenda and any briefing documents will be distributed 5 working days before the
meeting.
Minutes will be distributed within 5 working days of the meeting.
REPORTING RELATIONSHIPS
The Committee is sponsored by the Chief Allied Health Officer, Allied health
Professions Office Queensland
Recommendations from this Committee may contribute to information provided to the
Project officer for decision / action.
RESPECT AND CONFIDENTIALITY
Committee discussions will be professional, respectful and value the contribution of all
members.
Notwithstanding the information sharing and communication functions of the
Committee, any information that a Committee member identifies as sensitive or not for
dissemination shall be treated as confidential by members.
DISTRIBUTION OF MINUTES
The minutes will be provided to the Committee members, and may be provided to the
Directors of Allied Health Professions Advisory Committee if requested.
ENDORSEMENT:
Compression Garment Selection, Fitting and Monitoring Project for Malignancy Related Lymphoedema – Project Completion Report - 52 -
Appendix C: TOR Reference Group
TERMS OF REFERENCE Compression garment selection, fitting and monitoring
Implementation
Reference Group
PURPOSE
The purpose of Statewide compression garment selection, fitting and monitoring
Implementation Reference Group (the “Reference Group”) is to:
support the implementation of the Guideline for Compression Garments for Adults with
Malignancy Related Lymphoedema: Eligibility, Supply and Costing
Provide guidance for and support the implementation of the initiative
Promotion of available education opportunities for Lymphoedema Therapists
MEMBERSHIP
Chair: Statewide Lymphoedema Working Group Chair Suzanne McCorkell
Project Officer : Allied Health Professions Office Fiona Hall
Statewide lymphoedema working group members:
Cairns Hospital
Princess Alexandra Hospital
Royal Brisbane and Womens Hospital
Townsville Hospital
Lauren Frame
Amanda Purcell
Hildegard Reul-Hirche
Nicola Cosgriff
Central Area, Cancer Care Work Force Development
Officer
Juanine Passfield
Coordination: Chair: Statewide lymphoedema Working Group Chair
Coordination and secretariat functions will be provided by the Project Officer
OBJECTIVES
The Reference Group will:
Provide guidance and develop resources for the trial
Help facilitate the implementation of the initiative
Provide leadership and support the implementation of the Guideline for Compression
Garments for Adults with malignancy Related Lymphoedema: eligibility, Supply and
Costing.
PRINCIPLES OF OPERATION
The Reference Group will meet approximately monthly for the term of the development
of the resources and then bimonthly until the completion of the redesign trial and
implementation of the Guideline (February 2013– June 2015) or at a frequency
otherwise agreed by member consensus.
Extraordinary meetings may be called by the Chair if indicated.
Papers may be electronically circulated out-of-session by the Chair for noting or
decision.
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As the Reference Group is not a decision making group, a quorum is not required,
however in the event of low attendance, attendees will determine if the meeting is to
proceed.
Agenda and any briefing documents will be distributed 3 working days before the
meeting.
A record of actions and resolutions will be distributed within 5 working days of the
meeting for members’ review.
ACCOUNTABILITY AND REPORTING RELATIONSHIPS
The Reference Group is sponsored by and reports through the Chief Allied Health
Office, Allied Health Professions Office Queensland.
Recommendations from this Reference Group may be provided to the Steering
Committee for decision / action.
Final decision making rests with the sponsor
RESPECT AND CONFIDENTIALITY
Reference Group discussions will be professional, respectful and value the contribution
of all members.
Notwithstanding the information sharing and communication functions of the Working
Group, any information that a Working Group member identifies as sensitive or not for
dissemination shall be treated as confidential by members.
DISTRIBUTION OF MINUTES
The minutes will be provided to the Sponsor for noting.
The minutes may be provided to Steering Committee in relation to specific issues /
matters, at the discretion of the Chair.
Compression Garment Selection, Fitting and Monitoring Project for Malignancy Related Lymphoedema – Project Completion Report - 54 -
Appendix D: TOR Working Group
TERMS OF REFERENCE Working Group
PURPOSE
The purpose of Statewide compression garment selection, fitting and monitoring
redesign trial, Working Group is to support the implementation of the redesign trial
MEMBERSHIP
Project Officer : Allied Health Professions Office Fiona Hall(Chair)
Lymphoedema Therapists
A/Advanced Oncology Occupational Therapist
Cairns Base Hospital
Lauren Frame
Cancer Care Occupational Therapist, Gladstone
Hospital
Robyn McMillan
Senior Physiotherapist, Cancer Care Support Team
Bundaberg Hospital
Natasha Moore
Occupational Therapist, Nambour General Hospital Michelle Basford
Occupational Therapist, Princess Alexandra Hospital Megan Trevethan
Senior Occupational Therapist The Townsville
Hospital
Nicola Cosgriff
Occupational Therapy Dept, Mackay Base Hospital.
Bridge Road, Mackay, Qld 4740
Nicole Little
Kirsty Bell
Generalist Therapists
Physiotherapist, Cooktown Multipurpose Health
Service
Debra Horsfield
Occupational Therapist, Atherton Hospital Cathryn Taylor
Occupational Therapist, Emerald Hospital Asmita Sarang
Senior Occupational Therapist, North Wide Bay
Gayndah Community & Rural Allied Health, Gayndah
Elizabeth Keith
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Occupational Therapist, North Wide Bay, Gayndah
Community & Rural Allied Health, Gayndah
Kirsty Bailey
Occupational Therapist, Caloundra Sunelle Hargreaves
Occupational Therapist, South West, Charleville,
QLD,
Melinda Brassington
Occupational Therapist, Roma Hospital Yvette Ladner
Occupational Therapist Proserpine Stephanie Fanias
Chair: Project Officer, AHPOQ
Coordination and secretariat functions will be provided by the Project Officer,
OBJECTIVES
The Working Group will:
provide a forum for regular informal reporting of progress on the implementation of
project activities and achievement of project milestones at local Hospital and Health
Service Sites (HHS)
provide opportunity for sharing of barriers, strategies and learning’s between HHS’s
provide peer support and guidance for the Project Site Coordinators (PSCs)
provide updates from the project officer and collection and review of evaluation data
PRINCIPLES OF OPERATION
The working group will meet approximately bi-monthly for the term of the
implementation of the Redesign Trial (October 2014– October 2015) or at a frequency
otherwise agreed by member consensus.
Extraordinary meetings may be called by the Chair if indicated.
Papers may be electronically circulated out-of-session by the Chair for noting or
decision.
As the Working Group is not a decision making group, a quorum is not required,
however in the event of low attendance, attendees will determine if the meeting is to
proceed.
Agenda and any briefing documents will be distributed 3 working days before the
meeting.
A record of actions and resolutions will be distributed within 5 working days of the
meeting for members’ review.
ACCOUNTABILITY AND REPORTING RELATIONSHIPS
The Working Group is sponsored by and reports through the Chief Allied Health Office,
Allied Health Professions Office Queensland.
Compression Garment Selection, Fitting and Monitoring Project for Malignancy Related Lymphoedema – Project Completion Report - 56 -
The Working Group does not possess decision-making accountability in relation to the
project. Recommendations from this Working Group may be provided to the CGPFAM
Steering Committee for decision / action.
RESPECT AND CONFIDENTIALITY
Special Interest Group discussions will be professional, respectful and value the
contribution of all members.
Notwithstanding the information sharing and communication functions of the Working
Group, any information that a Working Group member identifies as sensitive or not for
dissemination shall be treated as confidential by members.
DISTRIBUTION OF MINUTES
The minutes will be provided to the Sponsor for noting.
The minutes may be provided to Steering Committee in relation to specific issues /
matters, at the discretion of the Chair.
Compression Garment Selection, Fitting and Monitoring Project for Malignancy Related Lymphoedema – Project Completion Report - 57 -
Appendix E: Capabilities of the compression garment selection, fitting and monitoring education program
Module 1: Overview of lymphatic system and lymphoedema
Knowledge
(knowing what)
Skills
(knowing how)
Therapeutic approach
Anatomy, physiology,
pathophysiology of the lymphatic
system
Risk factors for malignancy related
lymphoedema
Functional and psychosocial impact
of having lymphoedema
Identify signs of lymphoedema
Apply lymphoedema grading
system
Provide clear
explanations to patient
to assist their
understanding of
lymphoedema.
Module 2. Assessment of lymphoedema
Causes of and contributors to
malignancy-related lymphoedema
Knowledge of differential diagnosis
including metastasis
Contraindications for compression
Accurately conduct
circumferential measurements
and pitting test
Complete a thorough and
accurate lymphoedema
assessment
Evaluate history to determine
suitability for compression
Identify suitable referral
pathway to tertiary services
Provide thorough
assessment of status of
patient with stable
lymphoedema
Identify when patient
requires intervention
from lymphoedema
therapist
Module 3. Management of lymphoedema
Overview of the full scope of
management of malignancy related
lymphoedema
Role of generalist therapists in
management of malignancy related
lymphoedema
Contraindications and precautions to
compression therapy
Determine the appropriateness
of compression therapy for an
individual patient
Provide individualised
information related to use of
compression garments, risk
reduction strategies, skin care
and exercise advice
Partner with patients in
the development &
monitoring of
individualised self-
management plans
Compression Garment Selection, Fitting and Monitoring Project for Malignancy Related Lymphoedema – Project Completion Report - 58 -
Module 4. Compression therapy and garments.
Principles of compression therapy.
Range and characteristics of
compression garments including:
correct fitting principles and
consequences of poor fit; donning/
doffing strategies; garment care and
wearing precautions
Determine appropriate
compression garment
prescription based on
assessment outcomes
Fit and evaluate the
compression garment
prescribed
Provide a regime for wearing,
care instructions and
precautions for compression
garments
Apply professional reasoning
to emergent problems with
compression garment wear
and identify appropriate
resolution.
Using a patient centred
approach the therapist
will support the
individual patient in the
long term self-
management of stable
lymphoedema