{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T09:05:39Z","timestamp":1784106339201,"version":"3.55.0"},"reference-count":18,"publisher":"Mark Allen Group","issue":"15","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Nurs"],"published-print":{"date-parts":[[2022,8,11]]},"abstract":"Introduction:<\/jats:title> Compression therapy is important in oedema control in lymphoedema. However, some patients have difficulties starting compression therapy because standard self-care education does not enable them to fully understand lymphoedema and recognise it as their problem. To overcome this, real-time image-sharing education, using a combination of indocyanine green lymphography (ICG) and ultrasonography, may be used to educate patients. In this case study, real-time image-sharing education promoted decision-making and behaviour change in a patient with lower extremity lymphoedema so she would wear elastic stockings. <\/jats:p><\/jats:sec>Case:<\/jats:title> A 51-year-old woman with a BMI of 31.7 kg\/m2<\/jats:sup> and secondary lower extremity lymphoedema following cervical cancer surgery did not adhere to self-care instructions regarding wearing elastic stockings for 5 years. The oedema worsened, her limb circumference increased and she had two episodes of cellulitis within a year. Because the patient had a negative attitude towards elastic stockings, real-time image-sharing education was used to promote recognition of illness using ICG and an understanding of the condition of lymphoedema using ultrasonography. After the images were shared and explained, the patient discussed her recognition and understanding of lymphoedema, then decided to use compression stockings. She continued to wear them for 4 months, and her limb circumference decreased. <\/jats:p><\/jats:sec>Conclusion:<\/jats:title> Real-time image-sharing education using ICG and ultrasonography as self-care support for a lymphoedema patient who would not start compression therapy could result in behavioural changes and the patient starting and continuing to wear elastic stockings. <\/jats:p><\/jats:sec>","DOI":"10.12968\/bjon.2022.31.15.s22","type":"journal-article","created":{"date-parts":[[2022,8,18]],"date-time":"2022-08-18T17:34:40Z","timestamp":1660844080000},"page":"S22-S29","source":"Crossref","is-referenced-by-count":4,"title":["Real-time image-sharing to educate a patient with lymphoedema on self-care: a case study"],"prefix":"10.12968","volume":"31","author":[{"given":"Misako","family":"Dai","sequence":"first","affiliation":[{"name":"Nursing Scientist specialising in lymphoedema, Research Center for Implementation Nursing Science Initiative, Research Promotion Headquarters, Fujita Health University, Aichi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuji","family":"Yamashita","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgeon specialising with microsurgery, Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Tokyo, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mutsumi","family":"Okazaki","sequence":"additional","affiliation":[{"name":"Professor of Plastic and Reconstructive Surgery, Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Tokyo, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keiko","family":"Kimori","sequence":"additional","affiliation":[{"name":"Nursing Scientist specialising in nursing science and engineering, Ishikawa Prefectural Nursing University, Ishikawa, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiromi","family":"Sanada","sequence":"additional","affiliation":[{"name":"Professor of Nursing, Ishikawa Prefectural Nursing University, Ishikawa, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junko","family":"Sugama","sequence":"additional","affiliation":[{"name":"Professor of Nursing, Research Center for Implementation Nursing Science Initiative, Research Promotion Headquarters, Fujita Health University, Aichi, Japan, junko"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5130","reference":[{"issue":"12","key":"B1","doi-asserted-by":"crossref","first-page":"2832","DOI":"10.1002\/1097-0142(20000615)88:12<2832::AID-CNCR24>3.0.CO;2-U","volume":"88","author":"Badger CMA","year":"2000","journal-title":"Cancer"},{"issue":"2","key":"B2","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1111\/nuf.12169","volume":"52","author":"Blok AC.","year":"2017","journal-title":"Nurs Forum"},{"issue":"4","key":"B3","doi-asserted-by":"crossref","first-page":"168","DOI":"10.33235\/wpr.27.4.168-174","volume":"27","author":"Chitambira F.","year":"2019","journal-title":"Wound Practice and Research"},{"key":"B4","doi-asserted-by":"crossref","first-page":"219","DOI":"10.2147\/PPA.S58631","volume":"8","author":"Choi S","year":"2014","journal-title":"Patient Prefer Adherence"},{"issue":"2","key":"B5","first-page":"13","volume":"37","author":"Dai M","year":"2013","journal-title":"J Tsuruma Health Sci Soc"},{"issue":"1","key":"B6","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1089\/lrb.2015.0020","volume":"14","author":"Dai M","year":"2016","journal-title":"Lymphat Res Biol"},{"key":"B7","author":"Dai M","year":"2021","journal-title":"Lymphat Res Biol"},{"issue":"1","key":"B8","first-page":"3","volume":"53","author":"Executive Committee of the International Society of Lymphology","year":"2020","journal-title":"Lymphology"},{"issue":"2","key":"B9","first-page":"140","volume":"8","author":"Khademian Z","year":"2020","journal-title":"Int J Community Based Nurs Midwifery"},{"issue":"2","key":"B10","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1016\/j.jvsv.2012.07.011","volume":"1","author":"Mihara M","year":"2013","journal-title":"J Vasc Surg Venous Lymphat Disord"},{"issue":"2","key":"B11","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1097\/SAP.0b013e3182586b79","volume":"72","author":"Mihara M","year":"2014","journal-title":"Ann Plast Surg"},{"issue":"1","key":"B12","first-page":"72","volume":"32","author":"Narushima M","year":"2016","journal-title":"J Reconstr Microsurg"},{"key":"B13","unstructured":"Riegel B, Jaarsma T, Stromberg A. 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