00278 Ineffective Self -Management Of Lymphatic Edema

Domain 4: activity/rest
Class 4: cardiovascular/pulmonary responses
Diagnostic Code: 00278
Nanda label: ineffective self -management of lymphatic edema
Diagnostic focus: lymphatic edema self -management
approved 2020 • Evidence level 2.1

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « ineffective self -management of lymphatic edema is defined as: unsatisfactory management of symptoms, treatment, physical, psychic and spiritual consequences and changes in the lifestyle inherent to live with edema related to obstruction or affectation of lymph nodules.

Definite characteristics

Signs of lymphatic edema

  • Fibrosis in the affected limb
  • Recurrent infections
  • Swelling in the affected limb

symptoms of lymphatic edema

  • Express dissatisfaction with the quality of life
  • Informs sensation of discomfort in the affected limb
  • Informs feeling heaviness in the affected limb
  • Informs a sensation of oppression in the affected limb


  • Average daily physical activity is lower than recommended according to sex and age
  • Inappropriate manual lymphatic drainage
  • Inadequate protection of the affected area
  • Inappropriate application of the night bandage
  • Inappropriate diet
  • Inappropriate skin care
  • Use of inappropriate compression bandages
  • Lack of attention to carrying heavy objects
  • Lack of attention to extreme temperatures
  • Lack of attention to signs of lymphatic edema
  • Lack of attention to symptoms of lymphatic edema
  • Lack of attention to exposure to sunlight
  • Decreased movement amplitude in the affected limb
  • Reject the application of night bandages
  • Reject the use of compressive bandages

Related factors

  • Cognitive dysfunction
  • Contradictory demands
  • Contradictory lifestyle preferences
  • Conflict between health behaviors and social norms
  • Decreased perception of quality of life
  • Difficulty accessing community resources
  • Difficulty in managing a complex therapeutic regime
  • Difficulty in handling in complex health systems
  • Difficulty in decision making
  • Inadequate implication in an action plan
  • Inadequate health literacy
  • Inappropriate knowledge about the treatment regime
  • Inappropriate number of indications for action
  • Inappropriate role models
  • Inadequate social support
  • Limited ability to perform some aspects of treatment
  • Low self -efficacy
  • Negative feelings towards the therapeutic regime
  • Neurocomportal manifestations
  • No acceptance of a problem
  • Obstacle perception of the therapeutic regime
  • Perception of a social stigma associated with a problem
  • Non -realistic perception of the severity of the situation
  • Non -realistic perception of susceptibility to sequels
  • Non -realistic perception of the benefits of treatment

Risk population

  • teenagers
  • Children
  • People at economic disadvantage
  • People with a history of ineffective personal health management
  • People with limited experience in decision making
  • People with low educational level
  • Older adults

Associated problems

  • Chemotherapy
  • Chronic venous insufficiency
  • Disabilities of development
  • Infections
  • Invasive procedure
  • Major surgery
  • Neoplasms
  • Obesity
  • Radiation therapy
  • Elimination of lymph nodules
  • Trauma